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06-2888 (BLCK)1. r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 N0001,_!A �Wr re ww � - i 1mm BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00002888 Owner: Property Address: 81820 EAGLE CLAW DR SHEA LA QUINTA APN: 764-280-999-36 -300235- C/O JEFF MCQUEEN Application description: WALL/FENCE 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 2000 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/09/06 Contractor• Applicant: Architect or Engineer: SHEA HOMES, INC. D a 812.60 AVENUE 62 LA QUINTA, CA 92253 (760) 777-60.05 AUG 141006 Lic.. No.: 672285 IP CITY OF LA"gUINT;A FINANCE DEPT: LICENSED CONTRACTOR'S.DECLARATION I he affirm nder penalty of psrjur th t I am licensed, nder provisions of Chapter 9 (commencing with Sectio 70001 Divisio '.3 of'th i nd Prof io Is Code, and. my License is in full force and effect. Li" I : i No.: 672285 . Dat ontre , 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.applicam,for the permit to file a signed.statement that he or she is licensed pursuant to the provisions of the Contractor's State Lieense:Law (Chapter9 (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,then five hundred dollars (9500).: (_) 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 does1he woWhimseff or herself through his or her own employees,, provided that the improyementa are not intended or offered for sale. 'If, however, the building or improvement is sold within one year df 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 contraetors.to construe the project (Sec: 7044, Business and ProfessionsCodei. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts forthe projects with a corrtractor(s) licensed pursuant to, the Contractors' State License Law.). f _ 1 I am exempt under.. Sec. , BAP.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 perri+it is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQ('EItMIT 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, is provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is b(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 124Z619 I that, in the performan ofthe work for whic s nit is issued, I shall not employ any irc��Persvon in any manner as be ma subject to the r ars' compensation laws ofCalffornis, ltnd agree that, j be om bjecWo the work Eompensation provisions of Section WARNINd: FAILURE TO SECURtWORKERS' COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR -IN. 'SECTION 3708 OF THE LABOR CODE, INTEREST, AND. ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Directorof 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 Quints, its officers, agents and employees for any act or omission related to tha.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 workis not commenced within 180 days from date:of issuance of such permit, or cessation of workfor 180 days will subject I c tpe to cancellation. hathr h read this application end state that ve i nation is torr . I agree to comply with all c' 4,g�� ces and state laws relaM): etl and h& authorize representstives aft ' aoveam.os ion r re'IAppl.C.M 0 A Application Number . . . . . 06-00002888 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee 45.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 2000 Expiration Date 1/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 2.0000 HND BLDG 501-2,000 30.00 --------------- --------------------------------------------- --------------------------------------------------------------- Specia Special Notes and Comments : ------- LOT 36 - 80 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged Paid Credited Due Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total .00 .00 .00 .00 Grand Total 45.00 .00 .00 45.00