The URL can be used to link to this page

04-4441 (BLCK)k La��vw.ugr.� BUILDING & SAFETY DEPARTMENT k+� P.O. Box 1504 (760).777-7012 OFT1'� 78-495 CALLE TAMPICO FAX (760) 777-7011 Ln QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT C, 1 `1`4 P P`Plication Number . . . 04-00004441 Date 5/21/04 ------ � ,y � Prope-r-,ty_..Address . . . . . . 60463 WHITE SAGE DR' APN: 764-270-999-77 -300231- Application description . . . WALL/FENCE Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 1625 Owner Contractor SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 7165.833 08/01/04 CSLB: 672285 06/30/05 CCC: B ---------------------------------------------------------------------------- Permit . . . . . . WALL/FENCE.PERMIT Additional.desc Permit Fee . . . . 39.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1625 Qty Unit Charge Per Extension BASE - FEE 15.00. 12.00 2.0000 HND BLDG 501-2,000 24.00 ---------------------------------------------------------------------------- Special Notes and Comments 65 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.*o0 .00 Grand Total 39.00 .00 .00 39.00 P.O. BOX 1504 ��',�� 78-495 CALLS TAMPICO t1 VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 4 4 FAX (760) 777-701 1 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Application Number: 04 Date: Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm an�del LrL Qenalty of perjury that I am licensed undere�rp visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and s Lict pier full force and effect. ---License ^ � / _Anse Class__, ` No. / ate ntractor�� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to 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 or she is licensed pursuant to the provisions of the Contractors' 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 Section 7031.5 by any applicant for a pemmit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 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 or through his or her own employees, 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 or she did not build or improve for the purpose of sale. . State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the peProfessions Code: The Contractors' rojects withss and Proff contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. . BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION :1 hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the peAomance of the work for which IN permit is issued. I have an will maintain ers' compensation i surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss d Mo a tion i nce cam po' missued' „�• ame olive Number W3 _ I certify that, in the performance of the work f which this permit is shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agr t at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ,Date v pli / 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. I hereby affirm under penalty of perjury that there is a construction lending agency ffoor�the performance of he work for which this Permit is issued (Sec. 3097, Civ. C.). Lender's Name Lenders Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity and hold harmless the City of La Chuinta, 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 i rk 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 application and state that the above i constructio and hereby authorize representatives of this county to miation is co I agree to comply with all city and county ordinances and state laws relating to building r upon ve-mentioned property e- A ' for inspection purposes. Date ign�5 ature (Applicant or Agent): 4- (N