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09-0811 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000811 Property Address: 61067 DESERT ROSE DR APN: 764-270-999-130 -300231- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1875 Tjl4t 4 4 Q" Applicant: Architect or Engineer: cr BUILDING & SAFETY DEPARTMENT BUILDING PERMIT. -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby of 'rm under p natty of per ry t I am lic sed under provisions of Chapter 9 (commencing with Sect n• 70 ).of isi n f the usin and Prof ssi nals Code, and my License is in full force and effect. Licese ' License No.: 672285 ate ct r: 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 ($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.). (_ 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 contractorW 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: 61 1A_ LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CEN SCOTTSDALE, AZ 85 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/08/09 Contractor: SHEA HOMES, INC 0011 (� ; 60800 TRILOGY ARKW A , ` ?el LA QUINTA, CA 3 TY0"e, C;. (760) 777-6005 :1tM11r„4.4 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. _�1 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 ertify that in the performance of the work for which this permit is issued, I shall not employ any person i any manner so as to become subject to the workers' compensation laws of California, hd agr that, if I should be m subject ort rs' compensation provisions of Section o he Labor Code, I all II rthwith c , (ply with those provisions. ate: licant: WARNIN : AILURE TO SECURE WORKERS' OMPENSATION 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* ny permit issued as a result of this application becomes null and void if work is not commenced ithin 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify tha I ve read this application and state that the above information is correct. I agree to comply with all city . co n ordi ances and state laws relating to buil ing construction, and hereby authorize representatives of t i ou /to teZotnut e above-mentioned prop ty for in, pection purposes. e: (Applicant or Agent): Application Number . . . . . 09-00000811 Permit . . . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 43.00 Plan Check Fee 00 Issue Date 8/14/09 Valuation . . . . 1875 Expiration Date 3/20/10 Qty Unit Charge -Per, Extension BASE FEE 15.00 14.00 2.0000 HND BLDG 501-2,000 28.00 ---------------------------------------------------------------------------- Special Notes and Comments 75 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 43.00 Plan Check Total .00 Other Fee Total 5.50 Grand Total 48.50 LQPERMIT Paid Credited Due 43.00 .00 .00 .00 .00 .00 1.00 .00 4.50 44.00 .00 4.50 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 44" Application Number: 09-00000811 Property Address: 61067 DESERT ROSE DR APN: 764-270-999-130 -300231- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1875 Applicant: Architect or Engineer: I-Q,v I��� /-*:- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby firm under penalty of perjury that I am licensed un er provisions of Chapter 9 (commencing with Section 7 00) o Di ision 3 of the BusinciIal Professio al Code, and my License is in full force and effect. LicenseW:B L eNo.: 855368 ate:tor. 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 ($500).: (_ 1 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.). (_ 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.). ( 1 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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 WC1894819 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 t ,bec me subject to the workers' co/rpnation laws of California, and agree that, if I should be 'me ubject to the orke ' c mp s io provisions of Section 4ate3700 of the Labor e, s I hwith comply ith t ose p76VFW plicant:G: FAILU E TO SECURE W RS' 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 Ouima, 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. 1 certify at I hive read this application and state that the above information is correct. I agree to comply with all city d ounty ordinances and state laws relating to building co struction, and hereby auth ze representatives of i ty e t pon the above-mentioned pro riy f r i sp ctiorf purposes. ate. nature (Applicant or Agent): �///1� Date: 7/31/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 D SCOTTSDALE, AZ 85258 n ^�e�(► ���� 1 Contractor: , A.t�tjitJlP+ SHEA HOMES LIMITED PARTNERSHIP Ty �! w'�4sY- 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 855368 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 WC1894819 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 t ,bec me subject to the workers' co/rpnation laws of California, and agree that, if I should be 'me ubject to the orke ' c mp s io provisions of Section 4ate3700 of the Labor e, s I hwith comply ith t ose p76VFW plicant:G: FAILU E TO SECURE W RS' 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 Ouima, 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. 1 certify at I hive read this application and state that the above information is correct. I agree to comply with all city d ounty ordinances and state laws relating to building co struction, and hereby auth ze representatives of i ty e t pon the above-mentioned pro riy f r i sp ctiorf purposes. ate. nature (Applicant or Agent): �///1� Application Number . . . . . 09-00000811 i ...Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 43.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1875 Expiration Date 1/27/10 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 2.0000 HND BLDG 501-2,000 28.00 ---------------------------------------------------------------------------- Special Notes and Comments 75 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2007 CODES. -------------------7-7------------------------------------------------------ - Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -7 Permit Fee Total 43.00 .00 .00 -------- 43.00 Plan Check Total .00 .00 .00 .00 ' Other Fee Total 1.00 .00 .00 1.00 Grand Total 44.00 .00 .00 44.00 LQPERMIT ._. Bin# City of La Quinta Building & Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Q . 0 ©` Project Address: VG1 ,� �✓ �" Owner's Name: Shea Homes A. P. Number: Q eV101�li Address: 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 Address: 60-800 Trilogy Parkway Project Description: Lot 3 City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - If x 6' & 3' Telephone: 760-777-6032 �'� ��-� ;" Orco Garden Wall -15 lf.x 6- - . State Lic. #: 640934 City Lic. #: Orco Retaining Wall - If x 3' Arch., Engr., Designer: Orco Knee Wall - If x 4'. Address: City, ST, Zip: Telephone:..� � - U. r;x �` .� 4 � =�t `a # `s Construction Type: Occuparicy: Project type (circle one.): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Gabbie Nieto Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: -APPLICANT: 00 NOT WERE BELOW THIS LINE " # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2n° 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:- 3r0 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 -T- F I Total Permit Fees L'!