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04-5839 (AR), f 4 BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number Property Address APN: Application.description Property Zoning . . Application.valuation 04-00005839 r 81574 DESERT WILLOW D}`[r 764-270-999-49 -300231 ADDITION - RESIDENTIAL MEDIUM_ HIGH DENSITY AS 500 1 a 2.0 0 r 2M CITY OF LA QGjTaTA N11MCE DL t Owner Contractor - ------------------------ SHEA LA QUINTA -------------=---------- CALIFORNIA POOLS & SPAS C/O JEFF MCQUEEN P.O: BOX 1280 8800 N GA.INEY CENTER 350 COACHELLA CA 92236 SCOT`I'SDALE AZ 85258 (760) 398-9222 WCC: STATE FUND WC: 04600061168 01/01/05 CSLB: 656128 10/31/04 CCC: C8 -C27 -C29-053 Other struct info CODE EDITION 2001 --------------------------------------= Permit BUILDING ------------------------=------------ PERMIT - Additional desc Permit Fee . . . . 15.00 Plan Check Fee 9.75 Issue Date . . . Valuat-ion '.. 500 Qty Unit Charge Per Extension BASE"FEE 15.00 ---------------------------------------------------------------------------- Permit .. . . . . . ELECT - ADD/ALT/REM Additional desc Permit Fee 30.00 Plan Check Fee 7.50 Issue Date . . . . Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 7..5000 EA ELEC PWR APP >1 TO <=10 15.00 ---------------------------- ----------------------------------------------- Special Notes and Comments BBQ ANSI Z21-58-1995 ------------------------------------------------------ ---------------------- Other Fees ... . . . . . ... ENERGY REVIEW FEE .98 STRONG MOTION (SMI) - RES .50 Fee summary Charged Paid, Credited Due P.O. Box 1504I4 CE VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: — Jr� I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: I Architect or Engineer's Ad r&a/ Lic. No.: BUILDING PERMIT DECLARATIONS LIC NSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under p101 i ' s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and m Lice, a is�in �i11 force and effect. �i License Class_(_ Liceise o._ 5&1 a Datadl_5zo J V Contractor / DOWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that (am exempt from ontractors' 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 permit subjects the applicant to 9 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.). U 1, 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION 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. 1 have and will maintain porkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss ed. My -workers' mpensation insurance carrier Cartier Policy Number _I certify that, in the performance of the work for which thi emit is i ued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I outd beco a subject to the workers'. compensation provisions of Section 3700 of the Labor Code, I shall fo comply with those pr sions. Date—,51d Applicant WARNING: FAILURE TO SECURE WORKERS' COMPe4&0ION qrOVEGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10k.000).JN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYaTEES. 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 Lenders Address 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, indemnity 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 ' o menced 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 information is correct.gree to mply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t"nter upon the pbo ntio ed property for inspection purposes. Date J Signature (Applicant or e, Application Number . . . . . ----------------- ---------- Permit Fee Total 45.00 Plan Check Total 17.25 Other Fee Total 1.48 Grand Total 63.73 04-00005839 .00 .00 .00. .00 .00 .00 .00 .00 Page 2 Date 8/03/04 45.00 17.25 1.48 63.73 TRILOCYAT LA QUINTA MAINTENANCE ASSOCIATION July 28, 2004 Jerry Miller 7 Lakeside Lane North Barrington, IL 60010-6955 Pro -e rtY-. Address: 8157 -4 -Desert -Willows p Dear Mr. Miller: We are pleased to inform you that your application for installation of a rear yard, planting, irrigation, drainage, barbecue, and low voltage lights has been approved by the Architectural Committee with the following conditions: 1) Ensure Mexican. Fan Palms on comer of lot do not flow into neighbor's yard. 2) Plans must be signed off by either Angie Hill or Marilyn Brody from Shea Homes or the homeowner if escrow has closed. This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on any property other than that of the applicant. This approval is related solely to the items reserved for approval by the CC&R's in accordance with the Architectural- Guidelines. The approval does not extend to the quality of work performed by your architect or contractor, or to any structural engineering, soils engineering, or site grading and drainage design.- You are urged to obtain the services of a state licensed professional for consultation as needed. - Please be advised that this approval does not relieve you from obtaining any necessary building permits from the governmental agencies involved. Thank you for your patience in this matter and for complying with the Association's policies and standards. Sincerely, For the Architectural Committee Bo66ie Stone Bobbie Stone Community Manager Enclosures cc: Board of Directors Architectural Committee Professionally Managed By Action Property Management Inc. 29b Technology Drive, Suite 100, Irvine CA 92618 (949) 450-0202 (800) 400-2284 (949) 450-0303 fax