BLCK (09-0719)Application Number: 09-00000719
Property Address: 61218 LIVING STONE DR
09-0719
APN: 764-280-999-199 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2250
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
- BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70 0)of ivision.3 of the Businessland Professi al Code, and my License is in full force and effect.
Licen �I U ase No.: 672285
Dater �� ntractor:, i
OWNER -BUILDER DECLARATION ,
I hereby affirm under penalty of perjury. that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to -
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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 ($5001.:
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 ' -
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
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.). '
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracfs'for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I am exempt under Sec. , B.&P.C. for this reason
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: Al lk
LQPERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 .N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285 Y
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/08/09
7OCi'17S 2039 !UI .
CITY 6)r
---------------------------- :iislNiq--- ----
f
r WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
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
insurance carrier and policy number are:
Carrier NTL UNION INS Policy Number WC6987825
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become su ct to the workers' compensation laws'of California,
a d agree that, if I should become subjec t the workers' compensation provisions of Section
700 of the labor Code, I shall orthwit c ply with those provisions.
at • � 6 U p/licant
A
WARNING: FAILURE TO SECURE WORKES' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for. a.permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
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.
2. Any permit issued as a result of this application becomes null and void if workis not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
certiWnty
d this application and state that the above information is correct I gree to comply with all
city nces and state laws relating to building construction, and hweb a honzerepresentatives
of t on the above-mentioned property for insp do pur oses.
D re (Applicant or Agent):
Application Number . . 09-00000719
Permit . . WALL/`FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee
.00
Issue•Date . . . 7/28/09 Valuation
2250
Expiration Date 1/24/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000"
9.00
--------------------------
Special Notes and Comments
90 L.F. 6- GARDEN WALL, ORCO SYSTEM.
2007 CODES.
CHANGE OF CONTRACTOR FEE;ASSESSED TO
INSERT SHEA HOMES INC. AS NEW CONTRACTOR
OF RECORD:
-----------------.-----------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
CHANGE OF CONTRACTOR
4..50
Fee summary Charged Paid Credited
---------- --.
Due
-----------------
Permit Fee Total 54.00 54.00 00
.00
Plan Check Total .00' .00 .00
.00
Other Fee.Total 5.50 1.00 .00
4.50 .
Grand Total 59.50 55.00 .00
4.50
LQPERMIT
P.O. BOX 1504• ^' VOICE (760) 777-7012
.'7.8-495 CALLE TAMPICO FAX (760)' 777-7011
LA QUINTA;.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT, INSPECTIONS (760) 777-7153 '
BUILDING PERMIT
Date: 7/28/09
Application Number: `::'_0_9_-_0O000719 Owner:
Property Address: .61218 LIVING STONE DR SHEA LA QUINTA
APN: 764-280-999-199 -300236- C/O JEFF MCQUEEN D
Application description: WALL/FENCE - 8800 N GAINEY CENTER 350 v� D
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 •
Application valuation: 2250 (i
Architect or'Engineer"
alk
Contractor:
SHEA HOMES LIMITED PARTNERSHI
60800 TRILOGY.PKWY
LA QUINTA, CA 92253
(760)777-6032
Lic. NO.: 855368.
-------------------------------------------------------------------------------------------------
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 penaltyof perjury one of the following declarations:
Secti6k 70001 of Division 3 of the Bu and Profe ials Code, and y Lice a is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
C s Clas B '. icense No.: 55°
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate. ontractor: -
issued.
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:
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
p son 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
a tl agree that, if I should becom s bject 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
p the Labor e, I shall f rt with comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
46,j)f
any applicant for a permit subjects the applicant.to a civil penalty of not m6re than five hundred dollars 155001:
.ate: scant:
(_) 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
WARNING: FAILURE TO SECURE WORRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL '
Contractors' State License Law does not apply to art 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 (5100,000). 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
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 Contract6rs' 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 '
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 t,' t 1 have°read this application and state that the ove in rmation is correct. I agree to comply with all
work for which this permit is issued ISec. 3097, Civ. C.).
r nances and state laws relatin to buildi g const ction, and hereby authorize representatives
ty er upove-mention d pro erty 6r in •, purposes. '
Lender's Name:
_.
nate:
t IX.
ature (Applicant or Agent I.
- Lender's Address:
LQPERMIT
Application Number
09-00000719
Permit . .
. WALL/FENCE PERMIT
-
Additional desc .
Permit Fee
54.00
Plan Check Fee
.00
Issue. Date
Valuation.
2250
Expiration Date .,
1/24/10
Qty Unit Charge
Per
Extension
BASE FEE
45.00
1.00 9.0000
-THOU BLDG 2,001-25,00.0
9.00
Special Notes and
Comments
--- -- ---------------
90 L.F. 6' GARDEN.WALL,
ORCO SYSTEM.
2007 CODES.
----------------------------------------------------------------------------
Other Fees . . .
`. BLDG STDS.ADMIN •(SB1473),
1.00
Fee summary
Charged Paid
..Credited
Due
Permit Fee Total
---------
54.00
---------- ---
.00. .00
------
54.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
55.00
.00 00
55.00
#
Cit of La Quinta
Req'd
Perm
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: c>
L V t v
Owner's Name: Shea Homes
A. P. Number:
Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor:. Shea Homes
Telephone: 760-77..7-6032
Address: .60-800 Trilogy Parkway
Project Description: Lot f Cj
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - If x 6' & j'
Telephone: 760-777-6032
u. � u • �
Oreo Garden Wall- 9'tU If -i-6 - -
Plan Check Balance
State Lic. #: 640934
City Lic. #:
Oreo Retaining Wall - if x 3'
Arch.' Engr.' Designer:
Orco Knee Wall - If x 4'
Address:
Construction
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Name of Contact Person: Gabbie-.Nieto
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPLICANT: 00 NOT WRITE NELOW 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 Cates.
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.M1.
H.O.A. Approval
Plans resubmitted
.Grading ..
IN HOUSE:-
7° 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
E
Total Permit Fees
55-