10-1216 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
Application Number: 10-00001216
Property Address: 81152 CASPIAN CT
APN: 764-280-004-26 -35996 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
.Application valuation: 650
T4ht 4 44" -
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed underprovisions 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.
Lice a Class: B Li n/se`No:: 672285
Date: I l� actor: «�
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. 7031.5, Business and�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 file?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 o the Business and Professions Code) or,
that 'he or she is exempt therefrom and the, basis:forthe alleged exemption. Any violation of Section -7031.5 by
any applicant for a,permit,subjects.the applicantto.a civil penalty of not more than five hundred dollars (5500).: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 apply toan owner of property who builds or improves' thereon,
and whmdoes the work himself or herself through .his,orher own employees, provided that the
improvementsarenot intended,or offered forsele. 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 forthe purpose of sale.).
(_ 1 I', as,owner of,the property, am�exciusively contracting with licensed contractors to construct the project,(Sec.
7044, Business,and Professions Code: The Contractors' State Llcense,Law doesnot apply to an owner of
property who builds or improveszthereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( I I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I herebysffirm under penalty of`perjury that there is a construction lending agency for the performanceof the
work for which this permit is issued (Sec.,3097, Civ. C.I.
Lender's Name:
Lender's Address: ti I to
LQPERMIT
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/08/10
Contractor:
SHEA HOMES, INC. d
60800 TRILOGY P
LA QUINTA, CA 9
(760)777-6032 NOV 19 2010
Lie. No.: 67228 L
QF f A3siJINT -
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the followingdeclarations:
t have and will maintain a'certificate of consent to;self=insure for workers"compensation, as provided
for by Section 3700of the Labor Code, for°the performanceof the work for which this permit.is
issued:
I have and will maintain workers' compensation insurance, as required by,Section 3700 of the Labor
Code, for the performance of the work for which this permit is 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 I should become subject to they workers' compensation provisions of Section
3700�of°the Labor Code, I shall forthwith comply with those provisions:
ate: -s p " t: C
WARNING:. FAI RE''Po sECURE'-WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES :AND CIVIL FINE&UP TO ONE HUNDRED THOUSAND
DOLLARS (it 06,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAG_ ES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to'theDirector of Building and Safety for a permit subject to the
conditions and restrictions set.forth on this application.
I . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work isperformed under or pursuant to any permit issued as a result oTthis application,
the owner, and1the applicant, each agrees to, andshalldefend; indemnify'and hold harmless the City
of La Quints, its officers;agents and employees for any act or 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.
(',certify that I have read this application and state that theabove information incorrect.-. I agree to comply with all
city a county ordinances and state laws relating to building construction, and hereby authorize representatives
of s county to enter upon the above-mentioned property for -inspection purposes.
Date: LL (LWApplicant or Agent):
Application Number . . . . . 10-00001216
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee. 19.00
Plan Check Fee
.00
Issue Date . . . .
Valuation
650
Expiration Date . . 5/07/11
Qty Unit Charge Per
Extension
BASE
FEE
15.0.0
.2.00 2.000'0 FIND BLDG
501-2,000
4.00
- ------------------------------------------------------
Special Notes. and Comments
26 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 19.00
------- --- ----------
.00 .00
19.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 1.00
.00 :0.0
1.00
Grand Total. 20.00
.00 .00
20.00
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
Penn #
I
10.
Project Address: 81152 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 26
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - 261f 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.-
ip:Telephone:
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:
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
AFFU9W. RO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
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 Cities.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:
7rd Review, ready for correctionstissue
Developer Impact Fee
Planning Approval_
Called Contact Person
A. 1. P. P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total'Permit Fees
pC.O