10-1219 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92,253
Application Number: 10-00001219 a
Property Address: 61170 TALEA DR
-APN: 764-280-004-36 -35996
Application description: WALL/FENCE
y Property Zoning: -LOW DENSITY RESIDENTIAL
Application valuation- 2125
4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153.
BUILDING PERMIT y
Date: 11/09/10
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
Contractor:
�t ,I
`Applicant: Architect or Engineer: SHEA HOMES, INC. v
60800 TRILOGY PARKWAY i nen 2��0
LA QUINTA, CA 92253
(760) 777-6032
Lic. No. 672285
LQPERMIT - - -
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LICENSED CONTRACTOR'S DECLARATION
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under, provisionsof Chapter 9 (commencing with -
I hereby affirm under penalty of perjury one of the following'declarations: -
Section 7 00) of Division 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
Lic`r(se License No.: 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
,I have workers' compensation insurance, as required by Section 3700 of the Labor
Date: �Oontra.t.,:
and will maintain
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 1 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
and 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
3 0 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
IN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: - icant:
(_) 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
WARNING: FAIL - E TO SECURE WOR ' COMPENSATION 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 UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS (5100,000). 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
(_) 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 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 contractors) 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, .
( ) I am exempt under Sec. , B.&P.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. - •• -
- - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
3
I certifythatI 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. 3097, Civ. C.).
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
_
-
Lender's Name:
ou t ntu Ponhe above-mentioned property for inspection purposes.
G11
A.
n
1 i ature (Applicant or Agent):
rDa
Lender's Address:
LQPERMIT - - -
Application Number . . . -10-00001219
Permit WALL/FENCE PERMIT
Additional desc
_
Permit Fee.. 54.00, Plan'Check
Fee •.
.00
Issue.Date" Valuation
2125
Expiration Date 5/08/11
Qty Unit Charge Per
Extension
BASE FEE
.45.00
1.00 9.00.00 THOU BLDG 2,001-25,000
9.00
------------------------------------------------------------------------------
Special Notes and.Comments
85 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
.00
.00 '
- Other Fee Total .1.00 .00 -
.00
1.00
Grand Total 55.00 .00
.00
55.00
LQPEPMIT' ..
.
r a •
B`" #
City -of La ,Qu i nta
Req'd
Permit #
Building & Safety Division
PERMIT FEES.
P.O.'B6x 1504, 78-495 Calle Tampico
Plan Sets
La Quinta, CA 92253 = (760) 777=7012
�D 4
Building Permit Applicationand7racking.Sheet
Project Address: 61170 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
�.
'Address: 60918 Desert Rose Drive
Project Description: Lot 36
City, ST, zip: La Quinta,•CA 92253
Truss Calcs.
_
Telephone: 760-777-6032
. ,'`�S a tar b., �� • ,v' +ti h -
y '� Y'
'Oreo Garden Wall - '85 if x 6' F
Energy Cales.
State L. # . 640934
City Lic. #:
s
Arch., Engr., Designer:
4
'
Address:
t !
City, ST, Zip:
•�
Type:Telephone: ConstructionOccu ane y
Mechanical
State Lic. #: r"sr✓
+� °�« dx`
Project type (circle oney: New Add'n Alter Repair, Demo
t
2nd Review, ready for corrections/issue
.
Name of Contact Person: Gabbie Nieto
Sq. Ft.:
# Stories:
# Units: '
Telephone # of Contact Person:, 760-777-6032
Estimated Value of Project:
APPLICANT: 00 NOT WHITE BELOW THIS LINE'
#
Submittal
Req'd
Rec'd'
TRACKING.
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit'
Truss Calcs.
Called Contact Person.
Plan Check Balance
Energy Cales.
Plans picked up-
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan t
t
2nd Review, ready for corrections/issue
.
Electrical
Subcontactor List
Called Contact Person
Plumbing
-
Grant Deed
F
Plans picked up
_
S.M.I.
�
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`d 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
'
-
a
Total Permit Fees
55