BLCK (11-0036)61085 Living Stone Dr
11-0036
Date: !I/10/11
Application Number. �11 00000036 Owner:
Property Address: 61085 LIVING`STONE DR SHEA LA QUINTA
APN: 764-270-999-45 -300234- 60800 TRILOGY PARKWAY
Application description: WALL/FENCE LA QUINTA, CA 92253 f✓
Property Zoning: MEDIUM HIGH DENSITY RES 4
Application valuation: 1375
Contractor: ,1A 7 ��
Applicant: Architect or Engineer: SHEA HOMES, INC.
60800 TRILOGY PARKW Y C
LA QUINTA, CA 92253 FQF(,q�U
(760) 777-6032f%��+��T,q
N(/ LiC. No.: 672285
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereb affirm un er 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 000) of I Avision 3 of the Business and Pro ass nals 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
Lice License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate ontractor: 1 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 LIBERTY MUTUAL Policy Number WA266DO66115030
following reason (Sec. 7031.5, Business and Professions Code: Anycity 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 b come subject to the work ' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the Labor C de, I all arthwith com ly wit t se 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).:--Dat-1plicant:
1 _ 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 W • R ERS' 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 CRIMI 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, 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:'
LOPERMIT
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 cessation of work for 180 days will subject
permit to cancellation.
I certify that I,have read this application and state that the above information is correct. I agree to comply with all
city an' county ordinances and state laws relating to building constru on, and hereby authorize reTttives
of s ount to enter upon the bove-mentioned property for inspec 'a pur ods.
Dat `i ature (Applicant or Agent): _
Application Number . . . . . 11-00000036
Permit WALL/PENCE 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
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Notes and Comments '
55L.F. COMBO. WALL 3''RETAINING, 6'
GARDEN, ORCO SYSTEM. 2010 CODES..THIS
-
' REPLACES PERMIT # 05-5220 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
1.00
Grand Total 34.00 .00 .00
34.00
LQPERMIT - -
Bin#
City of La, Quinta
Building & Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 61085 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 45
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 55 1f x 6' & 3'
Telephone: 760-777-6032
Reviewed, ready for corrections
State Lic. # : 640934
City Lic. #:
7I
Arch., Engr., Designer:
JAN 10 2011
Address:
City, ST, Zip:
"
Telephone:
"° A f',
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 WHITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd 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. 1. P. P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
L4