BLCK (09-0721)Application Number: 09-00000721
Property Address: 61266 Living Stone Dr
09-0721
APN: 764-280-999-'197 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2250
Applicant:
11'e-lu4t. 414 Qld4m
Architect or Engineer:
alp
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of pe r�e y hat I am license under provisions of Chapter 9 (commencing with
Section 000) o Division'3 of the u i Jess and Prof ss nals Code, and my License is in full force and effect.
License `,se— LicenseNo.: 672285
D e. ` nta tor. '
OWNER -BUILDER DECLARATION
1 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, 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.).
I, 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 contracts for the projects with a contractorls) licensed
pursuant to the Contractors' State License Law.).
( 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirmunder 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:
Lend er's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
[} Date: 0/08/09
Owner: t L5
SHEA LA QUINTA D fes' 1
C/O JEFF MCQUEEN
8800 N GAINEY'CENTER L1!
SCOTTSDALE, AZ 85258
C1N 0�^,�,Prt,
Contractor:'"
SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
----------------:-----------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty ofperjury 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 Atthe
hich this permit is issued, I shall not employ any
person in any manner so as to becomo the workers' compensation laws of California,
an agree that, if I should become suworkers' compensation provisions of Section7 of the Labor Code, I al forthly with those provisions.
at 6,11 licant:
WARNING: FAILURE TO SECURE WORK RS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL N TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 15100,0001. 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 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
cityan co my ordinances and state laves relating to building o truction, and hereby authorize representatives
of this o t y enter upon the above-mentione roperty fcCns ection purposes.
ate: S' ature (Applicant or Age
Application Number . . . 09-00000721
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
PBOX 1504
Y.O.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09�OOQ00721
Property Address: ` 6T266 LIVING STONE DR
APN: 764-280-999-197 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2250
Applicant: Architect or Engineer:
ha
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
Secti7000) f Division 3 of the Business and Professionals Code, and my License is in full force and effect.
I� A LicenseN8655368 '
/tea ontractor.
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 ($500).:
(_) 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
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.). -
_) I, 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 contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ I 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:
LQPERDIIT
VOICE (760) 777-7012
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Owner: ✓O
SHEA LA QUINTA r�
C/O JEFF MCQUEE
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES LIMITED PARTNERSHIP
60800 TRILOGY PKWY
LA QUINTA, CA 92253
(760)777-6032
Lic. No.: 855368
Date: 7/28/09
,/
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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 WC1894819
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 subject to the workers' compensation laws of California,
,and agree that, if I should bec a subject to the workers' compensation provisions of Section
.� 7t00 of the Labo ode, I_sh� I f�rthwith comply with those provisions.
D ' pplicant: "—
WARNING: FAILURE TO SECURE KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 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 and ounty ordinances and st laws relating to building const tion, and hereby authorize representatives
�Oatc n tpVT�e te!`r upon th bove-mentioned prdperty f r insp i " purposes.
e G� 9g ure (Applicant or Agent): (^�
Application Number . . . . . 09-00000721
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 2,001-25,000
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
#
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 #
a'
Project Address: Vit
a ,-� �
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
Item
Address: 60-800 Trilogy Parkway
Project Description: Lot l `
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - If x 6' & j'
Telephone: 760-777-6032
', +`� ; , -
r_ k
Orco Garden •Wall � � if z 6'
State Lic. #: 640934
City Lic. #:
Orco Retaining Wall - if x 3'
Arch., Engr., Designer:
Oreo Knee Wall - if x 4'
Address:
Called Contact Person
City, ST, Zip:
Plan Check Balance
Telephone:
State Lic. #:
Name of Contact Person: Gabbie Nieto
Construction Type:* Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPLICAIIT: 00 NOT WRITE NELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIQNG
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
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:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
PuLFees
Date of permit issue
Sch
Total Permit Fees
6