BLCK (09-0542)61410 Living Stone Dr
09-0542
e: 6/01/09
Application Number: 09-00000542 Owner:
Property Address: 61410 LIVING STONE DR SHEA LA QUINTA
APN: 764-280-999-191 -300236- C/O JEFF MCQUEEN ✓G v
Application description: WALL/FENCE 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 �0�
Application valuation: 4750LP
Contractor: QG
Applicant: Architect or Engineer: SHEA HOMES', INC.
60800 TRILOGY PARKWAY y
LA QUINTA, CA 92253 JO l'
�ln (760) 777'-6005 /
r Lic. No.: 672285 `
4
-------------------------------------------------------------- ---------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm un er penalty of perjuryAt I am licensed under provisions of Chapter 9 (commencing with.
Section 7 00) of ivision 3 of the Buff a Profession�and se is in full force andeffect.
Lice a CI s B 5
at . Co rector:
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).:
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 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
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.
1 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
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,
nd agree that, if 1 should become su 'ect to the workers' compensation provisions of Section
700 of the Labor C e, I shall forth ith comply with those provisions.
-
at pplicant:
WARNING: FAILURE TO SECURE WORKU' 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'a count ordinances and state laws relating to building co ruction, and hereby authorize representatives
XAWu,po;n thea ove-mentioned prop y for in ion purposes.
gne (Applicant or Agent):
J
Application Number 09-00000542
Permit . . .. WALL/FENCE PERMIT
Additional desc .
Permit Fee 72.00
Plan Check Fee
.00
` Issue Date . . .
Valuation .
4750
Expiration Date.. 11/28/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU, BLDG 2,001-25,000
27.00
----------------------------------------------------------------------------
Special Notes and Comments
190 L.F. 6- GARDEN WALL, ORCO SYSTEM.
2007 CODES
----------------------- 7-------------------------------------
Other.Fees . . . . ... . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total 72.00
.00 .00
72.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 1.00
.00 .00
1.00
Grand Total 73.00
.00 .00
73.00
LQPERMIT
Bin #
.City of La Quinta
Req1d
Permit #
4
Building & Safety Division
Oqi
P.O. Box 1504,78-495 Calle Tampico
Plan Sets
La Quinta, CA 92253 - (760) 777-7012
rJ
Building Permit Application and Tracking Sheet
Project Address:
Owner's Name: Shea Homes.
J
A. P. Number:
Address: 60946 Desert Rose Drive
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor: Shea Homes
Telephone: 760-777-6032
Plan Check Deposit
Address: 60946 Desert Rose Drive
Project Description: Lot tQ
City, ST, Zip: La Quinta, CA 92253
oft—oreUmbu-W
Telephone: 760-777-6032
Plan Check Balance
Oreo Garden Wall - -If x 61 It Cl
State Lic. #: 640934
City Lic. #:On*A-et��a
�-T
Ar&h., Engr., Designer:
Plans picked up
Address:
Construction
City, ST, Zip:
Telephone:
Construction Type. Occupancy:
Plans resubmitted
i
Mechanical
State Lic. #:
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:
APPLICMIT. 00 NOT WBffE BELOW THIS LINE
#
Submittal
Req1d
Rec1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item,
Amount
Structural.Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss CaIcs.
Called Contact Person
Plan Check Balance
Energy Caics.
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:-
31d Review, ready for, corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.-
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees