The URL can be used to link to this page

04-4456 (BLCK)• Or� i BUILDING & SAFETY DEPARTMENT w P_.-0. Box 1504 (760).777-7012 �OFTt1 _____.�Kt M495 CALLS TAMPICO FAX (760) 777-7011 LIA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 JUN 01 LUF BUILDING PERMIT CITY 0;: ¢.P.O.UI Lila 1=1 Krr— nipi. Application Number 04=00004456' Date 5/21/04 Property Address . . . . . . 60629 LACE LEAF CT APN: '764-270-999-116 -300231- Application description . . . WALL/FENCE Property Zoning . . . . . . MEDIUM HIGH DENSITY RES Application valuation 2500 Owner Contractor ' ------------------------- SHEA LA QUINTA -----------------i SHEA HOMES, INC. ----'-�_' C/O JEFF MCQUEEN 81260 AVENUE 62' 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85.258 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285" 06/30/05 CCC: B ------------------------------7------ Permit . . . . . . WALL/FENCE PERMIT Additional.desc . Permit Fee . . . . 54.00 Plan Check Fee Issue Date.. Valuation .00 2500 Qty Unit Charge Per Extension BASE,,,FEE ,f_ _ •., 1.00 9.0000 THOU BLDG 2;'001-25,000 45 . 00 -------------------------------------------- 9.00 Special Notes and Comments 100 L.F. 6' GARDEN WALL, ORCO SYSTEM f ` Fee summary Charged Paid Credited Due Permit Fee Total 54.00 ---------- ---------- ---------- .00 .00' 54.00 Plan Check Total .00 .00 ...00 Grand Total 54.00 .00 .00 .00 54.00 P.O. BOX 1504 ��-^� 78-495 CALLE TAMPICO VOICE (760) 777-701: LA QUINTA, CALIFORNIA 92253 44FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - Jr rd Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affi er penalty of perjury that .1atm licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Lice, and m is in full force and effect. ense Cl icerise No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). L) 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.). U I am exempt under Sec. . BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: _ I have and wiWrmaintain 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. Xkkssu ave and will maintain rkers' compen soon insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is drkers' ensrrisurence nd p r.�e Cam wt� L. . Policy Numbe 11O.7 _ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner s0 as to become subject to the workers' compensation laws of California, and agree that, i should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall !!foor�rthwith comply with�those p visions. I --Dat 1 V Applica WARNING: FAILURE TO SECURE WORKERS' 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. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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.). Lenders Name Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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 an issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La Claims, it pelt officers, agents and employees for any act or omission related to the wo ing peAormed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void ' is not commenced within 180 days from date of issuance of such perniL or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above on is 1 agree to comply with all city and county ordinances and state laws releting to building construct , and hereby authorize representatives of this wu t upon ve-mentioned property �� P oeM for inspection purposes. Date "gnatu.plicant or Age