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09-0197 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: .0.9-00000197 Property Address: 60800 TRILOGY PKWY APN: 764-270-999-135 -300231- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 57125 Applicant: Architect or Engineer: PX ----------------- LICENSED CONTRACTOR'S DECLARATION 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I.am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Lice e' lass: _ / c nse No.: 672285 Datr ontractor, �� V[lw ` ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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).: 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 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.). - 1 _ I 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.). _ ( 1' I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 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.I. Lender's Name: . y Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N•GAINEY CENTER 350 SCOTTSDALE, AZ 85258 ` Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKW MAR 4 (�r!� LA QUINTA, CA 92253 Zilv9 (760)777-6005 Lic. No.: 672285 CITYOFLgQU11Vl��i' enu..L_ _ - 3/06/09 0 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. I 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 insurance carrier and policy number are: Carrier NTL UNION INS Policy Number WC1894819 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject t the workers' compensation laws of California, and agree that, if I sh uld become su I t to th orkers' compensation provisions of Section 3100 of t Lab Co I all f thwith with those provisions. Dater Z'� ( plica WARNING: FAILURE TO SECU ftMORKERS' 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. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and ounty or finances and state laws relating to ilding construction, and eby authorize representatives - of thi co m7ytto t r p the above-mentioned r in ,cnipuQ!] s - to -- nature (Applicant or Ag LQPERMIT Application Number . . . . 09-00000197 Permit ... . WALL/FENCE PERMIT Additional desc . Permit Fee 450.50 Plan Check Fee .00 Issue Date . . . . Valuation - . . . 57125 Expiration Date 9/"02/09 _ Qty Unit Charge Per Extension BASE FEE 414.50 8.00- 4.5000 THOU BLDG 50,0'01-100,000 36.00 ------------------------------------------------------------------------------ Special Notes and Comments 2285 L.F. 6' PERIMETER WALL Q SW CORNER OF PROPERTY, NORTH OF MAINTENANCE BLDG & ADJ. TO MEYER PROPERTY, ORCO SYSTEM, PER APPROVED PRECISE GRADING PLAN (PLAN SET 09004) -----------------------------------------------------------=----------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 3.00 Fee summary Charged Paid Credited- Due Permit Fee Total 450.50 .00 .00 450.50 Plan Check Total .00 .00 - .00 .00 Other Fee Total 3.00 .00 00 3.00 Grand Total 453.50 .00 .00 453.50 LQPERMIT Bin # City of La Quinta Building u Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # O� Project Address: &0- ri p �Q�kw Owner's Name: S eCt A. P. Number: 4r nv Address: too Legal Description: City, ST, Zip: Contractor: 7IOU (/ lAO%,e Telephone: -7410 - 7.7% - ig Address: Project Description: City, ST, Zip: 2:1 Zg cS LF Telephone: O%'1 L i V 1 ✓I J .2 State Lic. # : City Lic. #: Arch., Engr., Designer: LAAddress: - City,ST, Zip: Z3 Telephone: on Type: Occupancy: State Lic. #: pe (circle one): 'New Add'n Alter Repair Demo Name of Contact Person: e l4VI � # Stories: # Units: REatted Telephone # ofContact Person: Z-7 Z - 57 � Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd . PERMIT FEES Plan Sets Plan Check submit[ Item Amount Structural Cates. Reviewed, ready for f ectiMAR U 2 2 09 Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up y Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2id Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I,P,P_ Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees .