10-1189 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00001189
Property Address:
8.1159 CASPIAN CT
APN:
764-280-004-27 -35996
Application description:
SPALL/FENCE.
Property Zoning-
LOW DENSITY RESIDENTIAL
Application valuation:
2375
T4ht 4 4 Qum&
Applicant: Architect or Engineer:
-------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 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: B icense No:: 672285
ate: , orrtractor• _ll R3'S
OWNER -BUILDER DECLARATION
I hereby affirm under penaity'of perjury that I am exempt fronnthe Contractor's State License Lew 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:e 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 Section 7031.5 by
any applicant for permit subjects the applicant to a civil penalty�of not more than five hundred dollars ($500).:
(_) 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 apply to an ownerof property who builds or Improves thereon,
end 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.).
(_) 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 contrector(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 permit is issued (Sec. 3097, Civ. C.).
Lender's.Name;
Lender's Address:
LQPRRMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3-1/04/10
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
Contractor: D a
SHEA HOMES, INC.
60800 TRILOGY.PAR A
LA QUINTA, CA 922 NOV 19 2010
(760)777-6032
LiC. 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 -insure 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.workera' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for'which this permit.is.iasued. My workers' compensation
Insurance carrier snd',policy number are:
Carrier LIBERTY MUTUAL Policy Number WA266DO66115030
_ 1 certify Lthat, In the performance of the work for which.this permit is issued, I shall not employ any
person In any manner soasto become subject to the -workers' compensation lawsofCalifornia,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 ofthe Labor Code, I shall forthwith comply with thoaepfovislona.
t t�anti
WARNING: FAILURETO SECURE W KERS"COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
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 3708 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 person uponwhose behalf this application is made, each person at whose request and,for
whose benefit work is performed underor pursuant to any permit issued as a result.of thisapplication,
the owner, and the applicant, each agrees to, and ahall:defend, indemnify and hold harmless the City'
of La Quints, Its officers, agents and employs" for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a resuli 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 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 this�cy(�nty w eery er upon the above-mentioned ape a Ins cti�rposes4
. _
5pR` V Si re (Applicant or Ager Y1�.�\J1
Application Number . . . . . 10-00001189
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
-------------------------------
Special Notes and Comments
95 L.F. COMBO WALL, 4' RETAINING,
6'
GARDEN, ORCO SYSTEM. 2.007 CODES.
-----------------.-.-----------------------------------------
Other Fees . . . . . . . BLDG SIDS ADMIN (SB14,73)
---------------
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
.0.0
.00
1.00
Grand Total 55.00
.00
.00
55.00
LQPERMIT
Bin#
City of La Quinta
Building & Safety Division
P.O. Box 15.04, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking Sheet
Permit # rr
vl
10 I
Project Address: 81159 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 27
City; ST, Zip: La Quinta, CA 92253
Orco Combo Wall - 951f 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:
APPUBMT: 60 NOT WRITE BELOW MIS LINE
k
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 Cales.
Plans picked up
Construction
Flood plain plan
Plans,resubmitted
Mechanical.
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked no
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
55