BLCK (09-0729)61545 Living Stone Dr
09-0729
Application Number: 09-00000729-,1
Property Address: 61545 LIVING STONE DR
APN: 764-280-999-15 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2625
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
G
Ve
--------------------- ------------------------------
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm and r penalty of perju t t I am licensed. un er provisions of Chapter 9 (commencing with
Section 70 ) of nrision 3 of the B in and Professi nal Code, and my License is in full force and effect.
Lice ehC11 13 Li nse No.: 672285
antractor:
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 1
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 _ 1 1, 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 (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: ►nj
Lender's Address: n
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
b 1 i
Contractor:
SHEA HOMES, INC. t
60800 TRILOGY PARKW ®�(
LA QUINTA, CA 92253 1
(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
�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 wrkers' 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,
an agree that, if I s Id become bject to the workers' compensation provisions of Section
*FAILR'OE
hLabor o I all fo wit comply with those provisions.
Date: —licant:WARNING:SECURE W ERS' 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
ff' I f I t d t th rk b in
of La Quanta, its o kers, agents and emp ogees or any act or omission re a e o e wo e 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 ihfor tion is correct. 1 agree to comply with all
city and c ' my or finances and state laws relating to building constru on, and hereby authorize representatives
oft s cou y e, a (rater upon the above-mentioned property for inspec n purposes.
at U ature (Applicant or Agent):
-
LQPERMIT
Application Number . . . . 09-00000729
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 54.00 Plan Check Fee
.00
Issue Date . . . . 7/29/09 Valuation . . .
. -2625
Expiration Date 4/04/10
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
LQPERMIT
its
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4* . 4, 4 a"
BUILDING & SAFETY. DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 -
Date: 7/28/09
Application Number: 09-0 0000729' Owner:
Property Address: 61545 LIVING STONE DR SHEA LA QUINTA
APN: 764-280-999-15 -300236- C/O JEFF MCQUEEN
Application description: WALL/FENCE 8800 N GAINEY CENTER 350
Property. Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 O
Application valuation: 2625
Contractor:
Applicant: Architect or Engineer: SHEA HOMES LIMITED ART RSH1iP� C
60800 TRILOGY PKWY CST
LA QUINTA, CA 92253
(760)777-6032
I�l Lic. No.: 855368 t m'41
�^�dti��
-------=---------------------------------'----------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of .perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: \
Section 00) of ivision 3 of the Business and Professi . 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
ss: L ense No.: 855368 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�( issued.
ate: on ractor: ^ 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
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
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:
Lender's Address: /
LQPERMIT
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
Wd
y manner so as t ecome subject to the workers' compensation laws of California,
at, if I should be o e subject to the workers' compensation provisions of Section
Labor d , I s orth ith comply with those provisions.
ant:
WARNING: FAILURE TO SECURE RKERS' 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 permivissued 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 certifJ that I h e read this application and state that the abov information is correct. I agree to comply with all
n ounty rdinances a state laws relating to building c struction, and hereby authorize representatives
oft M,up the above-mentioned pr ty for i pection purposes.
te:gnature (Applicant or Agent):
,h
Application Number 09-00000729
T,•
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee .. . . . 54.00
Plan Check Fee
.00
Issue DateValuation
2625
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
•
f
LQPERMIT _
Bin #
City of La ^.., ,.
Building & Safety Division r
, . ti
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012'; tl
Building Permit Application and Tracking Sheet.
Permit #
n (�
Project Address: % S "l4 t i 4 J.t \ .,
�N �D�.
Owner's Name: SheaHomes
I
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
Project Description: Lot �.
Address: ,60-800 Trilogy Parkway
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - if x 6' & 3'
Telephone: 760-777-6032.
<'
- �.
Oreo Garden Wall - .�t� If x 6'
Orco Retaining Wall - if x 3'
State Lic. # : 640934
city Lic. #:
Arch,, Engr., Designer:
Oreo Knee Wall - If x 4'
Address:
City, ST, Zip:
Telephone:,. K
State Lic. #: !`
Name of Contact Person: Gabbie Nieto
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPLICANT: 00 NOT WRITE NELOW THIS LINE
r
#
Submittal
Req'd
Recd
TRACIUNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
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
t Deed
Plans picked up
S.M.I.
A. Approval
Plans resubmitted
Grading
OUSE:-
!Planning
7d Review, ready for corrections/issue
Developer Impact Fee
Approval
Called Contact Person
A.I.P.P.
Wks. Appr
Date of permit issue
School Fees
Total Permit Fees