06-0709 (BLCK)8
P.O. BOX 1504'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN: -
Application description:
Property Zoning: -
Application valuation:
Applicant:
e
C�e
0.6 00000.709
61190 SOAPTREE.DR
•764-280-999-167 -300235-
WALL/FENCE
MEDIUM HIGH DENSITY RES
6700
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
2 200e
rfwi>l�t1+�E DEP.
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA' QUINTA, C,A. 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/16/06
' - LICENSED CONTRACTOR'S DECLARATION . -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I, am4ficesdunder provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 000) o Division 3 of the s ess andionals 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
Licepag I ss' License No.: 672285
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
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ate. o tractor:aU)
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
,t OWNER -BUILDER DECLARATION
insurance carrier and policy number ar - -
r I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier AMERICAN HOME Poli 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 performan a of the rk 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
_
on in any manner so a to beco 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
agree that, if I s uld ecome s ject to the workers' compensation provisions of Section
• License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
Ae.
0 of the Labor I hall with comply with those provisions.
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4�6
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).:
nt:
(_ 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: FAILU E 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 PROVIDE_ D 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 -
(_ 1 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.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
I—) I am exempt under Sec. B.&P.C. for this reason
the owner, arid 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
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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 cessatio 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 oftheI
certify that I have read this application and state tha he ove inform tion' orrect. I agree to comply with all
- work for which this permit is issued (Sec. 3097, Civ. C.).
city and c unty or nances and state laws relating to b din constructi n he=•h_e�rrooresentatives
n117�1to
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of t ' ty toe �r on th ove-mentionetl p pe y inspecti9n pur es. .
Lender's Name:
gi
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ate: a ure (Applicant or entl:
Lender's Address:
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LQPERMIT
Application Number . . 06-0000070.9
\
Permit. . . WALL/FENCE PERMIT
Additional desc .
Permit Fee - 90.00
Plan Check
Fee
.00
Issue Date
Valuation
6700
Expiration Date 8/15/06
._ _..-Qty--- •-Unit .charge Per ,. .. .._'.-
..._.. - ,,, .
___ _.._.._.,_Extension
BASE
FEE,
45.00
- 5.00 9.0000 -THOU :BLDG
2-,001-25,0.00•
45.00.
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Special. Notes and Comments .
220-L.F. 6' GARDEN WALL, 75 L.F..
3'
RETAINING WALL, BOTH ORCO SYSTEM
Fee summary Charged
Paid Credited.
Due',
-------------------------------------�
Permit Fee Total 90.00
----------
.00
----------
.00
90.00
Plan Check Total .0.0
-.00
.00
.00
Grand Total 90.00
,00
.00
90.00
J
LQPERMIT