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09-0731 (BLCK).4 %- a,µ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000731 Property Address: 81271 JASMINE CT APN: 764-280-999-32 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2125 T u-vl 4 4a, Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT i Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTE SCOTTSDALE, AZ 8525 Contractor: Applicant: Architect or Engineer: SHEA HOMES LIMITED 60800 TRILOGY PKWY 1 LA QUINTA, CA 92253 I� (760)777-6032 Lic- No.: 855368 LICENSED CONTRACTOR'S DECLARATION I hereby ffirm un er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 001 of ;vision 3 of the Busin s and Professionals Code, and my License is in full force and effect. Li en as License No.: 855368 Date: ntractor: 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).: 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 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 forthe purpose of sale.). (_) 1, 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 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: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/09 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 ssued. Y, 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 beco subject to the workers' compensation laws of California, a d agree that, if I should become s bj ct to the workers' compensation provisions of Section 0 - of the Lobar Co I shall fort w c ply with those provisions. ate: plicant: - WARNING: FAILURE TO SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 ouinta, 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. ' 1 certify tha I have read this application and state that the above information is correct. I agree to comply with all cit co ty ordina es and state laws relating to building construct n, and hereby authorize representatives o this u y e n the above-mentioned property inspect, purposes. i ate: a re (Applicant or Agent): �. 1 LQPERM[T Application Number . . . . 09-00000731 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . . Valuation 2125 Expiration Date 1/24/19 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 85 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2007 CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total -------------------- 54.00 -------------------- .00 .00 54.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 55.00 .00 .00 55.00 Bin# a�. City of La. Quinta Req'd Permit # Building & Safety Division PERMIT FEES P.O. Box 1504, 78-495 Calle Tampico 00\- La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: I �"� `^ (�1,1, Item 1 ,�+L `✓J Owner's Name: Shea Homes A. P. Number: Address: 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor:. Shea Homes"'�, Telephone: 760-77.7-6032 Address: 60-800 Trilogy Parkway Project Description: Lot City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - If x 6' & j' 760-777-6032 6Telephone: O '- rco Garden Wall -�if x' „ State Lic. #: 640934 City Lic. #: Orco Retaining Wall - if x 3' Arch., Engr., Designer: Orco Knee Wall - If x 4' Address: Flood plain plan City, ST, Zip: Telephone: y z# .f• x ag .l Construction Type: Occupancy: s °iqF n" kms[ State Lic. #: a . Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Gabbie Nieto Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: APPUCANT: 00 NOT WHITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIQNG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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:- "d 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 m _ Total Permit Fees 5 5 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000731 Property Address: 81271 JASMINE CT APN: 764-280-999-32 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 2125 . BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: A J -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirmk,penalty of perjury that I a licensed under rovisions of Chapter 9 (commencing with Section 7 00of the Busin ss n Profession Is C de, and my License is in full force and effect. Licen$e I s : ice o.: 672285 Date1/V,ctor: WNER-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.). (_ 1 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 contractorls) 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 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: A Lender's Address: 7 LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTEE SCOTTSDALE, AZ 8525E Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWP. LA QUINTA,• CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/07/09 ----------------------------------------------- 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 WC6987825 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 bec me subject to the workers' compensation laws of California, nd agree that, if I should become ubject to the workers' compensation provisions of Section V,90 -of the Labor , I hall f hwi comply with those provisions. . a (`/`'— pic nt: WARNING: FAILURE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI 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 county or finances and state laws relating to buil g construction and hereby authorize representatives of t 's MI.— rat o rater up n the above-mentioned prop ffor i spection Jurposes. at : " gnat re (Applicant or Agent): LQPERMIT Application Number . . . . . 09-00000731 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 54.00 Plan Check Fee— .00 Issue Date . . . . 7/29/09 Valuation . . . . 2125 Expiration Date . . 1/25/10 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ---------------------------------------------------------------------------- Special Notes and Comments 85 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2007 CODES CHANGE'OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC..AS NEW CONTRACTOR OF RECORD. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 CHANGE OF CONTRACTOR 4.50 Fee summary Charged Paid Credited ---------- Due ----------------- Permit Fee Total ------------------------------ 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.50 1.00 .00 4.50 Grand Total 59.50 55.00 .00 4.50