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07-1009 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINI'A, CALIFORNIA 92253 - Application Number: 07-00001009 Property Address: 81960 EAGLE CLAW DR APN: 764-280-999-22 -300235- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1875 Ta�v 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA. C/O JEFF MCQUEEN 8,800 N GAINEY CENTER SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153' Date: 4/02/07 Contractor.: Applicant: Architect or Engineer: SHEA HOMES,, 60800 TRILOGYNC. PARKWAY APR 12 2007AUY LA QUINTA, CA 92253 (760) 777-6005 CITY OF LAQuINTA Lic.. No.: 672285 FINANCEDEPI: LICENSEDCONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of -perjury that.I am licensed under provisions of Chapter 9,(commencing with 'I hereby affirm -under penalty of perjury one of the,following declarations: Section 7000) of f Division 3 of the Bu ss 6ndPronfesi-n,,I,,Code, and my License is in full force and effect. _ I have and will maintain a cenificete.of' consent to self -insure for workers' compensation, as provided Lice e (Jilis: B _ Li No.: 672285 for'by Section 3700•of the Labor Code, for theperformanceofthe work for which' this, permit is issued. ate: tractor: *4 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 OWNEWBUILDER DECLARATION insurance carrier and policy number are: I hereby affirm,under penalty ofrperjury+that I am;exempt from the Contractor's State License Law for the Carrier AMERICAN HOME Policy Number 1247619 following, reason (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 permit is issued, I shall not employ any constructi alter, improve, demolish, or repair any structure, prior to its issuance, also.requiras theapplicantfor the person in. any manner so.asto oecome,subject.to'the workers' compensation laws of California, permitao file a signed statement that.he,or she is licensed pursuant:to the provisions of the Contractor's State and, agree that, if uld������QQQQQQ icome s ject tot workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and.Professions Code) or W 0 of .the Le r he ort• h som I Orth those provisions. 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 (8500).: D lice ' (_) I,:as owner of the property; or my employees with wages,as their sole compensation, wilbdo the work, and the structure, is not intended oroffered for, sale (Sec. 7044„ Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not.apply to an owner of property who builds onimprovas thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE&UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 18100;000): IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements: are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR C6DE, INTEREST; AND ATTORNEY'S_ FEES. one year o£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, amexclusively contracting with licensed contractors to construct the project (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 contracts for the projects with a contractor(s) licensed pOrsuarru'to the Contractors' State License Law.). (. 1 1 am exempt under Sec. , B.&P:C. for this reason Date: Owner:, CONSTRUCTION.LENDINO AGENCY I hereby affirm under penalty of perjurythat there Is -a construction lending agency for the performance of the work for which this permlt"is issued (Sec. 3097,. Civ. C.). Lender's Name: Lender's Address: I I LQPERMIT 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.. Eaeh.person upon whose behalf this application is made, each person at whose request and,for whose benefit work.is performed under or pursuantto 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 Ouinta, 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 permitissued as a result of this application becomes nulLand void if work is not 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 applicationand state that the above information is. ect. I agree to comply with all city a ' count ' ordinances and state laws relating it ' con ni n,and - by authorize representatives t c nty' a er'upon th bove-mention ro r in cti pura3 te: ature (Applicant or Ag 0 Application Number . . . . 07-00001009 Permit WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 43.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 187'5 Expiration Date 9/29/07 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 2,0000 HND BLDG.501-2,000 28.00 ---------------------------------------------- Special Notes and Comments ---------------------------- 75 L.F. 6' GARDEN WALL, ORCO SYSTEM Fee summary Charged Paid Credited Due Permit Fee Total 43.00 .00 .00 43.00 Plan Check Total .00 .00 .00 .00 Grand Total 43.00 .00 .00 43.0.0 LQPERMIT