08-0207 (ELEC)P.O. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-0.0.00-0.2:O:T_=�
Property Address:61462 SAPPHIRE LN
APN: 764-280-999-82 -300236-
Application description: ELECTRICAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 200
Applicant:
Architect or Engineer:
a�P
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with -
Secti 7000) o Division 3 of the Business and Professionals Code, and my License is in full force and effect. -
/ Lict was License No.: 672285
at : L(�[ ntractor:
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, 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 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).:
( ) I, as owner of the property, or my employees with.wages as their sole compensation, 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 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.).
(_) 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:
LQPERMIT
Contractor:
SHEA HOMES, INC.
60800 TRILOGY K
LA QUINTA, CA 9
(760)777-6005 f
Lic. No 672285
VOICE (760).777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/29/08
------------------- - ---------\\ ----------
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 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 AMERICAN HOME Policy Number CA 1593364
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should becom s bject to the workers' compensation provisions of Section -
12—clMo
f theLabor Code, I shall rt ith comply with those provisions.
plica •,f
/WARNING: FAIL RE TO SECURE 0 ERS' COMPENSATION, COVERAGE IS -UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI AL 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 3706 OF 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
conditions and restrictionsset 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 Quinta, 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city nd county ordinances and state laws relating to building constn 'on, and hereby authorize representatives
of unt to enter upon the above-mentioned property for ins bti n purposes.
at S' ture (Applicant or Agent):
Application Number . . . 08-00000207
Permit . . . . . ELEC-TEMPORARY POWER
Additional desc .
r Permit'Fee. 30.00 Plan Check Fee-. .00
Issue Date Valuation 0
Expiration Date 7/27/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
---------------------------------------------------------
Special Notes .and.Comments
TEMP POWER FOR NEW PHASE 6 CONSTRUCTION
Fee summary Charged Paid Credited* Due
Permit Fee Total 30.00 .00. .00 30.00.
Plan.Check.Total .00 .00 .00 .00
Grand Total 30.00 .00 .00 30.00
LQPERMIT
Bin #
Submittal
City of La Quinta L
Building &Safety Division
P.O. Box 1504,78-495 Calle Tampico A 1
Quinta,-CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet, .
Permit #
O`La
fk
Project Address:`(A(U 2-
4 C- La
Owner's Name: Shea Homes .
A. P. Number:
Address: 6(�Cl L{lp,�et7 , D
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contra ctor: Shea Homes
Amount
Telephone: 760-777-6032
swIN
17 - '
Address: 6WISLC1Lg F e�"&e— (D (Z—.
Project Description: ,
City, ST, zip: La Quinta, CA
92253
Temporary Power Permit
Telephone: 760-777-60325>'_
Truss Calcs. '
State Lic. #: 640934
Called Contact Person
City Lic. #:
Plan Check Balance
Arch., Engr., Designer:
Energy Calcs. a
Address:
Plans picked up
City, ST, Zip:
Construction
Telephone:
State Lic. #:n
Flood plain plan
�'.�.� '
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie C. Nieto
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
7J
Estimated Value of Project1200.00
APPLICANT: 60 NOT WRITE BELOW THIS LIME
#
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 Calcs. a
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
,yam
Grading plan ,
f
2nd 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:-
1
7d 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