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08-1382 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ' 08-00001382 Property Address: 81406 JOSHUA TREE CT APN: 764-280-999-133 -300236- Application description: REMODEL- RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 16141 T4'!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/26/08 Contractor: Applicant: Architect or EnginFAUtG,27 SHEA HOMES, INC. 60800 TRILOGY PARKWAY t20050 LA QUINTA, CA 92253 �� (760) 777-6005 Lic. No.: 672285 CITY OF LA QUINTA FINANCE DEPT. ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 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: Section 70 00) of ivision 3 of the Bu i and Profe1��: 'd 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 License lass: B 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. at _ tractor: YL 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 OWNER -BUILDER DECLARATIONd Ib ' 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 70001 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.). (_) 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: yA�r Lender's Address: " LQPERMIT insurance carriir er an po cy num er ae. 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 to the workers' compensation laws of California, and agree that, if I should become subject to a workers' compensation provisions of Section 700 f the Labor Code, I shall orth i:Tqhose provisions. at plicant: . WARNING: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 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 inf mation is correct. I agree to comply with all city d county ordinances and state laws relating to buil ing cons ruction, and hereby authorize representatives of county enter upon a above-mentioned prop t forins nLrposes. D e: S ature (Applicant or Agent): JJ Application Number . . . . . 08-00001382 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 180.00 Plan Check Fee 117.00 Issue Date . . . . Valuation . . . 16141 Expiration Date 2/10/09 Qty -Unit Charge Per Extension BASE FEE 45.00 15.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 135.00 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date Valuation 16141 Expiration Date 2/10/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 -------------------------------------------------------------------7-------- Special Notes and Comments REVISION WHILE UNDER CONSTRUCTION - INSTALL PHOTOVOLTAIC SYSTEM 1.4C - 3KW. PLAN 4520C. SFD PERMIT # 08-606 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 11.70 Fee summary Charged Paid Credited Due Permit Fee Total 202.50 .00 .00 202.50 Plan Check Total 122.63 .00 .00 122.63 Other Fee Total 11.70 .00 .00 11.70 Grand Total 336.83, .00 .00 336.83 LQPERMIT