BLCK (09-0998)Property Address: 61325 LIVING STONE DR
09-0998
_ Date: 10/08/09
Application Number: 1-09-000009.98 Owner:
Property Address: -61325 LIVING STONE DR SHEA LA QUINTA
APN: 764-280-999-7 -300236 C/O JEFF MCQUEEN
Application description: WALL/FENCE 8800 N GAINEY CE .a 50 n
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE 8525
Application valuation: 880 D
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, �^-
60800 TRILOGT P
LA QUINTA, CA 92253
(760) 777-600
Lic. No.: 672285
----------------- -------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury hat I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Sectio 7000 of Division 3 of the eusin s and Profes io Is 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
Licens CI ss f License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�[ issued.
t ontractor: /-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 WC6987825
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 ubject 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 �' an agree that, if I should become sub' t to the workers' compensation provisions of Section
i
License Law' (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ' tt`� 2l 00 of the Labor C deI shall forth itch mply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption: Any violation of Section 7031.5 by u ,1C�•� '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: ate: pplicant:
(_ 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 ISec. 7044, Business and Professions Code: The ' WARNING: FAILURE TO SECURE WRK RS' 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 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 I
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT _
(_ 1 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 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
0. ff' d I for n t r omission related to the work bein
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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address`
LQPERMIT
of La umta, its o kers, agents an emp oyees o a y ac o g
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 county ordin state laws relating to building construction, and hereby authorize representatives
of thi ccoou`n y o ent �cesatned
a above-mentioned property for inspection purposes.
Date V S(Applicant or Agent):
. Application Number . . . . . 09-00000998
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 50172,000
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
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 69-00000998
Property Address: 61325 LIVING STONE DR
APN: 764-280-999-7 -300236-
Application description: WALL/FENCE
Property Zoning:' MEDIUM HIGH DENSITY RES
Application valuation: 880 .
Applicant:
"`:e4,6t 414 Qumz
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/16/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
Architect or Engineer: SHEA HOMES LIMITED ,)R-TN•ERS IP"�""
60800 TRILOGY PKWY D
LA QUINTA, CA 9225
(760)777-.6032 c_ 1
Lic. No.: 855368 JCi3 2'8 21i1J f
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm "oder penalty of perjury that Im licensed and provisions of Chapter 9 (commencing with
Section 000) f Division 3 of the Busi d Profession Is e, and my License is in full force and effect.
Li B is o.: 855368
Date:. Victor:
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.).
( 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.).
Lender's Name: _
Lender's Address: 1�—
LQPERMIT .
I CITY OF iA4�;�i'��'i
C%�4,1i?,'Ire.^ �'r%�h-t •
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
(J( 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 cairier 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
p rson in any manner so as to become subject to the workers' co ensation laws of California,
nd agree that, if I should becom subject to the workers' comp _J,
tion provisions of Section
1 0 of the Labor Cod hall rth ° ith comply wi h th a pr i ons.
D� , licant:
/WARNING: FAILURE TO SECURE WORI�E S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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. '
Ice that I h e read this application and state that the above information is correct. ag ee to comply with all
ount rdinances and state laws relating o building coR6truc ' n, and hereby a h rize representatives
n t /� r upon the above-mentione operty ori pect' n purposes ign re (Applicant or Agent):
Application Number . . . . 09-00000998
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#
City of La Quinta
TRACKING
I rmit #
Building 8: Safety Division
a
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 .
Building Permit Application and Tracking Sheet
Project Address: 2,12 S
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: 760-777-6032
Truss Calcs.
Called Contact Person
Address: 60-800 Trilogy Parkway
Project Description: • Lot
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - if x 6' & j' !".
Telephone: • 760-777-6032
' ;
Oreo Garden Wall - . if x 6' '
Orco Retaining Wall '-S S if x 3'
State Lic. #: 640934
City Lic. #:
Arch., Engr., Designer:
Oreo Knee Wall - If x 4'
Address;
Flood plain plan
City, ST, Zip:
. .
Telephone:
Mechanical
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: ,. . '
#Units:
Name of Contact Person: Cabbie Nieto
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
r.
APPLICANT: 00 NOT WHITE BELOW 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
t
Plan Check Balance
,
Energy Calcs.
Plans picked up
Construction -
4
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:-
7d Review, ready -for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
e
School Fees
Total Permit Fees
CA