05-5212 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00005212
81223 AGAVE CT
764-270-999-35
WALL/FENCE
-300234-
MEDIUM HIGH DENSITY -RES
3875
Architect or
T414t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
�lP
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LICENSED CONTRACTOR'S DECLARATION
I 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.
n Class: B License No.: 672285
;00—
ntracto
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, 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.).
(_ I 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.).
(_ 1 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: PIA
LQPERMIT
IIIIIIIIIIIIIIIIIIIII1 38
IE
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/29/05
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
------------------
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
Kn issued.
Y\ 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 1247619
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become sub' t to the workers' compensation laws of California,
jno0agreetehat,d if I s uld b ome subje the workers' compensation provisions of Section
ofShLab s II it co visions.
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 ($100,0001. 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 voi f work is not commenced
within 180 days from date of issuance of such permit, or cessatio work for 180 days will subject
permit to cancellation.
I certify that I have read this application and stat?thatt v informotio correct. I agree to comply with all
city and c unty dinances and state laws relatinc nstru io nd hereby authorize representatives
co my to nt r port the above-mentioneo specuon s.
D cure (Applicant or Age
's
Application Number . . . . . 05-00005212
Permit. .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 63.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
3875
Expiration Date
5/28/06
'
Qty. Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.0000
THOU BLDG
2,001-25,000
18.00
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Special Notes and
Comments
155 L.F. 6' GARDEN
WALL, ORCO SYSTEM
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
63.00
.00
.00
63.00
Plan Check Total
.00
.00
.00
.00
Grand Total
63.00
.00
.00
63.00
LQPERMIT
BORM
STRUCTURAL ENGINEER&.
STRUCTURAL JOB SITE OBSERVATION FINDINGS,
Project Nam #:
e: " .IZI'G 4a Project 7,4
Observer:. " —/'• A�
Lo . # Plan Type:: Elevation:. '
Found bis / or ramie oojFramin Alt, Foundation' / Alt Framing /Foundation Option /Framing Option
A. rovide AB per detail..per plan:
B Provide nut &washer tightened connection. @sill plate connection to foundation. .
C. HD and HD anchorage to foundation have not been installed as indicated on foundation plans. Refer to repair procedures from '
BAL
D: Provide concrete patching or repair procedures at damaged concrete for completion of:slab or foundation application per "
plans.
E:
Framing
F. 'Provide shim, post or:solid blocking forbearing condition @ framing member:
G. . Provide sole plate -connection to framing below. as called for in shear wall schedule:.
H Provide beam', floor joist, roof truss or, header as indicated on plans.
I: ' Provide (verify; complete) nailing -and length of strap'asindicated on plan.
J. Provide AmM.connection (or H1 connector at roof level)with spacing per. plan.
• Unable to see, contactor to verify.
L. Provide blocking and/or straps per details 18/SD3 or 19/SD3: .
Provide top plate splice at.breaks in uppermost top plate With nails or strap per detail per plan:
O. Provide additional- studs at trusses per detail and/or "verify the stud grade:
P. Provide minimum 3X per shear wall schedule.
.Provide connection.or shear transfer per detail, per plan
R Provide (verify, nail) connector. hardware/hanger. "
S: Provide completion of nailing of shearmaterial to framing at boundaries and at adjacent.panel edges as called for in shear wall
schedule. .
T.. - Provide shear material .(at ceiling lid) per plan as construction sequence allows.
tall diagonal brace to top plate per plan detail 2/SD3 & 14/SD3.
Provide bracing blocks with boundary nailing at the floor sheathing at 48" o.c. for parallel framed floor joists per detail 2/04.
W. Provide blocked diaphram per plana
X.• Provide truss hangers at truss to girder truss or at beam to "truss connection -as per manufacturer's specifications.
Y. Provide full depth blocking with boundary nailing per detail at drag line..
Z.. Provide edge nailing at post with.holdown, strapdown or, at the edge of shear wall.
1:..
Field Superintendent (third copy): Dater Time:
Framing Foreman (second copy): Date: Time::
Field Engineer (fust copy):Date: w 5.' Time:
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