06-2889 (BLCK)f P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002889
Property Address:
81830 EAGLE CLAW DR
AM:
764-2,80-999-35 -300235-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2000
Tit!t4.40"
Applicant: Architect or Engineer:
N h�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED:CONTRACTOR'S DECLARATION
I hereby affirm rider penslty of per' i that.' a li sed under provisions of Chapter 9 (commencing with
Aa—te
GOO) Division 3 of t e sines and, ro nals Code, and my License islin full force and effect.
Li nae.No.: 672285
ntrast
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, Businesvend Professions Code: Any cityorcounty that requires a,permitto
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 orshe: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 heor 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'noi more then five hundred dollars.($500).:
(_) I, as owner of+the property, or my employees with wages as their sole,compensation, will do the work, and 100
the structure is not intended or offered for sale (See: 70441 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 thatthe
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, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and.Profession Code: The Contractors' State License Law does not apply town 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.).
(_) 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:
VOICE (760) 777-7012
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Date: 8/09/06
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEYY-CENTER
SCOTTSDALE, AZ 85258 D
Contractor: AUG 14 2006
SHEA.HOMES, INC.
81260 AVENUE 62 CITY OF LA QU NTA
.LA QUINTA, CA 92253 FINANCEDEPT.
(760)777=6005
Lic. No.: 672285
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain acertrficate`af consent to self -insure for workers' compensation; as provided
for by Section 3700 of the Labor Code, for the performance of the work f r 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 12 ,619-
_ I certify that, In the ormanceof theworkfor which t ermit,is issued, I shall not employ any
rson in any ma so W a subjectto the o t 'compensation laws of California;
nd agree that d oma bject to the wort com enation provisions of Section
1 of the bor I I all f with _ ly pro isions:
DatR
e: 1 pli
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE1S 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 3708 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 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
"Iha
0 days from date of'issuance such pemiit, or cessation of work for 180 days will subject
cancellation.
d this application st t e abo information Isco I agreeto comply with all
ces and state la relstin to Iding o n, and h e °authorize representatives
po he abov 'ond pro y for'li trioig , ure (Applican _ gent):_
Mcl):D;i3iri
Application Number . . . . 06-00002889
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 4.5.00 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 HIND BLDG 50,1-2,000. 30.00
--- - -- ---------------------------------------------------------
Special Notes and Comments
LOT 35 - 80 L.F. 6' GARDEN WALL, ORCO
SYSTEM
Fee summary Charged
---------I-----------
Permit.Fee Total 45.00
Plan Check Total .00
Grand Total 45.00
Paid Credited Due
.00 .0.0 45.00
.00 .00 .00
.00 .0.0 45.00