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09-0943 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 09-00000943 61067 DESERT ROSE DR 764-270-999-130 -300231- SPECIAL INSPECTION MEDIUM HIGH DENSITY RES 100 c&t!t 4 4 Qum& Architect or Engineer: !P BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby a firm un er penalty of perjury t t I am licensed under provisions of Chapter 9 (commencing with Section 7 00) f ivision 3 of the Busine and Profes ion4 Code, and my License is in full force and effect. Lice s C cense No.: 672285 Dat 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 ($500).: 1 _ 1 1, 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 _ 1 1, 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 contractors) licensed pursuant to the Contractors' State License Law.). 1 _ 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: ,1 Lender's Address: `v FL LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC 60800 TRILOGY P LA QUINTA, CA 9 (760)777-6005 Lic. No.: 67228 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: . 10/08/09 WORKER'S COMPENSATION DECLARATION 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 _ 1 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, d agree that, if I houId become subject to the workers' compensation provisions of Section 70 f the Labo ode, I sh I or with comply with those provisions. icant: WARNIN . F LURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL 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 tt at I have read this application and state that the above information is correct. I agree to comply with all city and c unty or finances and state laws relating to buil ing construction, and hereby authorize representatives of this c' n e er upon the above-mentioned prope y for i pection purposes. Ba � re (Applicant or Agent): Application Number . . . . . 09-00000943 Permit . . . SPECIAL INSPECTION Additional desc . Permit Fee . . . . 100.00 Plan Check Fee .00 Issue Date . . . . 9/14/09• Valuation . . . 100 Expiration Date 3/13/10 Qty Unit Charge Per Extension BASE FEE 100.00 ---------------------------------------------------------- Special Notes and ------------------- Comments SPECIAL INSPECTION TO FINAL SFD UNDER RIVERSIDE COUNTY PERMIT #BRS023465. CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR OF RECORD. ---------------------------------------------------------------------------- Other Fees . . . . . . . CHANGE OF CONTRACTOR 4.50 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .0.0 .00 .00 Other Fee Total 4.50 .00 .00 4.50 Grand Total 104.50 100.00 .00 4.50 E LQPERMIT t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000943 Property Address: 61067 DESERT ROSE DR APN: 764-270-999-130 -300231- Application description: SPECIAL INSPECTION Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 100 Applicant: V Tuyl 4 4 Q" Architect or Engineer: PIA' BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor:. SHEA HOMES LIMITED PARTNERSHIP 60800 T Y � - 3LA QUI CA 9rrJ68Lic. N - -— 77 n SL? 1. 12 ful 2 3 Date: 9/03/09 ------------------------------------------------------------- - - -I - -- - CITY F"QUIITA.---L-------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm oder penalty of per'ur that I am ce sed under provisions of Chapter 9 (commencing with S n 001 f Division 3 of th ess and of� sionals Code, and my License is in full force and effect. ce ss: B License No.: 855368 Date ) ontracto N 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 1, 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: LQPERMIT 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. Oj 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 A_ I c rtify that, in the performance of the work for which this perrivit is i d, I shall not employ any person in any manner so as t bec me subject to the workers co tsation laws of California, agree that, if I sh d be me subject to the wor s' co p provisions of Section of the Labor sh h rth comply wit hose r i ' ns. ate: plicant: WARNING: FAILURE TO SECURE WO S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA NALTIES 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 da s will subject permit to cancellation. I c that I have read this application and state that the above nfor ation is correct. I a ree to mply with all c' y u y ordinances and state laws relating to b ' ing co stru ion, and here auth a resentatives f t nt ter u on the above-mentioned pro rt f r i n pses. Date Signature (Applicant or Agent): Application Number . . . . . 09-00000943 Permit . . . SPECIAL INSPECTION Additional desc . Permit Fee 100.00 Plan Check Fee .00 Issue Date . . . ." Valuation 100 Expiration Date 3/02/10 Qty Unit Charge Per Extension BASE FEE 100.00 ---------------------------------------------------------------------------- Special Notes and Comments SPECIAL INSPECTION TO FINAL SFD UNDER RIVERSIDE. COUNTY PERMIT #BRS023465. Fee.summary Charged Paid ----------------- Credited Due -------------------- Permit Fee Total 100.00 ---------- .00 ---------- .00 100.00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 .00 .00 100.00 LQPERMIT too Certificate of Occupancy - LAMD G 9�5w Buildin(� & Safety/ p 0Deartment F .7 ! 1" This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110.1 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 61-067 DESERT ROSE DRIVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 09-943 Occupancy Group: R3 Type of Construction: VB Land Use Zone: RM Code Edition: 2001 CBC Occupant Load: NA Sprinkler Installed: NO Required: NO Owner of Building: SHEA LA QUINTA Address: 60-800 TRILOGY PARKWAY City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: OCTOBER 1, 2009 Bu'Ming Official POST IN A CONSPICUOUS PLACE