07-1007 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-000.01007
Property Address: 81950 EAGLE CLAW DR
APN: 764-280-999-23 -300235-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2125
TdY440uhA
Architect or Engineer:
11- 1A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, Az 8525B.
Contractor:
SHEA HOMES, IN
60800 TRILOGY
LA QUINTA, CA.
(760)777-6OQ5
Lic., No.: 6722
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/02/07
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I herebva irm and r penalty of per' tat 'amlivens under provisions of Chapter 9 (commencing with
I hereby affirm, under penalty of perjury one of the following declarations:
Section 7" ) o_ f Di ision 3 of the u§i and Prof si rials Code, and my License is' in full force:and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
LicenseI H n No.: 672285
_
- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
act r:
issued.
I have and will maintain workers' compensation insurance; as required by Section 3700 of the Labor
<e.
Code, for the performance of the work1forwhich this permit. is: issued. My workers'.compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:eby
affi m under penalty of perjury that I em exempt from the Contractor's State.Ucense Law for the
Carrier AMERICAN HOME Policy Number 1247619
followingreason (Sec. 7031:5, Business and Professions Code: Any city or county that requires a.permit to
I certify that, in- the performance of the work for Which this permitis issued, I shall not employ any
construct,alter, improve, demolish; or repair any structure; prior to its•issuance,also requires theapplicant for the
permit to files signed statement that Ire.orshe.is licensed pursuant to the provisions of the-Comraaor's,State
_
person in any manner so-as,toabecome bject to he rkers' compensation laws of California,
and agree th�iflul - ubje to theork mpensation provisions of Seaton
License. Law (Chapter 9 (commencing with Semon 7000) of Division 3'of the Business and Professions' Code) or
00 of the1 hall fo with. ply a revisions.
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 than five Hundred dollars (¢500)n
e: li
I 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
WARNING: FAILURE TO: SECURE WORKERS' COMPENSATION COVERAGE IS,UNLAWFUL, AND SHALL
Contractors' Statelicense Law does not apply to an owner of property who, builds, or improves thereon,
SUBJECT AN EMPLOYER, TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,- provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES,AS PROVIDED •FOR IN
improvements,are notintended or offered for.sele. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to.the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State_License Caw.)�
whose benefit work is performed under or pursuant': to any permit issued as a result of.this application,
(_ ) I am exempt under Sec. - ; BAP.C: for this reason
the owner, and the applicant, each agrees to; and shall defend, indemnify'and hold harmless thwCity
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 isissued (Sec. 3097, Civ.:C.).
Lender's Name:
Lender's Address: �
.�Z
I.QPERNUT
of -La Qumta,.nts 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 o_ f issuance of ch permit, or cessation of,work for 180 days will subject
permit to cancellation.
2116P/prU
reef this a pplicationand.srate that t =a a in
do orrea. I ee to comply with all
nances and state laws relating to buil Ing co ructi ,end ”. 7eby ize representatives
Of f�rupon above-mentioned,, -'n pectic, urpos
'nature (Applicant.. or Age
Application Number . . . . . 07-00001007
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 54.00
Plan Check
Fee
.. .00
Issue Date . . .
.
Valuation
. . .
. 2125
Expiration Date .
. 9/29/07
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.100 9.00.00 THOU BLDG 2,001-25,000
9.00
------------
Special.Notes and
- ----------------.--
Comments
---------------
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
LQT