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06-3980 (BLCK)—".P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA .92253 BUILDING & SAFETY DEPARTMENT BUILDING 'PERMIT Application Number: 06='00003980 Property Address: 61619 TOPAZ DR. APN: 764-280-'999-21 .-300237- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 3130 Applicant:. Architect or Engineer Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350J SCOTTSDALE, AZ 85258. D d _ Contractor: NOV -20 2006 SHEA HOMES_INC. INC , 81260 AVENUE 62. LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 11/14/06 Ulf iyqpLAQuily.i4 (760) 777-6005 ' - F114ANCE61@ Lic. No.: 672285 • LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Division 3 of theB iness and Professionals Code, and my License is in full force and effect. _ ' _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice ve ass: license No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' --� ` ntractor. - issued. 1 have.and will maintain workers' compensation insurance, as required by Section 3700 of the Labor , Code, for the performance of the work for which this permit is issued.. My workers' compensation -- OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am'exempt from the Contractor's State License Law for the - Carrier AMERICAN HOME Policy Number 1247619 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - I certify that, in the perfor ance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the " _ - person in any manner s s to become subject to the kers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I sho bec a sub' ct t thew Ir compensation provisions of Section • License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor ode, s II orth h co ply wit t e provisions. , that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by- Ae_j�JOpplicant. - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 1 I, as owner of the property, or my employees with wages,as their sole compensation, will do the work, and _ the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code:- The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL • Contractors' State, License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ` and who does the work himself or herself through his or her own employees, provided that the • -- DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within ,SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).,- APPLICANT ACKNOWLEDGEMENT I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. - IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Profession's Code: The Contractors' State License Law does not apply to an owner of . conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed 1. Eachpersonupon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). .. - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 Fam exempt under Sec. , B.&P.C. for this reason - - - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers,. agents and employees for any act or omission related to the work being - - - performed under or following issuance of this permit. - - Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject' ^ CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the abov information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - - ounty ordinances and state laws relating to buildi coon nd�eelby authori representatives nty t enter uponthe above-mentioned probe for in p ton o Lender's Name: Pof nature (Applicant or Agent): Lender's Address: - . LQPEP.NIIT ' Application Number . . 06-00003980 Permit WALL/FENCE PERMIT - Additional desc Permit Fee 63.00 Plan Check Fee .00 Issue Date Valuation 3130 Expiration Date 5/13/07 Qty Unit Charge •Per Extension BASE FEE 45.00 2.00 . 9.0000 THOU-'BLDG 2,001-25,000 18.00 Special Notes and Comments 90 L.F. 6' GARDEN WALL & 55 L.F. 4! KNEE WALL, BOTH ORCO SYSTEM Fee summary Charged Paid Credited Due --------------------------------------- ---------- %----------- _ Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total .00 .00 00 Grand Total 63.00 _.00 00 00 -, 63.00 LQPERD7IT