BLCK (11-0034)61045 LIVING STONE DR
11-0034
APN: 764-270-999-43 -300234-
Application description: WALL/FENCE.
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1375
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
f -
r Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/10%11
De
JAN f 20l1D
Applicant: - Architect or Engineer:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY CITY OF LA QUINTA
LA QUINTA, CA 92253 F!1 0410E I)EpT'
I
(760) 777-6032
Lic. No.: 672285
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• LICENSED CONTRACTOR'S DECLARATION -
WORKER'S COMPENSATION DECLARATION
I hereby ffirm 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 00) of ivision 3 of the 'n ss and Prof sionals Code, and my License is in full force and effect.
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License C • B License No.: 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date: •. ntractor: 1
issued.
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
4
-
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 irm under penalty of perjury that I am exempt from the, Contractor's State License Law for the
Carrier LIBERTY MUTUAL Policy Number WA266DO66115030
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
subject to thew rkers' c ensation provisions of Section
and agree that, iVERS'
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or •
3700.9f the Labwith com ly w h rhos p visions. 1r
that he or she is.exempt therefromandthe 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).:
ate icant:1...
(,_ 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
WAR NG: FAI RE TO SECURMPENSATION COVERAGE IS UNLAWFUL, AND SHALLContractors'
State License Law does not apply to an'owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CIES 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 ADDIOST 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
() 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 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
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 ISec. 3097, Civ. C.).
Lender's Name:
' Lender's Address:
LQPERMIT .
t
of La Quinta, its officers, agents and employees for any actor omission re at to t e wor eing
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 160 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certif. that I.have read this application and state that the above information is correWautri
comply with all.city a county ordinances and state laws relating tVuilding Eon ruction, and hereepresentatives
of this nt o enter upon the above-mentioned pns ection purpo'S' ature (Applicant or Agent)
Application Number . . 11-00000034
-
Permit. WALL/FENCE PERMIT ._
Additional desc .
Permit Fee 33.00 Plan Check
Fee
.00
Issue Date Valuation
1375
Expiration Date 7/09/11
'Qty Unit .Charge Per
Extension
BASE FEE
15.00
9.00_ 2.0000 HND BLDG 501-2,000
18.00
Special Notes and Comments
"6'
55 L.F. COMBO WALL 3' RETAINING,
GARDEN, ORCO SYSTEM. 2010 CODES. THIS•
REPLACES PERMIT # 05-5218 WHICH WAS
BUILT IN WRONG LOCATION.
------------------------------------------'-------------
Other Fees . . . . ... . BLDG STDS ADMIN (SB1473)
------
-------------
1.00
Fee summary Charged Paid.. Credited
Due
Permit Fee Total 33.00 .00
.00.
33.00."
„ Plan Check Total.- .00 .00
.00
.00
Other Fee Total 1.00 .00
.00
X1.00
Grand Total - 34.00 .00
00
34.00
LQPERMIT "
Bin#
City of La Quinta
Req'd
Permit #
Building & Safety Division
PERMIT FEES
P.O. Box 1504,78-495 Calle Tampico
Plan Sets
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 61045 Living Stone Drive
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: Lot 43
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 551f x 6' & 3'
Telephone: 760-777-6032
Called Contact Person
Plan Check Balance
r: -
State Lic. # : 640934
City Lic.
Arch., Engr., Designer:
Plans picked up
" JAN 1 0
Address:
City, ST, Zip:
Flood plain plan
Telephone:
, r "' `
2. `" ' ry
Construction Type: Occupancy:
Mechanical
State Lic. #:
'`, - `.rj
`
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
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
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
FI.O.A. Approval
Plans resubmitted
Grading
'IN HOUSE:-
7rd Review, ready for corrections/issue
Developer Impact Fee • '
Planning Approval
Called Contact Person
A. 1. P. P.
Pub. Wks. Appr
Date of permit issue
School Fees
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t
Total Permit Fees