07-0851 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA .92253 -
Application Number:
K07-00000851
Property Address: 1
61611 TORO CANYON WY
APN:
764-280-999-121 -300237-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2000
Tiht 4 4Q" -
I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
Applicant:. - . Architect or Engineer: SHEA HOMES, INC.
60800'TRILOGY PARKWAY
LA QUINTA; CA 92253
(760)777-6005
N Lic. No.: 672285
----------------------- I - - - - - - - — — — — — — — — — — — 7 — — — — — — — — — — - - - - - - - - - - - - - - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — —
VOICE (760) 777-7012
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date: 3/22/07
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 00) of Di ision 3 of the Businessss���and Professionals de, and my License is in full force and effect.
Lic ��B' Lice s No.: 672285
ate: tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the -
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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).:
(_) 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). '
( ) I am exempt under Sec. ,-B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).. _
Lender's Name:
Lenders Address:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
�1 have and will maintain workers' compensation insurance, as required by'Sectidn 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier AMERICAN HOME Policy Number 1247619
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner s as to become subject to the workers' compensation laws of California,
an agree that, if I shout become subject to the workers(V"qensation provisions of Section
l f the Labo o e, I forthw h comply with thosk pr visio .
ate: �+✓ plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application. -
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
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.
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
permit to cancellation. ,
certify that I haveLe
pplication and state that the abo inform t, n is correct. I agree to comply with all
city au ty ordd state laws relating to building co truction and hereby auth ize representatives
of thi nt ziprhe above-mentioned property f ion p rpose
GJ
Day
(Applicant or Agent):
" Application Number . . . .. . 07-00000851
Permit WALL/FENCE PERMIT
Additional desc
_
Permit Fee 45.00
Plan Check'Fee
.. .00
Issue Date
Valuation
2000
Expiration"Date 9/18/07 -
Qty Unit Charge Per
Extension
BASE FEE
.15.00
". 15.00" 2.0000 HND BLDG 501-2,000-
30.00
Special Not.es and Comments
80.L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid
Credited
Due .
Permit Fee Total "45.00
.00
.00
45.00
Plan Check Total .00
00
.00..
..00
Grand.Total. 45.00
.00
.00
45.00
LQPERMIT -
,