BLCK (09-0742)61434 Living Stone Dr
09-0742
Application Number: =09-00000742
Property Address: 61434 LIVING STONE DR
APN: 764-280-999-190 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 250
Td�v 4 4 Q,"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
. IBUILDING PERMIT.
-----------------------------------------
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Sectio 7000) f Division 3 of the iness and Professi al Code, and my License is in full force and effect.
'cens Lie e No.: 672285
j r Contracto .
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.).
(_) 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:
LQPERMIT
' f I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 10/07/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350 ,\Jy
SCOTTSDALE, AZ 85258
Contractor:.
SHEA. HOMES , INC..
60800 TRILOGY PARKWA
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
1issued.
—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 subl t to the workers' compensation laws of California,
an agree that, if I should become subject the workers' compensation provisions of Section
76 f the Labor Cod I s I forthwi ly w h those provisions.
/�1j )scant:
WARNING: FAILURE TO SECURE WOR4l1' 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 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 co my ordin nces and state laws relatingto building constructs n, and hereby a, horize representatives
of th oou t nt r pon the above-mentioned property for i pect urpos
ign ture (Applicant or Agent):
h
Application Number . . . . . 09-00000742
Permit .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee
.15.00 Plan Check Fee
.00
Issue Date
7/29/09 Valuation . . .
. 250
Expiration Date
2/20/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
-------------------------
Special Notes and
--------------------------------------------------
Comments
10 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
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
It
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09=00-O66742 =
Property Address: 61434 LIVING STONE DR
APN: 764-280-999-190 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 250
Applicant:.
Tav14.4Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION -
I hereby*ofivi
lty of perjury hat I am lice a under provisions of Chapter 9 (commencing with
Section3 of the Bu fits ss and PCf s' nals Code, and my License is in full force and effect.
Lic LicenseNo.: 855368
Date:tractor:
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 1$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 town 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 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:
LQPERAITT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES LIMITED.PARTN
VOICE (760) 777-7012.
FAX (760) 777-7011'
INSPECTIONS (760).777-7153
60800 TRILOGY PKWY c'
LA QUINTA, CA 92253 / ?�
(760)777-6032
Lic. No.: 855368 /
Date: 7/28/09
d
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 WC1894819
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
p Ison in any manner so as to become subject to the workers' compensation laws of California,
a agree that, if I should beccpf subject to the workers' compensation provisions of Section
PRETO
the Lab ode, I sha rthwith comply with those provisions.
•Jcant:
) A
WARNING: FAIL SECUREW ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI A PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS J$ 100,000). IN ADDITIO 0 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 certif that I havla read this application and statq that the ab a information is correct. I agree to comply with all
c' n county o finances and state laws rel ng to uildmg onstruction, and hereby authorize representatives
of ty n er upo the above -menti o p rty f 'reS�C ion purposes.
D nature (Applicant or Agent
Application Number
. . . . 09-00000742
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. 6' GARDEN
WALL, ORCO SYSTEM.
2007 CODES
-----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged Paid Credited
Due
Permit Fee Total
15.00 .00 .00
15.00
Plan Check Total
..00 .00 .00
.00
Other Fee Total
1.00 .00 .00
1.00
Grand Total
16.00 .00 .00.
16.00
{
p
Submittal
Bln#
�i Of -La Quinta
Y
TRACIGNG
PERMIT FEES
Permit #
�''
Building & Safety Division
Plan Check submitted
P.O: Box 1504,78-495 Calle Tampico
Amount
Oq
La Quinta, CA 92253 - (760) 777-7012
Reviewed, ready for corrections
Building Permit Application and Tracking Sheet
Project Address:_
�3 y �� 11 31 -o--,c.1DA.
'
Owner's Name: Shea Homes
Called Contact Person
A. P. Number:
Address: 60-800 Trilogy Parkway.
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA .92253
Plans picked up
Contractor:. Shea Homes
Telephone: 760-777-6032
b
Flood plain plan
Address: .60-800 Trilogy Parkway
; Project Description: Lot 1.9 0
Plans resubmitted
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - if x 6' & 3,-
Grading plan
Telephone: 760-777-6032
�Oreo
Garden Wall - . f g If z 6'
Electrical
State Lic. #: 640934
City Lic. #:
Orco Retaining Wall - 'If x 3'
Arch., Engr., Designer:
Orco Knee Wall - if x 4' '
Plumbing
Address:
Grant Deed
City, ST, Zip:
S.M.I.
Telephone: � � .; �'� �'
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
7° Review, ready for corrections/issue
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPLICANT: 00 NOT WHITE NELOW THIS UNE
p
Submittal
Req'd
Rec'd
TRACIGNG
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2o° 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. A PPr
Date of permit issue
"•
School Fees
Total Permit Fees