07-1544 (BLCK)P.O., X 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
92253
Application Number:
07-00001544
061718
Property Address:
TULARE LN
APN:
764-280-999-105 -300237-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2125
Applicant:
Architect or Engineer:
BUILDING'& SAFETY -DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800'N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA-HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005.
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760).777-701 L
INSPECTIONS (760) 777-7153.
.Date: 5/24/07
MAY 3 1 2007
TV OF. LBS GLIB!
FZMR14CF L9^WF
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATIONDECLARATION -
[.hereby affirm under penalty of perjury that I"am licensed. underprovisions of Chapter 9 (commencing with I; hereby affirm under penalty of:perjury, one of the following'declarations:
Section+7000) of ivision 3 of -the Business and Professionals Code, and -my License is in full force and effect. I have and.will maintain a certificate.of consent to self -insure for workers' compensation; as provided
Licen I ss a B '" n License No : 672285`., for by Section 3700 of the•Labor Code', forthe. performance of the work for which this permit is -
F - '.issued.
ate tracto 1 have and,will maintain workers' compensation insurance, as'required by Section 3700:of the Labor
;Code forthe performanceof the work for which this permit is issued. My workers' compensation. `
OWNER-BUILDERDECLARATION - insurance carrier and"policy number.
herebyaffirm under.penalty of perjury tnata am exempt from ttie Contractor's State License Law for the Carrier AMERICAN HOME Policy Number 1247619. '>
following reason1(Sec. 7031 .5; Business and.Professions Coder Any Sty or. county thatrequires"a,permit to - _ I certify. that,.in;the.performance of.the work for which this permit is issued, -1 shallnoYemploy any
construct, alter improve; demolish, for repair anystructure; prior to it's issuance; also,requires,the�applicant;for the parson in any manner.so as`,tobecome subject to the, 'orkers' compensation laws of California,.
permn'tii.file.a-signed'statement,thathe orshe is -licensed pursuant to the provision's'of the Contractor -s State _ "and agree that . if [;should become sublect.to the workers' corripensanon'provisions,of,Section
License Law;(Chapter 9 (commencing`withSeaion 7000).of Division 3'of•the Business and Professions.Code) or I B7.00_of the Lab o e' s I`tprth-wi _�comply,witli those provisions.
that he or;.she'is exempt therefrom and the -basis for the allegedkxemption., AAi violation of Section 7031.5 by `� I - `
any applicant for a$ermit subjects the,.applicant to a'civiFpenalty of not'more than five hundred dollars 155001.: 'Y �a�' scant c "
1 _ 1 ;I, as'owner of the property; ormy employees with wages'as their; sole'compensation will do the work, and
thie's'tructure.is: not. intended or offered for}sale-(Sec. 7044 Business and Professions Code;; The
-Contractors',State'License Law'dces not apply to.an owner of property who builds or improves thereon,
and.who.doesthe wo'r_k himself or.
herseli�through his.or'her own employees, provided that the
improvements'Ae not intended o7 offered for said. If, however, the building or:improvementis 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 1 1, 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.).
1 _ 1 I am exempt under Sec. B.&P.C. for this reason
Date: - Owner:
CONSTRUCTION LENDING AGENCY
I hereby'affirm under' penaltymf perjury that there* is a construction lending agency for the perforniance'of the
work for which this permit is'issued'(Sec. 3097, Civ. C.).
Lender's Name: -1
Lender's Address:. ' •, B" - '
LQPERMIT
WARNING:: FAILURE TO;SECU RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL EINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,0001. 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 restrictions set 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 actor 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
peimit'to cancellation. -
I certify that I have read this application and state that the above information is act. I agree to comply with all
city and -co my ord' ances a'dstateaaws Palating fo i` g co tru _ion an _ by authorize representatives
of cou y,Sp �n r. he atioye mentionetl p rm io pro O. F
Pe_e: GCS ignature (Applicant or Agent): "
Application Number . . . . . 07-00001544
Permit
WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 54.00
Plan Check
Fee
.00
Issue Date . .
.
Valuation
. . .
. 2125
Expiration Date
11/20/07
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,000
9.00
---------------------------
Special,Notes and
7-------------------_------------------------------
Comments
85 L.F. 6' GARDEN
WALL, ORCO SYSTEM
`
Fee summary
-----------------
Charged
Paid
Credited
Due
Permit Fee Total
--------------------
54.00
----------
.00
----------
.00'
54.00
Plan Check Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.00
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 # \
Project Address: �� 1 L `
Owner's Name: Shea Homes
A. P. Number:
Address: fiuu 14S,
City, ST, zip: La Quinta, CA 92253
Legal Description: Trilogy @ La Quinta
Contractor: Shea Homes
Telephone:
Y .
Address:
Project Description: Lot If) 3
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall - if x 6' & 3'
Telephone: 760-777-62 _
aw, a
Orc03o Garden Wall'- If x 6'
State Lic. # : 640934
City Lic. #:
Orco Retaining Wall - If x 3'
Arch., Engr., Designer:
Orco Knee Wall - If x 4'
Address:
City, ST, Zip:
Called Contact Person
Telephone:
; ` '
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie Lares
Sq. Ft.:
#Stori1:7-7
s
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: 00 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.
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
J "
IN HOUSE:-
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