10-1200 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00001200
Property Address: 81219 CASPIAN CT
APN: 764-280-004-32 —35996 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application: valuation: 2250
T-iht� 4 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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LICENSED CONTRACTOR'S DECLARATION
I hereby,effirm under penalty of perjury that I am licensed under provisionsof Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License isin full force and effect.
License Class: B se No:: 672285 _
ate: � i actor:
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 toitsissuance, also requires the applicant for the
permit to file a signedstatement: 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).:
(_ I ,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 himselforherself 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 orshe 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 theprojects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I I I,am exempt under Sec. B:&P:C. for this reason
Date: _ Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjurythat there isa 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: PIN
WPERMIT
Owner:
SHEA LA QUINTA
60800 .TRILOGY PARKWAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/08/10
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY NOV 1 9
LA QUINTA, ,CA 92253 2010
(760)777-6032
Lic. No.: 672285 CITYOFL,A4UNTA
WORKER'S' COMPENSATION DECLARATION
I, hereby affirmunder penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, is 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 LIBERTY MUTUAL Policy Number WA266DO66115030
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 subject to the workers' compensation provisions of Section
3700ofthe Labor Code, I shall
^�forthwith comply with those provisions.
ate: � _If
�/ V
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOCRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (9100,000). IN ADDITION TO -THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THELABOR CODE, INTEREST, AND. ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject wthe
conditions and, restrictions set forthron 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 pursuamto 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 actoromission related to the work being
performed.under orrfollowing, issuance of this permit.
2. Any,permit issued as a result of this application becomes null and void if work isnot commenced
within 180 days from date ofissuance of such permit, or -cessation of work for 180 days will subject
permit to cancellation.
[certify that.I have read this application and state�that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and herebyauthorize representatives
of s co my to enter upon the above-mentioned property for inspection purposes.
Date�a ure (Applicant or Agent):
Application Number- . . . . . 10-00001200
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 54.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 2250
Expiration Date 5/07/11
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,00.0
9.00
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Special Notes and Comments
-------------
90 L.F. COMBO WALL, 4' RETAINING;
6'
GARDEN, 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
Bin#
City of La Quinta
Building & Safety Division
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
9poPio.
1 1
0
Project Address. 81219 Caspian Court
Owner's Name: Shea Homes , Inc.
A. P. Number:
Address: 60918 Desert Rose Drive
Legal Description: Trilogy @ La Quinta Annex
City, ST, zip: La Quinta, CA 92253
_T
Contractor: Shea Homes
Telephone: 760-777-6032
Address: 60918 Desert Rose Drive
Project Description: Lot 32
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 901f x 6' & 4'
Telephone: 760-777-6032
Reviewed, ready for corrections
State Lic. # : 640934
City Lic. #:
Arch., Engr., Designer:
Truss Calcs.
Address:
City, ST, Zip:
Telephone:,
4
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie Nieto
Sq. Ft.:
# Stories:__7
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPUCANT. 00 NOT WRITE BELOW THIS WE
k
Submittal
Req'd
Recd
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
tad 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:-
'`d Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P..
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees