10-1190 (BLCK).P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00001190
Property Address: 81212 CASPIAN CT
APN: 764-280-0.04-21 -35996
Application description: WALL/FENCE
Property Zoning: LOW DENSITY_ RESIDENTIAL
Application valuation: 2375
T-it� 4 4 Qgmm
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/04/10
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 projectswith a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( _,) I am exempt under Sec. , B:BP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby"affirm under penalty of perjury that there Is a,constructionlending agency for the performance of the
work for which this permit Is issued (Sec. 3097, Civ. C.).
Lender's Name:.
Lender's Address:
il,QPKRMIT
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 uponwhose behalf ilidwapplication 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. Quints, 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 l have.read this application and state that th above information is correct. I,agree to comply with all
city and county ordinances and state laws relating to truction, and hereby authoriz eptatives
of t/hi[s�►' y to a ter upon the above-mentioned pr rty or o sr
eta�J e: ' • 1� S1Lr(ature (Applicant. or Age
Contractor:
Applicant: Architect. or Engineer:
SHEA HOMES, INC- 0 d j
6.0800 TRILOGY PARKWAY
LA QUINTA, CA 92253
,760)'777-6032 N
( NAV 2010
+
Lid. No.: 672285
Wy
----------- - - - - -- - - - -- -- -
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
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division3,of the Business and Professionals Code, and my License is in full face and effect.
_ I have and'will maintaina certifieats,of'consent.to self -Insure for workers` compensation, as•provided
Claw. License C
a.B LIcerise .No.: 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this p6rmit is
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• ' ± • s,
issued.
�I have Insurance, as required by Section 3700 of the Labor
ate:.
rrtractor:
and will maintain, workers' compensation
Code, for the, performance of the work•for which this permitis issued. My workers' compensation
OWNER -BUILDER DECLARATION
Insurance carrierand' policy number are:
1 hereby affirm under penalty of perjury that I am exempt:from the,Cornractor's State License Lew for the
Carrier LIBERTY MUTUAL Policy Number NA266D066115030
following reason (Sec. 7031.5, Business, and Professions Code:. Any city or county that requires a,permit to
_ 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicamfor the
person .m any mann so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to.the provisions of the Contractor's. State
and agree th uld becomeaubject-to thew ars' com rtaation provisions of Sectlon
License Law (Chapter 9 (commencing. with Section 7000) of Division'3 of:the Business�and Professions Code) or
700 ofbor I ith co ly wi those inions.
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 then five hundred dollars (9500).:
ate:
v pli _
(_ 1 1, as owner of the property, or my employees with rwages as their sole compensation, will do the work, and
Me structure isnot intended or offered for sale (Sec- 7044„Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or Improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS, ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
Improvements are.not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 projectswith a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( _,) I am exempt under Sec. , B:BP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby"affirm under penalty of perjury that there Is a,constructionlending agency for the performance of the
work for which this permit Is issued (Sec. 3097, Civ. C.).
Lender's Name:.
Lender's Address:
il,QPKRMIT
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 uponwhose behalf ilidwapplication 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. Quints, 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 l have.read this application and state that th above information is correct. I,agree to comply with all
city and county ordinances and state laws relating to truction, and hereby authoriz eptatives
of t/hi[s�►' y to a ter upon the above-mentioned pr rty or o sr
eta�J e: ' • 1� S1Lr(ature (Applicant. or Age
I
Application. Number . . . . . 10-00001190
Permit. . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 54.00
Plan Check
Fee
..00
Issue Date . .
Valuation
. . .
. 2375
Expiration Date . . 5/03/11
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
95 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 .0.0
.00
.00
.00
Other Fee Total 1..00
.00
.00
1.00
Grand Total 55.00
.00
.00
55.00
LQPBRmff
Bin #
City of La Quinta
Building & Safety Division
, Calle Tampico
La Quinta, CA92253 5 (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
V
Project Address: 81212 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
Contractor: Shea Homes
Telephone: 760-777-6032
Address: 60918 Desert Rose Drive
Project Description: Lot 21
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 95 If x 6' & 4'
Telephone: 760-777-6032
Reviewed,. ready for corrections
State Lie. # : 640934
City Lie..#:
Arch.. Engr., Designer:
Truss Calcs.
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
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: BO NOT WERE BELOW THIS LIME
#
Submittal
Req'd
Rec'd
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
2°d'Review, ready for correctionstissue
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 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
5,5