BLCK (09-0743)Application Number: 09-00000743
Property Address: 61314 Living Stone Dr
09-0743
APN: 764-280-999-195 -300236.-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 250
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby a firm and r penalty of perjury hat am licensed unde provisions of Chapter 9 (commencing with
Section 7 09) of D visi 3 of the B ine red
Professio als e, and my License is in full force and effect.
Lice s 'Cl s Lice s 672285
at on actor: /
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).:
(_ 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
_ 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.).
(_) 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:
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
Lio. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/07/09
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 subject to the workers' compensation laws of California,
and agree that, if I should become subject to the vorkers'. compensation provisions of Section
_ � 0 f he Labor Code, all forthwith com with those provisions.
atprj�ant•.
WARNING: FAILURE TO SECURE WORKER ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE 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 work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
Mter
ermit to cancellation.
ad this application and state that the above informatiJandrelby
ct. I agree to comply with all
redances and state laws relating to building constructionauthorize representatives
r upo the above-mentioned property o inspection
n ure (Applicant or Agent):
Application Number-, . . . . 09-00000743
PermitWALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
.00
Issue Date 1/29/09 Valuation
250
Expiration Date 12/20/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------------------------------------------------------------------
Special Notes and Comments
10 L.F. COMBO WALL, 3' RETAINING, 6'
GARDEN, 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 15.00 15.00 .00
.00
Plan Check Total .00 .00 .00
00
Other Fee Total 5.50 1..00 .00
4.50
Grand Total 20.50 16.00 .00•
4.50
LQPERMIT
.. -
P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 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: '09--00000743? Owner:
Property Address: 61314 LIVING STONE DR SHEA LA QUINTA
.APN: 764-280--999-195 -300236 C,/O JEFF MCQUEEN
Application description: WALL/FENCE 8800 N GAINEY CENTE
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85
Application valuation: 250
Contractor:
Applicant: Architect or Engineer. SHEA HOMES LIMIT P ERS ZP
60800 TRILOGY PKWY
LA QUINTA, CA 92253 ;y f,. `ivo f
(760) 777-6032 !'.
\ z�d.P i
Lic. No.: 855368
1— o
-----------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I her by aff m 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:
Secti n 70 1 of Division 3 of the Busi sand ProfesToilials 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
la B ' ense No.: 855368 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
at on[ractor: 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:
I 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 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 beco esubject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or. 37 of the Labor de I shat forthwith 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
any applicant for a'permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: at pplicant:.
(_) 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 Coder The WARNING: FAILURE TO SECURE WO KERS' 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 CRIMIN L 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 _) 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 contractorls) 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
1 hereby affirm under penalty of perjury that there is a constructionlending agency for the performance of the
work for which this permit is issued (Sec'. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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 certifyWln.a read this application and state that the above information is correct. I agree to comply with all
city andinances and state laws relating to building co tuction, and hereby authorize representatives
o , ter upon eabove-mentioned pr erty for in ection purposes.
te: nature (Applicant or Agent)-.%
.. Application Number - 09-00000743
• Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00
Plan Check Fee
.00
Issue: Date.
Valuation
250
Expiration Date 1/24/10
Qty Unit Charge Per
Extension
BASE FEE
•15.00
Special Notes and Comments
10 L.F. COMBO WALL, 3' RETAINING, 61_
GARDEN, ORCO SYSTEM.
2007 CODES
-------------------------------- ---------------------------------------
- -----------------------------------------------------Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
Other
1.00
Fee,summary Charged Paid
Credited
Due
Permit Fee Total 15.00
.00 .00
i5.00
Plan Check Total .00
0.0 .00
.00
` Other Fee Total 1.00
.00 .00
1.00
Grand Total 16.00
.00 .00
16.00 .
Bin#
Permit # Cit of La Quinta
��
% Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
00 La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: i ��
3I i Ll,owner's Name: Shea Homes
A. P. Number: U
Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253
Contractor:. Shea Homes Telephone: 760-777-6032
Address: 60-800 Trilogy Parkway Project Description: Lot S
City, ST, zip: La Quinta, CA 92253 Orco Combo Wall - if x 6'& 3'
Telephone: 760-777-6032 i Oreo Garden Wall If z 6'
State Lic. #: 640934 City Lic. #: Orco Retaining Wall - If x 3'
Arch., Engr., Designer: Orco Knee Wall - If x 4'
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
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 NELYW 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 Cafes.
Called Contact Person
Plan Check Balance
Energy Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2n° 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:-
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
Total Permit Fees
(49