10-1217 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Qum I
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ApplicationNumber: 0061i 1.7 �.
Property Address: 61080 TALEA DR
APN- 764-280-004-3 -35996 -
Application description: WALL/FENCE
Property Zoning: LOW•,DENSITY RESIDENTIAL
Application valuation: 2000
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253 -,
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC.
60800'TRILOGY PARKWAY
LA QUINTA, CA.92253
(760)777-6032
.1/ LiQ. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/09/10
0 2013 1-1 d
LQPER.MIT. „ 1
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- _LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION
I hereby a irm ui der penalty of perjury that am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: ,
Section 7 0) of ivi ion 3 of the B sines nd Professional 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
U I cense No.: 672285
UP
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. t4
�htractor: i
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:
Ihereby 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' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
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) or0
of the Labor Code, I sl Il;forthwith comply wi h those provisions. -
- that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
-
-
AWARNING:
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:plicant:
(_ 1 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
E TO SECURE WORKERS' 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 PENALTIES AND CIVIL FINES IP TO ONE HUNDRED THOUSAND
-FOR
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 IN '
-- - -improvements are not intended or offered for sale. If, however, the buildingor improvement is sold within
- SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - - -
„ . one year of completion, they owner -builder will have the burden of proving that he or she did not build or
'
improve for the purpose of sale.). - -
- APPLICANT ACKNOWLEDGEMENT
(_) I, 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 LawJ.
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 1 I am exempt under Sec. , BAP.C. for this reason
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.
- 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. _ -
Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that have =this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and cou ty ord nances and state laws relating to building construction, and hereby authorizerepresentatives
of this c o e er upon the above-mentioned pro erty for inspection purposes. -
• Lender's Name:
nature (Applicant or Agent):
Lender's Address:
-
LQPER.MIT. „ 1
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Application Number 10-00001217•
-Permit _ WALL/FENCE PERMIT`
Additional desc
_ Permit Fee 45.00 Plan. Ch_ eck `Fee
.00
Issue Date Valuation
"2000 '
Expiration Date 5/08/11:
r Qty Unit Charge Per
Extension
BASE FEE
15.00
_ 15.00: 2.000.0 HND- BLDG 501-2,000,,_ +'
30.00
--------------------------------------------------------.--------------------
• Special Notes and Comment's
80 L.F."6' GARDEN WALL, ORCO SYSTEM.
2007 CODES.
--
-----Other FeeB - ---. BLDG STDS ADMIN (SB1473).-'--
.-.-.-.7. ---
-- -
1.00---
.
Fee summary. •Charged Paid Credited
---- -.
"Due '
---------------------------
Permit Fee Total 45.00 .00 .00
45.00
' Plan Check Total .00 •.00 .00
.00
'Other Fee Total 1.00 .00 ..00
1.00
Grand Total 46.00 .00 .`00
46.00
LQPERMIT
Bin, #
City of La Quinta
Building & Safety Division
Permit # w
1
P.O. Box 1504,78-495 Calle Tampico • �• '
D l �' ••
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La Quinta, CA 92253 - (760) 777-7012
Plan Sets
Building Permit Application and Tracking Sheet
Project Address: 61080 Talea Drive
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
'Reviewed, ready for corrections
,.
Address: 60918 Desert Rose Drive
Project Description:'Lot 3
City, ST, zip:, La Quinta, CA 92253
-
Telephone: 760-777-6032rlj
r 4�4�,;, V
Oreo Garden Wall - 801f x 6
State Lic. # : 640934 _
City Lic. #:
Arch., Engr., Designer:
j
Address:
`
City, ST, Zip:
Construction
Telephone:
A'1 �'"'tea •�.` ,��.t%i�,:�-a .x>:;
j?,r�
,
Construction Type: Occupancy:
F``
Plans resubmitted ,
State Lic. #:
'
Project type (circle one): New Add'n ;Alter Repair Demo
Grading plan
Name of Contact Person: Gabbie Nieto •
Sq. Ft.:
# Stories:
# Units:'
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project: • '
APPLICANT: 00 NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES .,
Plan Sets
E -
Plan Check submitted
Item
Amount
Structural Cales.
'Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked no
Construction
Flood plain plan
Plans resubmitted ,
Mechanical
Grading plan
o
2"d Review, ready for. corrections/issue
Electrical I
c
Subcontactor List
,f
Called Contact Person
Plumbing
Grant Deed
Plans picked up
J �
S.M.I. -
H.O.A. Approval
Plans resubmitted y
'.
Grading
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
—
5
Total Permit Fees
�- '