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04-4457 (BLCK)BUILDING & SAFETY DEPARTMENT K 1504 (760).777-7012 :ALLE TAMPICO FAX (760) 777-7011 TA, CALIFORNIA 92253 INSPECTION' REQUESTS (760) 777-7153 BUILDING PERMIT r . . . 04-00004457 Property Address . . . . . 60607 LACE LEAF CT APN: 764-270-999-115 -300231- Application description . . . WALL/FENCE Property Zoning . . ... . . . MEDIUM HIGH DENSITY RES Application valuation �_ 2300 Date 5/21/04 Owner !Contractor t ------------------------ - ' -------------- SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE PERMIT Additional..desc . Permit Fee . . . . 54.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 2300 Qty Unit Charge Per. Extension BASE FEE i4.`.,-f•�1.. �; ' _ �.-£ 45.00 1.00 9.0000 THOU BLDG 2,00.1-25,000 9.00 ---------------------------------------:---------------------------------- Special Notes and•Comments , 92 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary ------------------ Permit Fee Total Plan Check Total Grand Total Charged Paid 54.00 .00 .00 .00 54.00 .00 Credited Due. .00 54.00 ..00 .00 .00 54.00 P.O. BOX 1504 a/,���� 78.495 CALLE TAMPICO II VOICE (760) 777-701: LA QUINTA, CALIFORNIA 92253 4VFAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Application Number: 445 7 AM I' t I Date: V Ica" . Applicant's Mailing Address: lehlu Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio Code, and my Li full force and effect. t,. nals License Class License No. 3 I hereby affirm under penaltyof OWNER -BUILDER DECLARATION 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.). U 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 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 the work for which this permit is issued. _ I have a� tyilllmaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is er j1As. ue VLy% \o;ks' compgn, ation insure mer and policy number are: f! , Number _ I certify that, in the performance of the work for whic is 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, ' 1 hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I sll ' /� forthwith comply with those pro ' i he �. Date �Y Applicant 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.). Lender's Name Lenders 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 issued as a result of this application, the owner, and the applicant, each ag es to, and shall. defend, whose nity and hold � t work is pertoplication under or Pursuant Ou nta any permit officers, agents and employees for any act or omission related to the wo in 2. Any permit issued as a result of this application becomes null and void if rk is not Comert endr�Inll 0 tlayu�rted this 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 info tion is oo I agree to comply with all city and county ordinances and state Isws relating to building constructio and reby authorize representatives of this county t upon ve-mentioned property Percy for inspection purposes. Date Signature (Applicant or Agent):