BLCK (09-0728)61445 Living Stone Dr
09-0728
Application Number. 09-00000728,
Property Address: 61445 LIVING STONE DR
APN: 764-280-999-13 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2625
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereb affirm under penalty of perjury t""
I am licensed der provisions of Chapter 9 (commencing with
Sectio 7000 of Division 3 of the Bu ' and Profes ion Is Code, and my License is in full force and effect.
LigeQse CI s• i nse No.: 672285
ontractor•
- OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the
following reason ISec. 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 (9500).:
(_ 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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. , BAP.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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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
SCOTTSDALE, AZ 85258 (�
Contractor: AN
SHEA HOMES, C. ± 10 )'J
r '
60800 TRILO ARKst>,y
LA QUINTA, 9 253 �k:'tyar
(760)777-600
Lic. No.: 672 85
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 w rk for which this permit is issued, I shall not employ any
person in any manner so as to become ubject to the workers' compensation laws of California,
an agree that, if I sho Id become sub ct to the workers' compensation provisions of Section
0 the Labor C e , Is II f h th co ply with those provisions.
4._."c'WARNING: FAILURE To SECURE WOR ' 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.
'*certify onances
plication and state that the above informs n is correct. I agree to.comply with all
state laws relating to building cons[ructi ,and hereby authorize representatives
above-mentioned propApplicant or Agentl:
LQPERAI[T
Application Number 1 09-00000728
Permit . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee
.00
Issue Date . . . . 7/29/09 Valuation . . .
. 2625
Expiration Date 1/25/10
Qty Unit Charge Per
Extension .
BASE.FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00 .
.Special Notes and Comments
105 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 54.00 54.00 .00
.00
Plan Check Total •.00 .00 .00
.00
Other Fee Total 5.50 1.00 .00
4.50
Grand Total 59.50 55.00 .00
4.50
a� -
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 9.2253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
x'0.9=00000728-
61445 LIVING STONE DR
764-280-999-13 -300236-
WALL/FENCE
MEDIUM HIGH DENSITY RES
. 2625 .
T -&t - 4 4- Q"
Architect or Engineer:
SM
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I her, y affirm oder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
ecti n 000) f Division 3 of the B i ss and Profession Is Code, and my license is in full force and effect.
Li n as / c nse No.: 855
ate: ontractor:
OWNER -BUILDER DECLARATION
1 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 Icommencing 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 (55001.:
(_ 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 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
1 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: 6 F1
Lender's Address:
LQPERMIT
Owner:
- SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/28/09
/ ot`a Q �
--*I-
Contractor:SHEA
HOMES MARTz�
P
60800TRILOGYPKWY
LA QUINTA, CA 92253 ��' 4��j • J
(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.
K 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
person in any manner so as to lbeom subjectto theworkers' compensation laws of California,
d agree that, if I should becos ct to the workers' compensation provisions of Section
1►100 of the Labor de, I alrt h c� mply with those provisions.
ge1e:" plicant:
/WARNING: FAIL RE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 Guinta, 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 certifNIhaveead this application andstate that the above infor tion is correct. I agree to comply with all
nances a d state laws relating to bu' g construc ' n, and hereby authorize representatives
of t upo the above-mentioned prop or inspe urpo es.
ate:S nature (Applicant or Agent):
Application Number
. . . . . 09-00000728
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee
54.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation
26.25
- Expiration. Date
1/24/10
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
105 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
54.00
--- ------ ----------
.00 .00
54.00
Plan Check Total
.00
.00 .00
• .00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
55.00
.00 .00
55.00
LQPERMIT
Bin #
Submittal
City of La Quinta
Recd
Permit # (�
PERMIT FEES
Building & Safety Division
Plan Sets
P.O. Box 1504,78-495 Calle Tampico M
O�
La Quinta, CA 92253 - (760) 777-7012
Amount
Building Permit Application and Tracking Sheet
Project Address: i n' j1 _ t— S
VC. `"l
1 ``
�— J •i ft3 A%." o1,
Owner'sName: Shea Homes
A. P: Number:
Plan Check Deposit
Address:, 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor:. Shea Homes
Telephone: 760-777-6032
Called Contact Person
Address: .60-800 Trilogy Parkway
Project Description: Lot ) �.
City, ST, zip: La Quinta, CA
92253
Orco Combo Wall - if x 6'& 3'
Telephone: 760-777-6032
MWOreo
Garden Wall - .�1� if z 6' "
State Lic. # : 640934
city Lic. #:
Orco Retaining Wall - if x 3'
Arch., Engin, Designer:
Orco Knee Wall - If x 4'
Address:
Mechanical
City, ST, Zip:
Telephone:
9
" "
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stoies.
# Units:
Name of Contact Person: Gabbie Nieto
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
Called Contact Person
APPLICANT: 10 HOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIQNG
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
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 .
A '
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
5