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04-4941 (BLCK)BUILDING & SAFETY DEPARTMENT �•'tLc' °im'""" P.O. Box 1504. (760)1777-7012 TAMPICO � � � FAX (760) 777-7011 LA_ Q-LLINTA., CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 . J' BUILDING PERMIT LAppl,r cati©n Number 04-0000.4941 Date. 6/16/04 Property Address . . . . . . 60640 DESERT ROSE DR APN: 764-270-999-1 300233= Application description WALL/FENCE Property Zoning MEDIUM HIGH DENSITY RES. " ,ppli.cation. valuation 2375. Owner Contractor SHEA LA QUINTA SHEA HOMES, INC ..0/O JEFF MCQUEEN 81260 AVENUE 62 880:0 N GAINEY.CENTER 350 LA.QUI.NTA CA. 92253 SCOTTSDALE. AZ 8525.8. (7.60) 77.7'-6005 WCC: NTL.UNION IN.S WC: 7165833 0.8/01/.04 CSLB: .6.722.85: " 06/30/05 CCC: B Permit WALL/FENCE-PERMIT ` Additional desc Permit Fee . . . 54..00 Plan Check Fee . .00 Issue Date Valuation 2375 Qty Unit Charge. Per -Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG.2,'001=25,0.0.0 `" 9.00 --------------- -------.-----------------------.----------------------------- Special Notes and Comments 95 LF 6'GARDEN WALL ORCO STND Fee summary Charged Paid. Credited Due Permit Fee Total 54.00 .00 .00 54.00' Plan Check Total .00 :00 .00 .00 Grand Total. 54.00 00 .00 54.00 P.O. Box 1504 VOICE (.760) 777-7012. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (76.0)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: © Date: Applicant: Applicant's Mailing Address: Architect or Engineer:/ Architect or Engi s dress: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED QONTRACTOR'S DECLARATION I hereby affirm.WWer penalty of pedury that l am licensed under provisions of Chapter 9commencing with Section 7000) of Division 3 of the Business and Professionals Code, and myCZ is in full force and effect. S� License Class License No. Date 6k ZZ Contractor<S6Qgs OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State Ltoense 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 constrict 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 contractors) 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 of the work for which this permit is issued. hayse apd�will maintain w ers' compensation Insurance, �ass rreegqu'iirednby Section 3700 of the Labor Code, for the performance of the work for which.this permit is �`�'' `Uep. �Ntilv�►kOrs' co a sation Insurance Carrier lJ�� ► Policy Number _ I certify that, in the performance of the work for which 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 s ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth , comply with those provi Date 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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 ng performed under or following issuance of this permit. 2. Any permit Issued as a result of this application becomes null and void Ifwoo"I'l 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 that I have read this application and state that the abovAinforma on is co gree to comply with all city and county ordinances and state laws relating to building construction, and he by authorize representatives of this couupon mentioned property for inspection purposes. Date 6 Signature (Applicant or Agen