08-0651 (PLBG) `- `` IIIIIIIIIIIDIIIVIIIIIII 36 II' � j�
P.O. BOX 1504 - - -- - _J ^� VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/21/08
Application Number: --~08-00000651 Owner:
Property Address: 81252 AVENUE 62 SHEA LA QUINTA
APN: 764-270-999-148 -300231- C/O JEFF MCQUEEN
Application description: PLUMBING 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 3000
Contractor: D d
Applicant: Architect or Engineer: SHEA HOMES, INC.
60800TRILOGY P Y
LA QUINTA, CA 92 53 PR 2 1 1008
(760)777-6005
Lic. No. : 67228 CFNgF1AQU1^IT4
NCE DEPT
-- --------- ----- - --------- ------------- ---------- --------- ------- - - -------------------- - ---------
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 I 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 C ss: 13 License No.: 672285 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
/ issued.
,85te: �' "� Facto �, 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 AMERICAN HOME Policy Number CA 1593364
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 'compensation provisions of Section
License Law(Chapter 9(commencing with Section 70001 of Division 3 of the Business and Professions Code)or 3700 of th abor Code,I shall forthwith co ply with tho provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any'violation of Section 7031.5 by A A '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: ate: L1 �a plicant:
1 ) I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and
10
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 fiave the burden of proving that he or she did not build or
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_) 1,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 upon 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 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
6f 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 county ordinances and state laws relating to buildin truction,and hereby authorize representatives
of this court to nter upon he above-mentioned pro y for inspe ion purpos
Lender's Name:
D �L gf n�e(Applicant or Agent): L
Lender's Address: -
LQPERMII-1 ,
Application Number 08-00000651
Permit PLUMBING SEWER
Additional desc .
Permit Fee . . . . 30.00 Plan -Check Fee .00
Issue Date . . . . Valuation 3000
Expiration Date 10/18/08
Qty Unit. Charge Per Extension
BASE FEE 30.00
---------------------------------------------------------------------------- -
Special Notes and Comments
SEPTIC ABANDON, SEWER CONNECT AT
MAINTENANCE BUILDING
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
LQPERMIT - .
FROM Env.Health-PalmDesert (WED)APR 18 2008 11:34/ST. 11:33/Ho.7527288882 P 2
04-152008 03:34pm From-OWD PD SATELLITE +7603919638 T-378 P.001/001 F-308 i
-5 COACHELLA VALLEY WATER D18TRICT INVOICE#, 28909
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COACHELLA,CAUFORNIA 92236
\ (760)398-2651
R I Ci AMOUNT D"
FOR Orr'IGe VOL CnLT DATC '1'„17 I,IV016C
141.0072 03/11/2008
11,211.00
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C/O -TEFF DAVIES ct
60-800 TRILOGY PARKWAY ,�r1ea mes {Ur QC4IVe ajJ4-S
LA QUYNTA, CA 92253 $B00 N• Cjojhej Ce-4er be.,Wvo
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To INSURE'ROPER CA691T,PLEASE RETURN THIS PORTION WITH R6mrTTANCE
ANO INCLUDE THE INVOICE NUMeBR ON YOUR CHGCK `\O page 1
DATE DESCRIPTION AMOU
03/11/2008 SUBJECT; TRACT NO. 30023-1, TRILOGY LA QUI11TA,
60-800 TRILOGY PARKWAY, KkXNTM ANCE
BMLp=Q, 090, 6-7-34-3-
1 - ABANDON EXYSTING DETECTOR CHECK, VAULT AND RUN,
AND RELOCATE METER TO NEW LOCATION - ESTIMATS 3,000.00
2 - AAANDCN EXISTING SSRVICS9 AND RELOCATE METERS
AND BACKPLOWS TO NAW LOCATION 09 EXISTING
SERVICE - ESTIMATE 1,200.00
WATER SYSTEM BACKUP FACILITY CHARGB
(SATISFIED 14CR NO. 119963, 6/22/07)
SUPPLEMENTAL IMPORTED WATBR SUPPLY CHARGE
(SATISFIED MCR NO. 11.9.963, 6/22/07)
SANITATION CAPACITY CHARGE
TREATMENT FACILTTY COMPONQ3T - $1 0 _ 7,011.00
CC: 35/55 MAR 26011
5Y:BS COACHELLA VALLEY
WATER CT
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Bin # Ci of La Quinta J
a Building U Safety Division ,
Permit# P.O. Box 1504, 78-495 Calle Tampico
J La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: SI_Z67- A V£.� (D 2 Owner's Name:
A.P.Number: Address:
Legal Description: City,ST,Zip:
Contractor: Telephone:
Address: Project Description: .SIPTIC-
gi��Or�fif�/nt✓�
City,ST,Zip: . Stihl Q "NNIeLwA1
Telephone:
State Lic.#: "CiLic #:
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: Sq.FL: #Stories: #Units:
Telephone#of Contact Person: ' Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACKING. PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs. 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 r'Review,ready for corrections�ssue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans.picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '"'Review,ready for correctionslissue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees