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08-1663 (SOTB)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&'tvl 4 4 Q" { Application Number: - 08-00001663 r= Property Address: 81448 JOSHUA TREE CT APN: 764-280-999-130 -300236- Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 3000 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------- ------------------------------- LICE SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perj that I am icensed provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi sand P o io s e, and my License is in full force and effect. License Cla C8 C27 C29 ce a No.: 656128 ate: ntractor: r WNER- ER DECLARATION I hereby affirm under penalty of perjury t m exempt from the ne State License Law for the following reason (Sec. 7031 .5, Busines d Professions Code: Any city or county ftsvires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires tRe-apq icant 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: Lender's Address: - LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/06/08 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ ( Contractor: r TESERRA�.1 P.O. BOX 1280 ►NTl� COACHELLA, CA 92 36 CSN OV LApuEP� (760)398-9222 FINANCE Lic. No.: 656128 ----------------------------------------------- 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. X 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 SEABRIGHT Policy Number BB108051`0 _ I certify that, in the performance of the work f which this permit is issued, I shall not employ any person in any manner so as to become ct to the wo 11 tion compensation laws of California, and agree that, if I should bec s e to the wo rs' compensation provisions of Section ��00 of the Labor Code, I a it con ith those provisions. ate: r�plicant: WARNING: FA UK. R�SECURE WORK MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA TIES 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 thea nation is corre t..1 agree to comply with all city and county ordinances and state laws relating to build' g construct , a y. authorize representatives of this county to enter upon the above-mentioned property or inspection r es. te: �oo"oo:::: nature (Applicant or Agent): \ 1 1 Application Number . . . . . 08-00001663 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 54.00 'Plan Check Fee 35.10 Issue Date . . . . Valuation . . . . 3000 Expiration Date 4/04/09 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 9.00 Permit ... . PLUMBING Additional desc . Permit Fee . . . . 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation 0 Expiration Date 4/04/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments FIREPIT (ANSI Z223.1), 90 L.F. 1 1/2" GAS LINE. ---------------------------------------------------------------------------- Other Fees . . . . . . . ENERGY REVIEW FEE 3.51 ' STRONG MOTION (SMI) - RES .50 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total 72.00 .00 .00 72.00 Plan Check Total 39.60 .00 .00 39.60 Other Fee Total 4.01 .00 .00 4.01 Grand Total 115.61 .00 .00 115.61 LQPERMIT ' Bin # City of. La Quinta Building 8E Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # C Project Address: rl Owner's Name: 5 / / A00, A. P. Number: ?2—/ Address: Legal Description: City, ST, Zip: UG lt, Contractor: er rTelephone: Project Description: t Address: b--Ave,'9 City, ST, Zip: Telephone: 4 g21Z State Lic. # : 2 City Lic. #: Arch., Engr., Designer: / Address: ` City, ST, Zip: Telephone: Construction Type: f Occupancy: State Lic. #: Project type circle a Add'n Alter Repair Demo Name of Contact Person:E on� Sq. Ft.: NG # Stories: #Units: Telephone # of Contact Person:(Avcv— UZ $ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted 10 ?j Item Amount Structural Cates. 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* 2"d Review, ready for corrections/issue Ele tsi Subcontactor List Called Contact Person Plumbing 9. PP -- -Plans resuliffi-iftia-- Grading EF I ii =r _ :lanning=Approval= 'C-iilCed`@ontaci PeRoo - = _ -- -- — _ A:I-P-P Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees h - K