10-1186 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-,d4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00.001186 Owner:
Property Address: 81176 CASPIAN CT SHEA LA QUINTA
APN:' 764-280-004-24 -35996 - 60800 TRILOGY PARKWAY
Application description: WALL/FENCE LA QUINTA, CA 92253'
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2625
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor'
Applicant: Architect, or Engineer: SHEA HOMES, INC. D
60800 TRILOGY PARKWAY d
LA QUINTA, CA 92253
(760)777-6032
Lic. No..: 672285 Nov 19
----------------------------------------------------
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 ProfessionalsCode, and my License is in'full force .and -effect-
Licensse Class: B License No.: 672285
17W A�S
1i 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 (Sec. 7631 .5, Business and Professions` Code: Any city or county thatsequires a permit to
construct, alter, improve, demolish,or repair any structure,.,prior to its issuance, also requires the applicant for the
permitto file a signed statement that he or she is licensed pursuant to the provisions of the•Contracior•sState
License law (Chapter 9 (commencing wjth'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 (95001•:
( _) 1,..as owner of the property, or my employees with wages as-theirsole 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 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, providedthatthe
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.ofsale.).
(_ 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 improyes.thereon, and who, contracts for the.,projects with a contractor(s) licensed,
pursuant to.the Contractors' State License Law•.)..
( ) I am exempt under Sec. , BAP.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 permit is issued (Sec..3097, Civ, C.).
Lender's Name:
Lender's Address:f
LQPF.RMIT
Date: 11/04/10
WORKER'S COMPENSATION DELLA •ter
I hereby affirm,underpenalty of perjury one of -the following declarations:
I Have and will maintain a certificate of conserlt:to self -insure for workers' compensa i Jprovilded
for by Section 3700 of the Labor Code, for the performance of the work for which thiCpermit is
issued.
I hav&pnd will maintain workers: compensation insurance, asrequitedby Section 3700 of the Labor'
Code, for the performance of theworkfor which this permit1s 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 anymanner so as to become subject to the workers' compensation laws of California,
and agree;that, if L should become subject to the workers' ompensatjon•provisions of.Section
3700g
the abor Code, 1 shall fo wit comply Rh tho' provisio
c
ate: cant:
WARNING: FAILU E TO SECUREWORKER 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DO LLARS.($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 fora' permit:subject,to the
conditions and restrictions set forth on this application..
1. Each personupon 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 Quinta, its officers. agentsand employees for any act.or omission related to the work'being
performed under orfollowing 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 I have read this application, and state that the,ebove information is _correct. I agree to comply with all
city'and county ordinances and state laws relating to building construction,and hef, by authorize representatives
ofthis c mn
y to (eer upon;the above-mentioned props C for i pe 4i
u Best
4e: - �+' 'nature (Applicant,or-Agent): '
Application Number . . . . . 10-00001186
Permit. . .
WALL/FENCE'PERMIT
Additional des.c .
Permit Fee . . . .
54.00 Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 2625
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
105 L.F. COMBO WALL,
4' RETAINING, 6'
GARDEN, ORCO SYSTEM.
2007 CODES.
-------------------------------------------I-------------------------------------
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
LQPERMIT
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 # II __
11v 1CJ
10-
Project Address: 81176 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 24
City, sT, zip: La Quinta, CA 92253
Orco Combo Wall -105 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: -7
# Units:
Telephone .# of Contact Person: 760-777-6032
Estimated Value of Project:
APPLIOANT: DO NOT WERE BELOW TBIS.LINE
#
Submittal
Req'd
Reed
TRACKING
PERMITTEES
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
2sd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S:M.1.
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