10-1191 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T -,&t °F 4Qgutw
Application. Number: 10-00001191
.Property Address: 81200 CASPIAN CT
APN. 764-290-004-22 -35996 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2375
Applicant: A_ ) Architect or Engineer:
-------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 8 (commencing'with
Section 7000) of Division 3 of the.Business and Professionals Code, and my License is In full force and, effect.
Llcew Cress- B License No.: 672285
at — ontractar: -
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I em exempt from the Contractor's State. License Law for the
following reason (Sec. 7031.5; Business and Professions Coder Any city or county that requires a permit to
construct,; alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the, applicantfor 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 Saction 7031:5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than .five`
hundred dollars (4500).:
(_) 1„as ownenofthe property, or my employees with wages;astheir sole compensation, will do the work, and
the structure 1snot 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 ocher own employees, provided that the
improvements.ere not intended or offered for sale. If, however, the building or improvement is sold within
one yearlof completion, the owner -builder will have the burden of proving that he or she did not 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 to an owner of
property who builds or improves,thereon„and who contracts for the projects with a comractor(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.permft.is Issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: 0
114
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS' (760) 777-7.153
Date: 11/04/10
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
Contractor: D
SHEA HOMES, INC.
60.800 TRILOGY PAR
LA QUINTA, CA 9225
(760)777-6032
Lic. No.: 672285
NOV 19 2010
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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 sait4neure 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 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 theworkers' compensation laws of California,
and agree that, if I should become subject tache workers' compensation provislons,of Section
3700 of theyI Labor Code, I shall forthwith complywlth rhos_ e.provisiona.
pticam:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED'TkIOUSAND
DOLLARS (5100,000). 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 thls,application'ls 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 employess;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 nrrtcommenced
within 1804ays from.date of Issuance of such -permit, or cessation.of work for 180 days will subject
permit to cancellation.
I certify that -1 havetread 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 hereby authorize representatives
of/tfinIa �Qunty�to. enter upon the;above•mentioned property for inspection purposes.
at�D e.y (Applicant or Agent): \ A
j 'v�'
Application Number . . . 10-00001191
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
----------------------------------------------------------------------------------
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Special
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 .00
.00
.00
:00.
Other Fee Total 1.00
.00
.00
1.00
Grand Total 55.00
.00
.00
55-00
LQPERMff
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 # \
q,
Project Address: 81.200 Caspian Court
Owner's Name: Shea Homes, Inc.
A. P. Numbers
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 7
Address: 60918'Desert Rose Drive
Project Description: Lot, 22
city, sT, zip: La Quinta, CA 92253
Orco Combo Wall - 95 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 Lica #:
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:
10VUgANi: 00 NOT WNIiE BELOW TNISIINE
#
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.
Plaus,picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2"d 'Review, readyfor. correctionoissue:
Electrical
Subcontactor List
.Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3rd Review. ready for correctionVissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
.Pub. Wks. Appr
Date of permit issue
Schoot Fees
Total Permit Fees
5