10-1188 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
wif �;F ff�#4 M
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-000.01188 Owner:
Property Address: 81171 CASPIAN CT SHEA LA QUZNTA
APN: 764-280-004-28 -35996 - 608.00 TRILOGY PARKWAY
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2375
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:.
Applicant: Architect or Engineer: SHEA HOMES, INC.
69800 TRILOGY PARKWA4 D 6.
LA QUINTA; CA 92253
(760) 777-6032 NOV1 �" Lia. No.: 672285 S( M 1 2010
i1! CffTOF XQU1nrrj
!.
F l' V. AMng:,r►in,
LICENSED CONTRACTOR'S DECLARATION
Thereby affirm under penalty of+perjurythat I am licensed .under provisions of Chapter 9 (commencing with
Section 7000) of.Division 3 of the Business and Profeseio_nals:Code, and myLicense,is in full force and effect.
License Class: B ALicense Noo.: 672285
ate• `� -ntractor: A'
OWNEWBUILDER DECLARATION
I hereby affirm under penalty of'perjurythat I am exempt from the Contractor's State. License Law for the
following reason (Sec. 7031.5, Business and,Professions Code: 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 statement that he orshe is licensed pursuant to the, piovisions,of the Contractor'sState
License. Law (Chapter 9 (commencing wlthSectlon 7000) of Div1sion3 of the Business and: Professions Code) or
that:he or she is exempttherefrom and the basisfor 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 thamfive hundred dollars;(8500).:
1 _ 1 1, as.ownerofthe property, or my einployess with wages es;their sole.compensatton, 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 not intended or offered forsale. If; however; the building be improvement is -soli within
one,yearof completion; the owner -builder will have "the burden of proving thathe orshe'did not build or
Improve for the purpose of sale.).
( _,) I;"aspowner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Buslness,and Professions Code: The Contractors' ,State License Law does not apply, to an owner of
property who bullds.orimproves'thereon;,and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors': State License Cow.).
1. am exempt under Sec. B.&PX. for thisseason
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:
LQPERMIT
Date: 11/04/10
-----------------
WORKER'S COMPENSATION DECLARATION
I, h_ ereby:affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-iMure,for workers' compensation, as prdwided
for. by Section 3700 of the tabor Code; forthe performance of the work foe which this,permit is
Issued -
1 have and will maintain workers' compensation, insurance, as required by Section 3700 of the Labor
Code, for the performance;df the work for which this permit is issued. Myworkers! compensation
Insurance,cerrier and policy number are;
Carrier LIBERTY MUTUAL Polity Number WA266D066115030
1 certify that, irtthe performance of thawork for which this penmitisiesued„ I shall not employ, any
persomin any manner so as to become subject to the workers' compenselon laws;of California,
and agree that, if I should, become to.the workers' compensation provisionaof Section
3700 of.theyabor Cods,.l�shali forthwith comply wtth those"provisions.
WARNING: FAILURE'TO SECURE WbRKERS' COMPENSATION.COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTIOW3,706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S. FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby madeto 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'ls made, each person at whose request and,for
whose benefit workis performedunder or pursuant toany permit Issued as a resultof this:application,
the owner, and the applicant; each agrees to, and shall defend; indemnity and hold harmless the City°
of La Quints, its,officers, agents and employees foreny act or omission related to the -work, being,
performed under orfollowing issuance of this permit..
2. Any permit Issued as a:result of thisapplication becomes null and void if"work is not -commenced
within 180 days from date of issuance of'such,permit, or ceasation of work for 180 days will subject,
permit to Cancellation.
I certify that I have read this application and state thafthe above information Is correct. I agree to comply with all
Y PP � property
p ng �representatives
city and county ordinances and state relating to: builds construction, and hereby authorize
of this count to anter up/on the above-mentioned ro erty for inspectlon pu
1���$16nature (A IicaM or A nt) .
Application Number . . 10-00001188
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
2,00.1-25,000
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 .54.00
-
.00 .00
54.00
Plan Check Total .00
.OU .00
:00
Other Fee Total 1.00
.00 .00
11.00
Grand Total 55.00
.00 .00
55.00
LQFERMIT
Bin#
City of La Quinta
Building & Safety Division
P.O. Box 1504,78-496 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 81171 Caspian Court
Owner's Name: Shea Homes, Inc.
A. P. Number:
Address: 6091"8 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 28
City, ST, zip: La Quinta, CA 92253
Orco Combo. Wall - 95 if x 6' & 4'
Telephone: 760-777-6032
a
State Lic. # : 640934
City Lic. #:
Arch., Engr., Designer:
Truss Calks.
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lia #:
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 BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan'sets
Plan Check submitted
Item
Amount
Structural Calks.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calks.
Called Contact Person
Plan'Check Balance
Energy Calks.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Y° 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:-
7d Review, ready for correctionstissue
Developer Impact Fee.
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees