BLCK (09-0588)61665 Living Stone Dr
09-0588
Application Number: 09-00000588-,
Property Address: 61665 LIVING STONE DR
APN: 764-280-999-21 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2750
Tiht 4�
VOICE (760)'777-7012
FAX (760) 777-7011
BUILDING & SAFETY.DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: ,6/04/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN �l
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258 JUL 01
C1it(;r.
Contractor:
Applicant: Architect or Engineer:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY I
LA QUINTA, CA 92253'.
/
(760) 7T7-6005
Lic'. No.: 672285
------------------------------------ -------------------------------
LICENSED CONTRACTOR'S DECLARATION
---------------- ------
WORKER'S COMPENSATION DECLARATION
I hereb affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 00 1 of Division 3 of th ss and Professio als Code, and my License is in full farce and effect.
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
Ljcegse las, B e No.: 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
1' Il
Z1'
ateontracto .
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
' 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 WC1894819
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 ermit 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
P 9 P P
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
ject to the wor ers' c pensation laws of California,
and a ree that, if I should be ometo the workers' com nsation provisions of Section
person in any manner so as to becLhwith
9 P
0 of t abor o e I , rl com with th se �' jon�.
'00
I f t V
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:
LQPERMIT
WARNING: FAILURE TO SECURE WORKERS' 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 at I ave read this application and state that the ab ve informatioal�herr
corect. I agree to comply with all
cit ands oun y ordinances and state laws relating to b 'Idin cons uction, by a horize representatives0 tthic u to enter upo he above-mentioned pr a ectiiY puas
Date: ignature (Applicant or Agent): -
LQkRMIT
Application Number 09-00000588
Permit . . . WALL/FENCE PERMIT
r Additional desc .
Permit Fee . . . . 54.00 Plan Check Fee
.00
Issue Date Valuation
2750
Expiration Date 12/01/09
Qty Unit Charge Per _
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.0.0
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Special Notes and Comments '
110 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
LQkRMIT
Bin#
City of La Quinta
+
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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0
Project Address: bot '
v
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
Address: 60-800 Trilogy Parkway
Project Description: Lot a" l
Orco Co a 1- if x 6' & 3'
Garden Wall - `du'lf x 6'
p e alning Wall - '
City, ST, zip: La Quinta, CA 92253
Telephone: 760-777-6032Orco
State Lie. #: 640934
City Lie. #:
Arch., Engr., Designer:
Qrri; - x 4'
Address:
City, ST, Zip:
Construction Type: Occupancy:
P Y:
Telephone:
State Lie. #:
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:
APPLICANT: 00 NOT WERE NELOW 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 Cafes.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d 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
A.I.P,P.
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees