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BLCK (09-0996)61285 Living Stone Dr 09-0996 APN: 4/ 764-280-999-5 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 880 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 Busines and Professi nal Code, and my License is in full force and effect. Lice I s : L ense No.: 672285 ate 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 155001.: 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 (Seca 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 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.). ( 1 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.I. Lender's Name: I_ Lender's Address: k LQPERMIT VOICE (760) 777-7012 FAX.(760) 777-7011 INSPECTIONS (760) 777-7153 10/08/09 Owner: iK U SHEA LA QUINTA D 5cT J, 8800JNFGAINEYECEN R 3U s SCOTTSDALE, AZ 85 58QV IA61-TY a F-11-14 QVI 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 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 ko iany manner so as to become subject to the workers' compensation laws of California, that, if I should become s, Nect to the workers' compensation provisions of Section of the Labor C^ I shall f ith comply with those provisions. / ,gat . (, pplicant: WARNING: FAILURE TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 ouinta, 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 cou ity ordin nces and state laws relating to building construct' n, and hereby authorize representatives of thistoun to nt up n the above-mentioned prop for inspecti purposes. ate: UU n ture (Applicant or Agentl: Application'Number . . . . . 09-00000996 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 23.00 Plan Check Fee .00 Issue Date. 9/28/09 Valuation . . . . 880 - Expiration Date 3/31/10 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 Special Notes and Comments 55 L.F. 3' RETAINING WALL, ORCO SYSTEM 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 23.00 23.00 .00 .00'' Plan Check Total .00 .00 .00_ .00 ; Other Fee Total 5.50 1.00 .00 4.50 Grand Total 28.50 24.00 .00 4.50 P.O. BOX 1504 787495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000996__ , Property Address: 61285 LIVINGJSTONE DR APN: 764-280-999-5 -300236- Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 880 Applicant: C&hf°f 4Q�r«tw Architect or Engineer: BUILDING& SAFETY DEPARTMENT BUILDING PERMIT -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm u - er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 001 of iv'sion 3 of the Bu ' e and Profes i als Code, and my License is in full force and effect. Licen s No.: 855368 Date: o tor: 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 Coritractor'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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 1 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: LQPERMIT J VOICE.(760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/16/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN !f" 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: `�•�.� c;E . � SHEA HOMES LIMITED PARTNERSH �t:�},i''')'• =.1'`� 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777=6032 Lic. No.: 855368 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 Wnd ny manner so as to become subject to the workers' compensation laws of California, hat, if I s Id bec e ubject to the workers' co sation provisions of Section e Labor , I she fo�h�mDate:cant: WARNING: FAILURE TO SECURE WO K RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN ENALTIES 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 an my or inanc s and state laws relating to building construction, and hereby authoriz epresentatives of thi t t ter port the above-mentioned propert for insp tion purposes. - ate: Si ature (Applicant or Agent): Application Number 09-00000996 Permit . . WALL/FENCE PERMIT Additional desc . Permit Fee 23.00 Plan Check Fee.. .00 Issue Date. Valuation . . . 880. Expiration Date 3/15/10 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ----- -- Special.Notes and Comments 55 L.F. 3' RETAINING WALL, ORCO SYSTEM -- - - - - - - - - - - - - - - - _---------------------------- - Other Fees . . . . BLDG STDS ADMIN.(SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 23.00 .00 .00 23.00 Plan Check Total 00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 24.00 .00 .00 24.00 # Submittal Bin # r , City of La Quinta w Permit # Building & Safety Division Plan Sets P.O. Box 1504, 78-495 Calle Tampico /1 "� La Quinta, CA 92253 - (760) 777-7012 O Building Permit Application and Tracking Sheet Project Address: Q < ' 1 . � �� 4 J �-1 t O`wner'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 X - ""� Address: 60-800 Trilogy Parkway •dkPutii1 .�1�. Project Description: Lot city, sT, zip: La Quinta, CA 92253 Orco Combo Will - if x 6' & j' Telephone: 760-777-6032 :_ � � ` >•i 'city Lic. #: _ Oreo Garden Wall - if x 6' State Lic. #: 640934 Orco Retaining Wall -SS if x 3' , Arch., Engr., Designer: Orco Knee Wall - if x 4' Address: Plans picked up City, ST, Zip: Construction Telephone: Flood plain plan 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: , 2nd Review, ready for corrections/issue APPLICANT: 10 NOT WRITE NELOW 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 Calcs. 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 t S.M.I. 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_ , 'R Pub. Wks. Appr Date of permit issue School Fees - Total Permit Fees ., '