05-4220 (BLCK)W~ IIIIIIIIVIIIIIIVIIIIIII 08
IE
P.O. BOX 1504-
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
0-5-00.004220
60810 AZUL CT
764-270-999-
WALL/FENCE
MEDIUM HIGH
1625
----------------------------------------------
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.
License Class: [[ �� L�icen�o.: 672285
ate. � Cant or:
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 1$5001.:
(_ 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 didnot 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.).
(_) 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: Vl
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 9/20/05
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
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 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 su ct to the workers' compensation laws of California,
and agree that, if I s ould come subje o the the
compensation provisions of Section
3700 of the L all n comply with those provisions.
D�M pylic
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 1$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 void if work is not commenced
within 180 days from date of issuance of such permit, or ce sation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above inform n is correct. I agree to comply with all
city and county ordinances and state laws relating to ud cons n, and hereby authorize representatives
of this a6—AA
t�o enter upon t ova -mentioned fo inspect; n
teL� \ —1 1 gnature (Applicant or Awe
Application Number . . . . . 05-00004220
Permit
WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 39.00
Plan Check
Fee
00
Issue Date . . .
.
Valuation
. . .
. 1625
Expiration Date .
. 3/19/06
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
.00
.00
Grand Total
39.00
.00
.00
39.00
LQPERMIT
%Y
16' O.C. TYP.
ONT.
TOP COURSE ONLY
IUIRED
EL ANGLE
#4 BARS @ 16' O.C. TYP
PATIO SLAB
A. WAY
-E SECTION
PER CEC 680.22,
SINK TO BE GRILL LIGHT
BONDED TO POOL STEEL IF
WITHIN 5 FT. OF POOL WALL
STAINLESS
STEEL
SINK
r�
cn
GRILL
0
00 0 00
an !R"4
m
M lk4
hhh'.■■■■■■■■■■■■■■■■I
I LENGTH VARIES
LENGTH OF GAS PIPE
DIAM. OF GAS PIPE
2 OUTDOOR KITCHEN NEAR POOL
FRONT ELEVATION
PER CEC 680.22, BBQ TO BE
BONDED TO POOL STEEL IF .
WITHIN 5 FT. OF POOL WALL
IL
PROVIDE VENT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
WATERTIGHT CEC 680.6 & 680.22(2)
ELEC. RECEPTACLE
SHALL NOT BE LESS THAN
1/2"=I'-0"
LIGHT SWITCH
GFI DUPLEX
OUTLET
6X8X16 CMU AT
FRONT AND SIDE WALLS
SOLID GROUT
BBQ: , FZE_SCD
I.C.B.O. #362�L'i_CT!L
ANSI # Z; I - 6—
BTU _9S6x�
U.L. APPROVED. l
STONE, TILE, OR
4'-0" CONCRETE SLAB COUNTER
#5 BAR AT 12° O.C.
r EACH WAY (TYP.)
3'-0" n 1'-0" PLASTER, PEBBLE -PLASTER,
OR TILE
6 BENCH OR
3-I/2" 16" BAR STOOL
BBQ,I, #3 VERT /HORIZ.
GRILL -� AT12"
C (TYP.)
Eo uj
TI R
6X8X 16 CMU AT
H WAY
FRONT AND
SIDE WALLS
SOLID GROUT
#4 BARS VERT.
z
AT 24"
0. C. (TYP.)
TOP COURSE ONLY
:QUIRED
r w
CD
o
jt� TIS CTFFI w Q
IL
PROVIDE VENT, WASTE, AND
PLUMBING FOR SINK ON SEPARATE
CONSTRUCTION DOCUMENT.
WATERTIGHT CEC 680.6 & 680.22(2)
ELEC. RECEPTACLE
SHALL NOT BE LESS THAN
1/2"=I'-0"
LIGHT SWITCH
GFI DUPLEX
OUTLET
6X8X16 CMU AT
FRONT AND SIDE WALLS
SOLID GROUT
BBQ: , FZE_SCD
I.C.B.O. #362�L'i_CT!L
ANSI # Z; I - 6—
BTU _9S6x�
U.L. APPROVED. l
STONE, TILE, OR
4'-0" CONCRETE SLAB COUNTER
#5 BAR AT 12° O.C.
r EACH WAY (TYP.)
3'-0" n 1'-0" PLASTER, PEBBLE -PLASTER,
OR TILE
6 BENCH OR
3-I/2" 16" BAR STOOL
BBQ,I, #3 VERT /HORIZ.
GRILL -� AT12"
C (TYP.)
Eo uj
TI R