BLCK (09-0550)61745 Living Stone Dr
09-0550
Application Number:
<09-00000550'
Property Address:-
61745 LIVING STONE DR
APN:
764-80 -999-26-300236-
Application description:
WALL/FENCE .
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
4995
Applicant:
Tityl'4 a vw
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, -
INC. -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/01/09
JUN 092009 D11
60800 TRILOGY PARKWAY a.r11'QF
LA QUINTA, CA 92253 FJ(y,�ty0
(760)777-6005
�JA Lic. No.: 672285
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is -in full force and effect.
Licen •Cla s: icense No.: 672285
s
Lice
ontractor:'
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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensedcontractors 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.
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 become subject to the workers' compensation laws of California,
and agree that, if I should become Pybject to the workers' compensation provisions of Section
700 of the L bor Code, I shall fo ith comply with those provisions.
at plicant:
WARNING: FAILU E TO SECURE W K RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 apQ(ication and state that the above information is correct. I agree to comply with all
cit nd c unty rdinances d state laws relating to building cons uction, and hereby authorize representatives
o this co ty t enter u n the above-mentioned property for insp n purposes.
Datedclgnature (Applicant or Agent): '
l
Application Number . . . . . 09-00000550
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee
.00
Issue Date . . . .. Valuation
4995
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
155 L.F. COMBO WALL, 3- RETAINING, 6 -
GARDEN, 75 L.F. & 70 L.F. 3- RETAINING -
WALL, ALL ORCO SYSTEM. 2007 CODES.
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
C4,
Bin #
Submittal
'City of La Quinta
Bu ' ilding & Safety Division,
P.O. Box 1504, 78-495 Calle Tarhpico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perrnit.# bo
0V ✓
Project Address: (e' -A
L,\4 -i n
Owner's Name: Shea Homes
A. P. Number:
_J
Address: 66946 Desert' Rose Drive
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor: Shea Homes
Amount
'Telephone: 760-777-6032
Structural Calcs.
,Address: 60946 Desert Rose Drive
Project Description: Lot
City, ST, Zip: La Quinta, CA
92253
OrcoComboWall-, lfx6'&31
Teleph6ne: 760-777-6032
Truss Calcs.
Orco-6 ar dtn
State Lic. # 640934
Called Contact Person
City Lic. #:
Orco Retaining Wall - If x 3'
Arch., Engr., Designer:
Energy Calcs.
Address:
Plans picked up
City, ST, Zip:
Construction
Telephone:
Flood plain plan
Construction Type: Occupancy:
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:
APPLICANT: noNOT wBrtEBELOW THis'LINE
#
Submittal
Req1d
Recld
TRACKING
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
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
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
-Total. Permit Fees
'7 3
14 A k' x,�