06-2901 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002901
Property Address:
8.1910 EAGLE CLAW DR
APN:
764-280-999-27 -3'00235-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2125
T4ht 4 4 Q"
Applicant: Architect or Engineer:
liar
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that) arn4icensed under provisions of Chapter 9 (commencingwith
Section 000) pf_ Division 3 of the Business and Professionals Code, and my License, is in full force and effect.
Li - ass: 10 LicenseNo::. 6.72285-
71
Date: H omractor:
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 thatrequires a permit to
construct, alter, improvevdemolish, or repair any structure, prior to imissuance, also requires the applicant for the
permit to file a signed statement that he or she is.licensed pursuant to theprovisions of the Corrtractor's:State
License Law (Chapter 9 (commencing with -Section 7006) of Division 3 o the Business and Professions Cods) or
that he or she is exempt therefrom and the basis forthealleged 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 (8500).:
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 doesnutapply to an owner of property who builds or improves thereon,
and who does:ahe work himself or herself through his or her own employees, provided that the
improvements are not intended oroffered 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.buikl or
improve for the purpose.of'sale.).
I _) I; as owner.of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7644, Business and Professions Code: The Contractors' State License Law does not apply to en 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:).
(_) 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.T.
Lender's Name:
Lender's Address:
LQPPEEMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor;
SHEA HOMES, INC..
8.1260 AVENUE 62.
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/09/06
AUG 14 2006
CITY OF LA QUINTA
FINANCE DEPT.'
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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 soIff4nsure for workers' compensation, -as provided
for by Section 3700 oUthe Labor Code, for the.performance.of the work for which this permit is
.�// issued.
ISI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the.workJor which this permit'is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier AMERICAN HOME 'Policy Number 124.7619
_ I certify that, in the performance -of the workfor which.this:permit tis issued,.I shall nut employ any
person in any manner so as to become subject to the workers' compensation laws.of California,
end`egree that,, if t jbpaV become subject to the ikers' compensation provisions of Section
I700 of the' de I,shalf r[hwif -comply - h - _ provisions.
Date: plic
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. 0100,000). 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 Safetyfor a permit subject to the
conditions and restrictions. set forth onthis-..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 workbeing
performed under or following issuance of this permit.
2. Any permit issued as a result 4 this application becomes null'and void if work isnot 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 that I have read this application and state that above'information is correct. [Agree tc'comply with all
city an crou ordinances and state laws.relatirg ructi by a ze representatives
Of my mer upon t above-mentio props y for ctio
Date: ature (Applicant or Ag
Application Number . . 06`-00002901
_Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 2125
Expiration Date,. 1/30/07
Qty Unit Charge Per Extension
BASE FEE 45.00
1.00 9.0000 THOU BLDG 2,00,1-25,000 .9.00
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Special Notes and Comments
LOT 27 - 85 L.F. 6' GARDEN WALL, ORCO
SYSTEM
Fee summary Charged Paid Credited Due
------------ ---------- ---------- ---------- ----------
Permit Fee Total 54.00 .00 .00 54.00
.Plan Check Total .00 .00 .00 .00
Grand Total 54.00 .00 .00 54.00
LQPERMIT