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07-2927 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07 00002927 . Property Address: 61642 FIRE BARREL DR APN: 764-280-999-1 -300235- Application description: ELECTRICAL' Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 200 T4'!t 4 44umrw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: Architect or Engineer: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760) 777-6005 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License I ss:. ) Li No.: 672285 ate :± _I I� d� tractor:1--"— 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 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 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 Section 7031,.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 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 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 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.). (_ 1 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 to an 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.). Lender's Name: Lender's Address: LQPERnIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/13/07 e 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 self -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. I 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 insurance carrier and policy number are: Carrier AMERICAN HOME Policy Number CA 1593364 I certify that, in the performance of the work for which this permit is issued, I shall not employ any erson in any man r so as to become subject to the workers' compensation laws of California, nd agree that, ' ecom s bject to the rkers' co ensation provisions of Section of the abor C de, II with co ly, h those visions. ,,4,,!700 ca FURE TO CURE 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 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, indemnify and hold harmless the City of La Quinta, 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 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 t at the above information is correct. gree [o comply with all city anIcu ordinances and state laws tmg t i ing f(((onstructian, and here y out rize rep s ntatives of thi orttgr upon the above- ntionad pr pe foal sposes. Jl)\ate:Si re IAppli ant or A Application Number . . . . . 07-00002927 Permit . . . ELEC-TEMPORARY POWER Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date. . . . . Valuation 0 Expiration Date 5/11/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ------=--------------------------------------------- Special Notes and Comments -----------------------= TEMP POWER FOR CONSTRUCTION Fee summary Charged ------------------------------------- Paid Credited ---------- Due Permit Fee Total 30.00 ---------- .00- 00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 LQPERA11T Bin# City of La Quinta Req'd Permit # Building & Safety Division PERMIT FEES P.O. Box 1504, 78-495 Calle Tampico Plan Sets La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �e Owner's Name: Shea Homes Amount A. P. Number: Address:- ddress:Legal LegalDescription: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 i ;,., . „• . ,, Address: (.0 oCiq _ a � (+ .OSe.1) (L, Project Description: City, ST, Zip: La Quinta, CA 92253 Temporary Power Permit Called Contact Person Plan Check Balance Telephone: 760-777-6032 Energy Cates. State Lic. #: 640934 City Lic. #: Plans picked up Arch., Engr., Designer: Construction Address: City, ST, Zip: Telephone: i7 � + a�f;' �� Construction Type: Occupancy: Mechanical State Lic. #: �'ri., arif iLf+ f ?� ` Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Gabbie C. Nieto Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: $200.00 APPLICANT: 00 NOT WERE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees