10-1192 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
10-00001192
81188 CASPIAN CT
764-280-004-23 -35996
WALL/FENCE.
LOW DENSITY RESIDENTIAL
2375
(: e-eity, °F 4QMZ«rw
Architect or Engineer:
a Ep
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,bivWon 3 of the Business and Professionals Code, and my License, is in full force,and effect.
License Class: B is ns No:d 672285
Data rki
ctor:
OWNER -BUILDER DECLARATION
I hereby affirm under peneftyof perjury that I am exempt from the Contractor's State License. Lew for the
following reason (Sec. 7031.5, Business arid Professions Code: Any city or county that requires a permit to
construct, after, improve,,.demolish, or repair any structure, prior to its Issuance, also requires the applicant for the
permit to flla;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 forthealleged 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
(_ 1 l,:as owner otthe property, or my employeeswith wages as their solecompensation, will do the work, and do
the structure isnot Intended or offered forsale (Sec. 70" Business and Professions Code: The
Contractors' State.License Lew 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 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 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I em exempt under Sec.. , B.&P.C. forthis 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 permit is issued (Sec. 3097,.Civ. C.).
Lender's Name:
Lender's Address:
LQPEItMLT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/04/10
Owner:
SHEA LA QUINTA
60.800 TRILOGY PARKWAY
LA QUINTA, CA 92253
D
Contractor: NOV 19 2010
SHEA HOMES, INC.
60800 TRILOGY PARKWAY GITYOF
LA QUINTA, CA 92253 F!>y�,r �QUINTA
(760) 777-6032 �'CEOEPT.
Lie. No.: 672285
------------------
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 self-insureJor workers' oompensatlon, as provided
for by Section 3700 of the Labor Code; for the performance of the work for which this permit Is
issued.
KI have and will maintain workers' compensation Insurance, as required by Section 3700 of theiabor
Code, for the performance of the work for which this permit.is issued. My workers' compensation
Insurance carrierand policy number are:
Carrier LIBERTY MLrrUAL Policy Number WA266DO66115030
_ I certify that, inthe performance of the work for which this permit is Issued,,l shall nobemploy 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
3700 Jof the
Labor Code, I shall forthwith comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' COANSATION'COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 `3708OF 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
conditio_ns.and,restrictions am 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 Quintal Its officers, agents and employees for anyact or omission related to the.work being
performed under or following issuance of this permit.
2. Any permit issued is a result of thisapplication becomes null and void if work isnot 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 is correct. I agree to comply with all
city and county ordinances andstate laws relating to building construction, and hereby authorize representatives
of this county to enter uPponn ov
the above-mentioned property for Inspection purposes.
LilA4ure (Applicant or Agent): L
i Application Number . . . . . 10-00001192
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
45.0.6
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 54.60
.00 .00
54.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 1.00,
.00 .00
1.0.0
Grand Total 55.00
.00 .00
55.00
LQPERMIT
Bin
City of La Qu1inta
Building & Safety Division
P.O. Box
1564, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Prm
errnit'#
��-
1
Project Address: 81188 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 23
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 Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of -Contact Person: Gabbie NietoSq.
Ft,:
#Stories:
# Units:
Telephone# of Contact Person: 760-777-6032
Estimated Value of Project:
APPLICANT: 00 MOT WRITE REWIV THIS ONE
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed Review, readyfor corrections/issue
Electrical
Subcoatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H:O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
aro 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.
S