07-0860 (BLCK)P.O. BOX 1504
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
- = BUILDING PERMIT ;
.Application Number: X07-00000860 -- Owner:
Property Address: 61.606 TORO CANYON WY SHEA LA QUINTA'
APN: 764-280-999-89 300237- C/O JEFF MCQUEEN
Application description: WALL/FENCE 8800,N GAINEY,CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
A f I • 3750 -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/07
pp cat on va u. n:
Contractor:
Applicant: Architect or Engineer:. SHEA HOMES, INC. A,
.60800 TRILOGY PARKWAY /1AR
+ 'LA QUINTA, CA.,92253 ��®l
(760),777-6005
N l Lic. No.: 672285E'�f
LICENSED CONTRACTOR'S DECLARATION- _ a 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: • - -
Sectio 7000) of Division 3 of the Business 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
Lic �G� B - - License No.: ' 672285 , - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
a issued.
Date: ontractor: XI 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 DECLARATIONinsurance 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 1 • uld become subject to tqe orkers' 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 or C e, I hall orth 'th comp ith those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: plic�
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 ($100,000). 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 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 r
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 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 this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.l - - 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: • 2. Any permit issued as a result of this application becomes null and void if work is not commericed
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
• CONSTRUCTION LENDING AGENCY -permit to cancellations -
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 tha the above information is correct. I agree to comply with all
Work for ,which this permit is issued (Sec. 3097, Civ. C.). - city and ounty rdinances and state laws relatin con truc n, an r@by authorize representatives
of thi y o upon above-mentio dpro erty ins coon r J
Lender's Name:
ate: griature (Applicant or A '
Lender's Address: - -
LQPERMTT
"• r
LQPERMIT
Application Number 07=000008601
Permit WALL/FENCE PERMIT
Additional desc
_
Permit Fee •.. 63.00
Plan Check
Fee
.00
- Issue Date
Valuation
3750
Expiration Date 9/18/07
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
150 L.F. 61' GARDEN WALL,-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
LQPERMIT