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09-0813 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000813 Property Address: 61047 DESERT ROSE DR APN: 764-270-999-132 -300231- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 3875 Applicant: Td!t 4 4 Q" Architect or Engineer: �Ik BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affi on under enalty of perjury that am license un er provisions of Chapter 9 (commencing with Sec -00 ) of 1 si n 3 of the Bu ne nd Profes .nal Code, and my License is in full force and effect. Lic se'c nsp allo.: 672285 at o ractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 1$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 improvementis 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 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 SONS (760) 777-7153 Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 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 NTL UNION INS Policy Number WC6987825 I certify that, in the performance of the work for which this permit is issued, I shall not employ any perso in any manner so as to become s I ct to the workers' compensation laws of California, and gree that, if I should become subie t the the compensation provisions of Section 70 of the Labor Cod , I shall forth with those provisions. ate pplicant: WARNING: FAILURE TO SECURE WOR S' 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. 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 hav read this application and state that the above informs ' n is correct. I agree to comply with all Ag2state laws relating to' building constrnd hereby authorize representatives above-mentioned property for inspecti purposes. Applicant or Agent): /09 Application Number . . . . . 09-00000813 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 63.00 Plan Check Fee 00 Issue Date . . . 8/14/09 Valuation 3875 Expiration Date 3/20/10 Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG•2,001-25,000 18.00 ----------------------------------"------------------------------------------ Special Notes and Comments 155 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2007 CODES CHANGE'OF .CONTRACTOR FEE ASSESSED•TO INSERT SHEA HOMES INC: AS NEW CONTRACTOR OF RECORD. ---------------------------------------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 CHANGE OF CONTRACTOR 4.50 Fee summary Charged Permit Fee Total 63.00 Plan Check Total .00 Other Fee Total 5.50 Grand Total 68.50 LQPERA11T Paid Credited Due 63.00 .00 .00 .00 .00 .00 1.00 .00 4.50 64.00 .00 4.50 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000813 Property Address: 61047 DESERT ROSE DR APN: 764-270-999-132 -300231- Application description: WALL/ FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 3875 Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 D Contractor: Applicant: Architect or Engineer: SHEA HOMES LIMITED 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 855368 LICENSED CONTRACTOR'S DECLARATION I hereby ffirm nder penalty of perjury t t I am licensed der provisions of Chapter 9 (commencing with Section 001 f Division 3 of the B ir) s and Profes ion Is Code, and my License is in full force and effect. Lic nse No.: 855368 Date: rector: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 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 1$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 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.I. Lender's Name: ,\ Lender's Address: N LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/31/09 if L U t AJUG 14 203309 PL 3RSHIP C17_y0? ,!,A9"UOWTA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the fallowing 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 NTL UNION INS Policy Number WC1894819 I certify that, in the performance of the work for which this permit is issued, I shall not employ any perso in any manner so as to become subject to the workers' mpensation laws of California, and ree that, if I should become u ject to the workers' co p nsation provisions of Section 1 7 f the Labor Code, hi f th it, comply wi h th isions. Date: lu pplicant: v WARNING: LURE TO SECURE WORK E ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 the above information is correct. I agree t comply with all city c unty o dinances and state laws relating to b 'ding co truct on, and here authoriz epresentatives o i n to n er upon the above-mentioned pro y f r in pecti purposes. Date: ignature (Applicant or Agent): Application Number . . . . . 09-00000813 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 63.0.0 Plan Check Fee .00 Issue Date Valuation . . . . 3875 Expiration Date 1/27/10 Qty Unit Charge' Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 18.00 ---------------------------------------------------------------------------- Special Notes and Comments 155 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2007 CODES ---------------------------------------------------------------------------- Other Fees ..... . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid -------------------- Credited ---------- ---------- Due ----------------- Permit Fee Total 63.00 .00 .00 63.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 64.00 .00 .00 64.00 LQPERMIT Bin# Submittal City ®f La Quinta Rec'd Permit # PERMIT FEES Building & Safety Division Plan Sets P.O. Box 1504, 78-495 Calle Tampico . n�`� ��/ La Quinta, CA 92253 - (760) 777-7012 OQ` Building Permit Application and Tracking Sheet Project Address: l O�'1 ` �k Owner's Name: Shea Homes A. P. Number: boll -3 Address: 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Called Contact Person p• Contractor: Shea Homes Telephone: 760-777-6032 �`��� {f _ V Address: 60-800 Trilogy Parkway Project Description: Lot 13 2 - City, ST, zip: La Quinta, CA City, 92253 Orco Combo Wall - if x 6' & 3' Telephone: 760-777-6032ts�` Flood plain plan Orco.Garden Wa11-- �5�1f x 6 '. Plans resubmitted Mechanical State Lic. # : 640934 City Lic. #: Orco Retaining Wall - If x 3' Arch., Engr., Designer: 2nd Review, ready for corrections/issue Orco Knee Wall - if x 4' Address: City, ST, Zip: Telephone: p '`'} +. �",~'.rt _ Construction Type:- Occupancy: Grant Deed State Lic. #:tA Plans picked up ra€E Project type (circle one): New Add'n Alter Repair Demo —# Name of Contact Person: Gabbie Nieto Sq. Ft.: Stories: # Units: Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: APPUCANT: 00 NOT WERE NELYW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Pian Check Balance Energy Caics. Plans picked up Construction - Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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:- "d 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 .