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06-4156 (BLCK)P.O. BOX 1504- 78-495 50478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00004156 Property Address: 60988 DESERT ROSE DR APN: 764-270-999-191 -300233- Application description: WALL/FENCE Property Zoning: ' MEDIUM HIGH DENSITY RES Application valuation: 1000 Tu!t 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: —-----———----------------------——----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of p*that licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of throfessionals Code, and my License is in full force and effect. License�C�llaass: C8 C27 C29License No.: 656128 ate: � (./—D ntracto, WNER-BUILDER DECLARATION I hereby affirm under penalty of pexempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Bessions 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 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).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and lo 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.). (_ 1 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: 12/01/06 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: U d CALIFORNIA POOL PAS P.O. BOX 1280 COACHELLA, CA 9 3 ®EC�00� (760)398-9222 Lic. No.: 6561 8 6ai®F(dq � ®UIINt�q ------------------------------ 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. 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 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 the workers' compensation provisions of Section 3700 of the LabIWORKER forthwith comply with those provisions. - ate:1Z'—� pplicant: WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001. IN ADDICOST 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 Ouinta, 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building co truction, and hereby authorize representatives of this my to enter upon t/he above-mentioned pr r i purposes. ate:arf ture (Applicant or Agent): Application Number . . . . . 06-00004156 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . 25.00 Plan Check Fee 00 Issue Date Valuation . . . . 1000 Expiration Date 5/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 2.000O.HND BLDG 501-2,000 10.00 --=------------------------------------------------------------------------- Special Notes and Comments 20 L.F. 4 -.EQUIPMENT WALL, CITY STANDARD Fee summary Charged -----=----=-------------------------- Paid Credited -------------------- Due Permit Fee Total 25.00 .00 .00 25.00 Plan Check Total .00 .00 .00 .00 Grand Total 25.00 .00 .00 -25.00 LQPERMIT Bin # City of. La. Quinta Building U Safety Division Box 1504, 78-495 Calle Tampico La Quinia, CA 92253 - (760) 777-7012 Building pP Permit A iication and TrackingSheet . Permit #P.O. Lo Project Address ' 0 Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor `\ jj�t Telephone: Address -:P0. © Z CP Project Description: City, ST, Zip• 2-23 Telephone:MOM State Lie. #: Z City Lie. #: Arch., Engr., Designer: �-�-� Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: o Telephone# of Contact Person: �� Estimated Value of Project: loo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Plan Sets Req'd Recd TRACING. P1an.Check submitted PERMIT FEES Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading. plan' Y' Review, ready for corrections/issue Electrical Subcontactor List 'Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O:A. Approval Plans resubmitted Grading IN HOUSE: ''' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees