06-2898 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002898
Property Address:
81890 EAGLE CLAW DR
.APN:
764-28.0-999-29 -300235-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENS"ITY RES
Application valuation:
1700
T4&t 4 4 Q"
Applicant: Architect: or Engineer:
veil 41A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p r'ury that'I am lice sed under provisions"of'Chapter 9 (commencing with
Section 7000) f Division'3 of s mess and Pr ionals Code, and my License is in full force and effect.
Li 'cense iNo. 672285
�te. orrtract
OWNER -BUILDER DECLARATION
I hereby affirm under, penalty of perjury that Pram 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
constmci, after; 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 Section7031.5;;by
any applicant for a permit subjects the. applicant to a civil penalty of not more than five hundred dollars (8500).:
(_) I, as owner of the.property, or my employees with wageras their sole compensation, will do the work, and
the structure is not,imanded or offered for sale (Sec. 7044, Business and Professions Code The
Contractors' State License Lew does not apply to an owner of property'who'builds or"improyes`thereon,
and who does the work himself or herself through his or her own employeasi 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 orshe did not build or
improve for the purposeof: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 town owner of
property Who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State.Ucense Law.).
1 _ 1 1 am exempt under Sec. B.&P.C. forthis.reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat there. is 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:
LQPERMrr
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 GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.i 672285
AUG 14 2006
CITY OF IA QUINTA
FINANCE DEPT.
-------------
WORKER'S COMPENSATION DECLARATION
I herebyaffirm under penalty of perjury one of the following declarations:
_ I have and will "maintain a certificate of consent to seH-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 perfonname of the'work'for which this permitis.issued.. My workers' compensation
insurance carrier and policy number are:
Carrier AMERICAN HOME Policy Number" 1247619
I certify that,.in the.perforniarice of the work for which this:permit is issued, I shall not employ any
person iniany manner o'as to become subject the w kers compensation laws of'California,
end.a� nee that, lf I sh d oma bject o the works s compensation provisions of `Section
I I ,
NO of the Labor h�I1 fort with Ply with provisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS 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 3706 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'1or
whose benefit work is "performed under or pursuant to any permit issued as a, result of this application,
the owner; and the applicant, each,agress 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 notcommenoad
within 180 days from date of issuance of such permit,.orcessation of workfor ISO days will subject
permit to cancellation..
I certi that I yh a read this application and stateahat thea ve information is corre . I agree twoomply with all
city ntY na as a state laws relating to ' d' _ co ruction, and,4re authorize representatives
of r above-mentioned o fns ion rposes
Date: ignanire (Applicant or n
Application Number . . . . . 06-00002898
Permit
WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 39.00
Plan Check
Fee
00
Issue Date
Valuation
. . .
. 1700
Expiration Date
1/30/07
Qty Unit Charge Per
Extension
BASE
FEE
-15.00
12.00 2.0000
HND BLDG
501-2,000
24.00
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Special Notes and
Comments
---------------------------------
LOT 29 - 68 L.F.
6' GARDEN WALL,
ORCO
SYSTEM
Fee summary
Charged
Paid
Credited
Due
----------- ------
Permit Fee Total
---------- ----------
39.00
----------
.00
.00
---------
39.00
Plan Check Total
.00'
.00
.00
.00
Grand Total
39.00
.00
.00
39.00