08-1427 (BLCK) �IIIIIIIiiiiillliiiiillll 61 •
�f IE
P.O. BOX 1504 4J 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: 8/18/08
Application Number: 08-00001427 Owner:
Property Address: 81522 AVENUE 62 SHEA LA QUINTA
APN: 764-270-999-150 -300231- C/O JEFF MCQUEEN
Application description: WALL/FENCE 8800 N GAINEY CEN 3
Property Zoning: MEDIUM HIGH DENSITY .RES SCOTTSDALE, AZ 8 Q
Application valuation: 8000 A
Contractor: AU� 22
Applicant: Architect or Engineer: SHEA HOMES, IN 2008
60800 TRILOGY KWPM
LA QUINTA, CA 9 F/ Op 011�T
NIA (760)777-6005 CED�pr A
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 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 CI 5: B Lice ur. .: G72285 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date: Q�, radar: 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 WC1894819
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 workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 17ply wi 0 of the Labor Code I shall forthwith cp those provisions.
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).: te: cant:
(_1 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 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_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 county ordinances and state laws relating to building construction,and hereby authorize representatives
of thi cou ty toe ter upon a above-mentioned property for inspection purp S.
Lender's Name: G
Date: .jZ2 0 nature(Applicant or Agent):
Lender's Address:
LQPERMIT
1,
Application Number . . . . . 08-00001427
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 99.00 Plan Check Fee 00
Issue Date . . . . Valuation 8000
Expiration Date . . 2/14/09
Qty Unit Charge Per Extension
BASE FEE 45.00
6.00 9.0000 THOU BLDG 2, 001-25,000 54.00
----------------------------------------------------------------------------
Special Notes and Comments
320 L.F. 8 ' BLOCK WALL, ORCO SYSTEM, AT
BOOSTER STATION, PER APPROVAL FROM
PLANNING AND PUBLIC WORKS
Fee summary Charged Paid Credited Due
----------------- ---------- ------ ---------- -_---------
Permit Fee Total 99.00 .00 .00 99.00
Plan Check Total .00 .00 .00 .00
Grand Total 99.00 .00 .00 99.00
LQPERMIT
F
V 3
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
00 SOF I1 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 7- ?-8-O 8
.From: Planning
Building Permit Release
(This is an approval to issue a Building Permit)
The Community Development Department has reviewed the following project:
.Description:
Address or general location:
APN and or legal description:
The Community Development Department finds that:
❑ ...issuance of this-Building Permit does not require Community Development
Department approval.
... issuance of this Building Permit is approved by the Community Development
Department. /
D�' c.e4�o..c.�./' q'�'®�r'ca�� ►��e+fc �a av��'t v �.�,►�" .�,;
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Planner 'gnature Date
KAY'S GRN SHEET.doc
7/15/2004
' La
`'- P.O. BOX 1504 BUILDING & SAFETY DEPARI'MEN"I'
78-495 CALLE TAMPICO (760) 777-7012
OF T LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To PW: `08
From: PAUL GOBLE; SENIOR ENGINEER Due Date: �'P
Permit #: Status:
Building Plans Approval
(This is an approval to issue a Building Permit)
The Public Works Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location:
Applicant Contact: - ..72 - 9 7 18
~ The PUBLIC WORKS DEPARTMENT finds that:
..these Building Plans do not require PUBLIC WORKS Department
approval.
❑ ...these Building Plans are approved by the PUBLIC WORKS Department.
.:
� ❑ ...these Building Plans require corrections. Please forward a copy of the
attached corrections to the applicant. When the corrections are made
please return the to the PUBLIC WORKS Department for review.
PAUL GOBLE SENIOR ENGINEER Date
.2CFV E®
I
®eV®lop
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT
Form updated&effective 6/2612008
Green Sheet approvals are forwarded to the Building & Safety Department directly by Public Works. Please DO
NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until' ALL
requirements listed below are complete. Incomplete applications or applications which cannot be processed will be
returned to applicant.
r
Date: Developer: —14 ��s L�5
Tract No.. �jJTra t Name. V'i Lot No.(s):
Address(s): vie Pho a NT ber:
The following are the requirements for P6&ic Works Clearance to authorize issuance of a building permit from the
Building & Safety Department:
❖ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4 AND #5 BELOW
❖ TRACT HOMES: PROVIDE ITEMS #1, #2, #3, #4 (AS APPLICABLE) AND #6 BELOW
•: COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3 AND #5 BELOW
❖ WALLS: PROVIDE ITEMS #7 BELOW
❖ SIGNS: PROVIDE ITEMS #8.BELOW
❖ OTHER: PROVIDE ITEM #9 BELOW
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad
(maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6
months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet
submittal until a Pad Elevation Certificate can be provided.
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed
Soils Engineer. Recently rough graded residential developments which have a previously approved
geotechnical certification are exempt from this requirement.
3. Attach recorded.final map or title information/grant deed showing proposed building locations are legal lots.
Final maps may be viewed at the following website:
http://www.la-guinta.org/PlanCheck/m search.aspx
4. Attach a completed <1 acre per lot or infill project Fugitive Dust Control project information form, PM10
plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy
plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with
grading plans & are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the precise grading plan to the Public Works Department showing building location(s). AO
' flood zone developments will require an approved flood plain development plan.
6. Attach an approved rough or precise grading plan for the building location(s) for pad elevation verification or
City plan set number if available. Plans may be viewed at the following website:
http://www.la-guinta.org/PlanCheek/m search.aspx
7. Attach wall plan & related approved grading plan.
8. Attach sign layout/plan.& related precise grading/landscape plan.
9. Attach supporting documentation for grease trap or special facility installations.
I have reviewed and confirmed the requirements listed above as presented and find the improvements to be
sufficiently complete for construction of the/'proposed buildings/structures/walls/signs on the subject lot(s).
Pursuant to my findings, the abov roje ma a released for building permit issuance.
Recommended by: _ Dated: � C
--Vt,4, c-�vt
j Public Works Distribution: (_ Green Sheet to Building & Safety ✓-W4ve.—o,K 16*,-li'._
(_) Green Sheet to Planning Department CwAu.-C) Au,EPS
Declined for approval for reason(s) as follow(s), please correct and resubm -�Purim A"rrm�
fes_
Page 1 of 4
Bin# City of La Quinta
Building 81'Safety Dlvislon
Permit# P.O.Box 1504, 78-495 Calle Tampico
La Quinta,CA 92253-(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: `- 5Z Z dzzz (p Z Owner's Name: HOK4P S
A.P.Number: Address: (VO-806
Legal Description:T z(L,t7b QU IN'C" City,ST,Zip: M QW^JT1¢)
L Telephone st's,'s:>:•�:•r;:::::;s:;•:.:;H:::::#>;'r>:
Contractor: �� !-�awt�5 ?�0^ X77 ^ �p003 ::r�y4F>�•;:.;is� 3i?z#`�'�'�<:�'
Address: �00 —goo Lf26,q _)P)WY_1V1fV Project.Description:
City,ST,Zip: LA Ow� ZZ.J
� 3 el
a
Telephone: 71oo -777 a< g'H: rf<r
......City .........
State Lic.# ...nr. ...
: 40 3 Ci Lic.#: Le'
Arch.,Engr.,Designer: Old
ew
Address:
City.,ST,Zip:
Telephone:
<s' Construction Type: Occupancy
State Lic.# %'z°`%'z<<%>r"<»":>: f:" '%;'s•< ' Project type(circle one) New Add'n Alter Repair Demo
Name of Contact Person: J ��V ISq.F,t.: #Stories: #Units:
Telephone#of Contact Person: -Av0 ^Z7 7— 91-718' 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 Cales. Called Contact Person Plan Check Balance
Title 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2°"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:- '"'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
f�8 / �,&,n -� 8-T710 `31 At_ - h�
-� ';�O 01� 81'7106