10-1201 (BLCK)t
r
P:O: BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00001201
Property Address: 81.195 CASPIAN CT
APN: 764-280-004-30 -35996 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2250
Al
TiAt °f XP 0, "
Architect or Engineer:
dIA-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty ,of perjury that I 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.
License ass: 1B t4censeNo.: 672285
at.: Y 19 L� orttractor:�s
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that lam exempt Irom the Contractor's State License Law, for the
following reason:;(Seo.; 7039.5, 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 applicant for the
permit to file a signed staternent 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 orshe •is exempttherefrom"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 ($5001.:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State:License Law does'not applyto�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 _ 1 I, as owner of the property; am exclusively contracting with licensed contractors to construct the'project..ISec.
7044, Business and.Professions Code: The Contractors' State License Law does notapply 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:).
1 1 I am'exemptunder Sec. , 8.&P.C. for this reason
Date:
Owner:
CONSTRUCTION (ENDING 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 s -issued (Sec:.3097, Civ. C.).
Lender's Name: - -
Lender's Address: ti I VX
L:QPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:_ 11/08/10
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
Contractor:
SHEA HOMES, INC.-
60800
NC. 60800 TRILOGY PAR
LA QUINTA, CA 922
(760) 777-6032 190V 9 n010
Lic. No.:.67228.5 NOV.
WORKER'S COMPENSATION DECLARATION
I hereby affirm.under penalty of perjury one of the following declarations:
1 haveandwill maintain'a certificate of consent to,seIf-insure for workers' compensation, as provided
for by.Section 3700 of the.Labor Code, for the,performance of the work for whiehahis permit is
-9issued.
1 haveand-will maintain workers' compensation insurance, avrequired by Section 3700 of the Labor
Code, for the performance of the,work for which this. permitis,issued. My workers' compensation
insurance, carrierand policy number are:
Carrier LIBERTY MUTUAL Policy Number WA266D066115030
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 subjectto.the workers' compensation laws of California.
and agree that, 'rf should'become subject to the ry�orkew compensation provisions of Section
�/� I 70.0 of tfie-.L r Code,, 1. all f1YP1«hw,ith c mply' iitti rhos r -visions.
Data:
V 1� v licant:
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
,N , G - I - -
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($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,persomatwhose 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 actor 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 tfiat 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 hereb uthorizeLepresentatives
Ofcoon y to enter upon the above-mentioned operty f in ectiom pur es.�gpd<tire IApplicantor Ag
Application Number . . . . . 10-00001201
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
- - -
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
.0.0
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
P.O. Box 1504, 78495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Petmit.# `
1
O
i
Project Address: 81.195 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 30
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 901f 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: 00 NOT WRITE NELOW HIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Cheelc.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
2vd Review, ready for corrcctions/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:-
t'" Review, ready for correctioos/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