10-1223 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO ;
LA QUINTA, CALIFORNIA 92253 - BUILDING &- SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: -10-00001223 Owner:
Property Address:. � 61060 TALEA DR- SHEA LA QUINTA
APN: 764-280'-004-4 -35996 - 60800 TRILOGY PARKWAY
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2500 '
_ Contractor:
Applicant: • Architect or Engineer: ' SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:' 11/09/10
(.760) 777-6032
�i LiC. No.: 672285
--------------------------------------- --------------------------------------- -------------------
LICENSED
—'— --------------------------------
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION _
I hereby affir under penalty of perjury that 1 amlicensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one'of the following declarations:. '
Sectio 000 9f Di ision Sof the Business aProfessionals 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 e C ss $.. _ Lic se No.:. 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. -
ate. ntractor: Y -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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number WA266DO66115030-
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensationlawsof California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State, d agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or r 700 of the Labor. Code, I shall forthwith comply with those provisions. - that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by W
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Da i . plicanC
1 1 1, 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 WARNING: FAILURE TO SECURE WORKER OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO'CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
J
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000).,, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
_improvements are not intended or offered for sale. If, however, the building or improvement is sold within
_
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'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.): -
APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety.for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions •set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon. whose behalf this application is made, each person at whose request and• for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , BAP.C. for.this reason
the owner, and theapplicant, 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. '
Date: - Owner:
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
' CONSTRUCTION LENDING AGENCY
permit to cancellation. -
f perjury that there is a construction lending agency for the performance of the - -
I hereby affirm under penalty of -.
I certify that have read
this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3697, Civ. C.).
• •
city and cou
oYt is
ty ordi
to tot
nces and state laws relating to building construction, and hereby authorize representatives
r upo t above-mentioned property for inspection purposes.
Lender's Name:
Date�,y
i ure (Applicant or Agen
Lender's Address: ' 0? • -
LQPERMIT
Application Number 10-00001223
t
Permit WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 54.00 Plan Check
Fee
.00
Issue Date- Valuation
.2500
Expiration Date 5,/08/11.
Qty Unit Charge .Per
Extension
BASE FEE
45.00
1.00 9.0000 -THOU BLDG 2,001-25,0.00 .•
9.00
Special Notes and Comments
100 L.F. 6' GARDEN WALL, 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 .00
0.0
.00
Other Fee'Total 1:00 .00
.00
1:00
Grand Total 55.00 .00
.00
55.00
LQPERMIT - -
.
Bin #
Submittal
City of La Quinta�
Rec'd
Permit #
PERMIT FEES
Building & Safety Division _
Plan Sets
P:O.'Box 1504,78-495 Calle Tampico `•
Plan Check submitted
La Quinta, CA 92253 - (760) 777-7012
Amount
Building Permit Application and Tracking Sheet',"
Project Address: ' 61060 Talea Drive
Owner's Name: Shea Homes , Inc.
A. P. Number:
t
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
Called Contact Person
Plan Check Balance
Address: 60918 Desert Rose Drive
Project Description: Lot 4
City, ST, zip: La Quinta, CA
92253
( r
Telephone: 760-777-6032
tK � 1 p�,,,a y
*�� 11x+x ,a< 'il_
Oreo Garden.Wall - 1001f x 6'
Plans resubmitted k•
State Lic. # : 640934
City Lic. #: '
Grading plan
Arch., Engr.,;Designer.
t
2nd Review, ready for corrections/issue
Address:
Electrical
'
City, ST, Zip:
Subcontactor List
Telephone:
Called Contact Person
[F4 ryr �{ �k , y ,k ( 4*V�T,T
Construction Type: Occupancy:
Grant Deed r,
State Lic. #:
�' ara ; _� 4�I.d �h� r
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:
Plans resubmitted
APPLICANT: 00 NOT WHITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
+,
Plan Check submitted
Item
Amount
Structural Calcs.
b
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs. +
Plans picked up
Construction
Flood plain plan
Plans resubmitted k•
Mechanical
Grading plan
t
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
0
Plumbing
Grant Deed r,
Plans picked up
S.M.1.
H.O.A. Approval
Plans resubmitted
Grading
INHOUSE:-
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
r
total Permit Fees
�5