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06-0701 (BLCK)0"Por— T4ht440' - , P.O. BOX 1504 " 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILD NG PERMIT Application Number: 06-00000701 Owner: Property Address: 81775 EAGLE CLAW DR SHEA LA QUINTA APN: 764-280-999-115 -300.235- C/O JEFF MCQUEEN Application description: WALL/FENCE t0 8800 N GAINEY CENTER 350. Property Zoning: MEDIUM HIGH .DENSITY RES �O� SCOTTSDALE, AZ 85258 Application valuation: 4505 ��� �� ,. Contractor: e Applicant: Architect or EnginSHEA HOMES, INC. 81260 AVENUE 62 - LA QTTINTA, CA 92253 (760)777-6005 N t Lic. No.: 672285 ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenelty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B a License No.: 672285 ate I Z% tractor. 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, irnprove„demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a sighed '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 isexempt therefrom and the basis for thealleged exemption. Any violation of Section 7031.5 by any applicantfor a permit subjects the applicant to a civil penalty of noumore,than five hundred dollars (8600).: (_ 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 oroffered°for sale4Sec. 7044, Business and Professions Code: The Contractors' State License Law does nor 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 thepurpose of sale.). (_) 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 o contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby offirm,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: #� I Lender's, Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION Date: ' 2/16/06 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 AMERICAN HOME Policy Number 1247619 _ I certify that, inthe 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 s uId become subjeA to the workers' compensation provWona'of'Section D3700 of the Mbor C II f comply with those provisions. WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILTINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000). 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 permitlssued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold hermless;the City of La Quints, 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 work for 11810 days will,subject permit toycancellation. I certify than have read this application and state that thea a informatioreis rrect. I spree to comply with all city and c my dinences and state laws relating to building, ction, a re representatives Of thisqj�� - en tioned�property f 'in ion ate: or. Agent): Application Number . . . . . 06-00000701 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee .00 Issue Date . . . Valuation . . 4505 Expiration%Date . . 8./15/06 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 ------------------------- --- Special Notes and Comments 145 L.F. 6' GARDEN WALL, 55 L.F. 3' RETAINING. WALL, BOTH ORCO SYSTEM Fee. summary Charged Permit Fee Total 72.00 Plan Check Total .00 Grand Total 72.00 tWPELMT Paid Credited Due ------------ ------------ ---------- .00 .00 72.00 .00 .00 .00 .0:0 .00 72.00