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06-4342 (BLCK)r _ P.O. BOX' -1504 VOICE (760) 777-7012 ' 78-495 CALLE TAMPICO FAX,'(760) 777.-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Y Date: 12/21/06 Application'Number: •.0.6-00004342 Owner: Property Address: `61700:' TOPAZ DR SHEA LA QUINTA APN: 764-280-999-,137 2300237- C/O JEFF MCQUEEN Application description: WALL/FENCE 8800 N GAINEY CENTER 350 - Property Zoning: MEDIUM HIGH,DENSITY RES SCOTTSDALE, AZ 85258 ' D Application valuation: 3005 1 Contractor: JAN 0-5 2001 Applicant: Architect or Engineer: SHEA HOMES,• INC. 81260 AVENUE 62_= '= . + LA QUINTA, CA 92253 CITY OF LA QUINTA (760) 777-6005 FINANCE DEPT / Lic. No.: 672285 • LICENSED CONTRACTOR'S DECLARATION 4 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury thai 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 the B siness 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 'Licen a lassi License No.: 672285 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. ractor..-Fhave and will maintain workers' compensation insurance, as required bySection3700 of the Labor _ ' F ' '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 performance 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 so as to become subject to the workers'. 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 co s 'ect �o the orkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions -Code) or 1 3700 of the La r Col rth th compl with those provisions.thathe or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �6 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (55001.: _ D r scant. 'v - - - ( I 1, 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'offeredfor 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 1$100,000). 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 OFLTHE 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 - (= 11, as owner of the property,-am.exclusively, contracting withlicensed contractors to construct the project (Sec. - IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the - 7044, Business and Professions 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 contractor(s) licensed 1 . Each person upon whose behalf thisapplicationis 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 _ 1 I am 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: - +I 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 - r permit to cancellation. 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the 1 certify that I have read this application and state t t t above information is rrect. I agree to comply with all work for which this permit is issued (Sec. 3097; Civ. C.) - - city an unty dinar es and state laws r ng it ng constr tion, an reby authorize representatives of this ty t�en� -on th above -me Toned prq ertor i pecti purp --- - -tender's Name'`• . - •. _ te. nature (Applicant ' Lender's Address: + - - LQP73RA11T - _ Q Application Number 06-00004342 Permit . . . ... WALL/FENCE PERMIT Additional desc . Permit Fee 63.00 Plan Check 'Fee .00 Issue Date . . . . Valuation .3005 Expiration Date 6/19/07 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 85 L.F. 61.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 .00 • Grand Total 63.00 .00 00 63.00 LQPEP,\1t1. - - .