10-0661 (BLCK) II��II�IIIIIIIIIIIIIIIIII 15T4ht 4
P.O. BOX 1504 IE - _J �� VOICE(760)777-7012
-&495 CALLE TAMPICO FAX(760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 7/19/10
Application Number: 10-00000661 Owner:
Property Address: 81505 AVENUE 60 SHEA LA QUINTA
APN: 767-280-004- - - 60800 TRILOGY PARKWAY
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 44505
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
/L (760)777-6032 S r�
Lic. No. : 672285
-- ------- --- ------ ------- ---- - ---
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with 1 hereby affirm under penalty of perjury one of the following declarations:
section 7000)of Division 3 of the Business and Professionals Code,and my License Is In full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License las : B License No.: 672285 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
ate: ntractor: �OYS .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
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS . Policy Number WC6987825
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manner so as to become subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if I should become subject to the o rs'co pensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Lab ode,I shall for hwith com ly wnh hos rovisions.
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).: Date: �-6 Applica (:
(_) 1,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 WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or-improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000)• IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_1 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upo%whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1_1 I am exempt under Sec. B.&P.C.for this reason' 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ:C.)• city and c�ntooron
nances and state laws rela' g to building construction,and here y uthorize-representatives
• of th' oter upon the above-me erty for inspe tion p pos
Lender's Name:
azure(Applic ent):
Lender's Address:
LQPER.MIT . '
Application Number . . . . . 10-00000661
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 382.00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 44505
Expiration Date . . 1/15/11
Qty Unit Charge Per Extension
BASE FEE 252.00
20.00 6.5000 THOU BLDG 25,001-50,000 130.00
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Special Notes and Comments
1,025 L.F. COMBINATION WALL, 6' GARDEN &
4' RETAINING AND 1,180 L.F. 4' RETAINING
WALL, BOTH ORCO SYSTEM. THIS PERMIT .
INCLUDES WALLS AT 2 RETENTION BASINS, 1
BETWEEN LOTS 4-5 OF TRACT 35996 AND
WALLS AT RETENTION BASIN ADJACENT TO
LOTS .17-24 OF TRACT 35996. REMAINING
WALL IS ADJACENT TO USBOR LEVEE. 2007
CODES.
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Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --------7-
Permit Fee Total 382.00. ..00 .00 382.00.
Plan Check Total .00 .00 .00 .00
Other Fee Total 2.00 .00 .00 2.00
Grand Total 384.00 .00 .00 384.00
LQPERMIT
i � P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
'v 78-495 CALLE TAMPICO (7 60) 777-7012
A' oF T1�F LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD:
From: Les Johnson, Director-Planning Due Date: ASAO
3. Permit#: Status:
Building Plans Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description: '
Address or General Location:
• � o3z
t 760 - 777- &
Applicant Contact:
,The Planning Department finds that:
❑ ...these Building Plans do not require Planning Department approval.
..these Building Plans are approved by the Planning Department.
❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return them to the Planning Department for review.
Les Johns(:T , irector-Planning Date
�CO;Ve
APR 2 l 20110
�r
City of La Q gnta
' 'lar,r)lrg D_�parfm:?nt
ci
Bin# City of La Quinta
Permit# Building & Safety Division
I'(0 P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: o .�60,5 (_.�[ 6 Q Owner's Name: Shea Homes
A. P.Number: Address: 60918 Desert Rose Drive
Legal Description: Trilogy @ La Quinta Annex City, ST,zip: La Quinta, CA 92253
Contractor: Shea Homes Telephone: 760-777-6032
Address: 60918 Desert Rose Drive Project Description: Perimeter Walls
City,ST,zip: La Quinta, CA 92253 Orco Combo Wall - 1,0251f x 6' & 4'
Telephone: 760-777-6032 Orco Retaining Wall - 1,180 if x 4'
State Lic.# : 640934 City Lic.#:
Arch., Engr., Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: Occupancy:
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie Nieto Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: 760-777-6032 Estimated Value of Project:
APPLICANT:00 NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets p? Plan Check submitted Item Amount
Structural Calcs. a Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance
Energy Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2°d 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 3�