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09-0810 (BLCK)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00000810 Owner: Property Address: 61079 DESERT ROSE DR SHEA LA QUINTA APN: 764-270-999-129 -300231- C/O JEFF MCQUEEN Application description: WALL/FENCE 8800 N GAINEY CE Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 8 Application valuation: 1875 Contractor: Applicant: Architect or Engineer: SHEA HOMES, IN 60800 TRILOGY A LA QUINTA, CA (760)777-6005 �I Lic. No.: 672285 ICENSED CONTRACTOR'S DECLARATION I hereby ffirm u er penalty of perjury tha I am licensed n r provisions of Chapter 9 (commencing with S i n 000) of ivision 3 of the B ss n1 'role als ode, and my License is in full force and effect. Li e I Li se No.: 672285 te: ractor. OWNER -BUILDER DECLARATION I hereb 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 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 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 fSec. 3097, Civ. C.I. ' Lender's Name: Lender's Address: P( LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/08/09 V OCT 159 Z�� f WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: 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. 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 wo for which this permit is issued, I shall not employ any pe son in any manner so as to become ubject to the workers' compensation laws of California, a agree that, if I should become sub' ct to th workers' compensation provisions of Section • .3 of the Labor C I shall forth ith c y with those provisions. ie WARNING: FAI URE TO SECURE WOR E 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 days will subject permit to cancellation. I certify 1 hat I ha read this application and state that the above information is correct. 1 agree to comply with all ci and aunty dinances and state laws relating to building construction, and hereby authorize representatives of. hi to ter upo the above-mentioned pro rty for inspection purposes. ignature (Applicant or Agent). Application Number . . . . . 09-00000810 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 FEE15.00 14.00 2.0000 HND BLDG 5-01-.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 Paid Credited ---------- ---------- Due ----------------- Permit Fee Total -------- 7- ---------- 43.00 43.00 .00 .00 Plan Check Total 00 .00 .00 .00 Other Fee Total 5.50 1.00 00 _ 4.50 Grand Total 48.50 44.00 .00 4.50 LQPERMIT P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000810 Property Address: 61079 DESERT ROSE DR APN: 764-270-999-129 -300231- Application description: WALL/ FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1875 c&ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: / I/ Architect or Engineer: • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7 00) f Division 3 of the Busines and Professionals gode, and my License is in full force and effect. Licen s: B is n e No.: 855368 ate: ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 _ 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: 0 11 Lender's Address: kv LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 IID Contractor: SHEA HOMES LIMITED 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 855368 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date AUGG 14 2039 CITY OF LA a 114TA 7/31/09 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 to become subject to the workers' compensation laws of California, and gree that, if I should become ubj ct to the wor r)os 'provisions of Section �37 oft e Labor Code, s all fo h h c.,aPyi tr i logs. Date: plicanC L/ WARNING: FAILURE TO SECURE WORKES' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES 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. Icertify hat I ve read this application and state that the above information is correct. I agree to comply with all city an count ordinances and state laws relating to building constructi r, a d hereby authorize repre.9pritatives of t qty enter up n the above-mentioned propertyf inspecti pu oseS' 7n at ignature (Applicant or Agent): Application Number . . . . . 09-00000810 Permit . . . WALL/FENCE PERMIT Additional desc . . j 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited -------------------- ---------- Due ----------------- 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 # + G 'v o ` . Project Address: 61E, �,,,��` - Owner's Name: Shea Homes A. P. Number: Address: 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor:, Shea Homes Telephone: 760-77.7-6032 Address: 60-800 Trilogy Parkway Project Description: Lot City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - If x 6' & j' Telephone: 760-777-6032 Oreo Garden Wall if 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: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo of Contact Person: Gabbie Nieto Sq. Ft.: ---]Name #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: 00 NOT WERE OELOW THIS UNE # Submittal Req'd Rec'd TRACIQNG 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 2a1 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. i Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �(�