10-1202 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00001202 Owner:
Property Address: 81207 CASPIAN CT SHEA LA QUINTA
APN: 764-280-004-31- -35996 - 60800 TRILOGY PARKWAY
Application description: WALL/FENCE LA QUINTA, CA '92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2250
Applicant: Architect or Engineer:
X
P !A
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LICENSED CONTRACTOR'S DECLARATION
I. hereby affirm under penalty of'.perjury'that I am licensed underprovisions of Chapter 9 (commencing, with
Section 7000) of Division 3 of the,Business�and Professionals.Code, and my License isinfull force,and effect.
License Class: OA 0 se No.: 672285
Data'I ' ntractor:
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 ISec. 7031 .5, Business and Professions Code: Any city or county that requires a permitto
construct -alter, improve, demolish, or repair, any structure, prior to its issuance, also requires:,the applicant for the
permit to file,a signed statementthat 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 fivehundred dollars ($500).:
(_ 1
1, as owner of1the 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,notintended or offeredforsale. 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 didnot 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 town owner of
property who builds:orimproves.thereon, and who, contracts for the. projects with a comractor(s) licensed
pursuant to the Contractors"State License Law.).
I—) 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 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
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PP.
LA QUINTA, CA 92
(760)777-6032
Lie. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
Date: 11/08/10
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following. declarations:
1 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,permitis
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 permh'is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier LIBERTY MUTUAL Policy Number WA266D066115030
f certify that, in the performance of the workfor which this permit is issued, I shall not employ any
person imany manner so as -to become subject, to the workers' compensation laws of California,
and agree that, if (.should become subject to the workers' compensation provisions of Section
3700•of the Labor Code, 1 shall forthwith comply with those provisions.
ate: pRCan,
WARNING: FAILURE TO SECURE' WORKERS' ? OMPENSATION COVERAGE IS'UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 BuildingandSafety for a permit subjecttothe
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:ofthis:permit.
2. Any permit,issued as a result of this application becomes pull 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 information incorrect. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of:thi(s my to enter upon t bove-mentioned property forinspectionpurposes.
atea re (Applicant.or Agent):_ Y `�
Application Number . . . 10-00001202
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
2,001-25,000
9.00
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- --------------
Special Notes. and Comments
Sp
-----------------------I--
I ---------
90 L..F. COMBO WALL, 4' RETAINING,
6'
GARDEN, ORCO SYSTEM. 2.007 CODES
---------------------------------------------------- --------------------------
Other Fees . . . . . . . . . BLDG SIDS ADMIN (SB1473.)
1.00
Fee summary Charged
Paid Credited
--------
Due
-------- ----------
PermitFee Total 54.00
-
.00
-- -------
---
.00
54.00
-Permit
Plan Check Total .00
.00
.00
.00
Other Fee Total 1.00
.00
00
1.00
Grand Total 55.00
.00
.00
55.00
LQPERMIT
Bin#
City of La Quinta
Building & Safety Division
Calle Tampico
La Quanta CAox �922635 760 777-7012
� � �
Building Permit Application and Tracking Sheet
Permit #
o
t
Project Address: 81207 Caspian Court
Owner'&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 31
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 90 if 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:,
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:
APRICAIIT:10 NOT WERE SHOW THIS LINE
q
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god 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 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
6;5