10-1221 (BLCK)P.O. BOX 1504
78-495 CALLE. TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
10__OQ061221
61190 TALEA DR
-764-280-004-35 -35996 -
WALL/FENCE
LOW DENSITY RESIDENTIAL. "
2500
�46
BUILDING & SAFETY DEPARTMENT
BUILDING ,PERMIT
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKW
LA QUINTA, CA 92253 t
1
Contractor:
.VOICE (760) 777-7012
FAX (760) .777-7011
INSPECTIONS (760) 777-7153
Date: 11/09/10
p `
r.q%lon,
Applicant: Architect or Engineer:
SHEA HOMES, INC60800
TRILOGY TRILOGY PARKWAY 1
LA QUINTA, CA 92253
(760)777-6032
- 1 _
Lic. NO.: 672285
- — — — — — — — — — — — — — — — —
— 7 — — — _ _ — — — — — — — — — — — — ---
• LICENSED CONTRACTOR'S. DECLARATION
WORKER'S COMPENSATION DECLARATION .
' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I, hereby affirm under penalty of perjury one of the following declarations: -
Section 7000) 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
Liceng�Cla!*: B License No.: 672285 -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '
'
--1111'--dd11��--�(�
- ate: ""' ontractor: `>
u issued.
K 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 WA-266DO66115030
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
3700 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: ","cant: "- -
(_) I, as owner of the property, or myemployees with wages as their sole compensation, will do the work, and
. the structure isnotintended or offered for sale (Sec. 7044, Business and Professions Code: The -
WARNING: FAILURE 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 ($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 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,
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. -
_
r I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I 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.).
o my ordinances and state laws relating to building construction, and hereby authorize representatives
'�50
• _ -
ty t enter upo he above-mentioned property for inspection purposes.
Lender's Name:
`�
nature. (Applicant or Agent_):
Lender's Address:U.
LQPERMIT A
Application Number . . . . 10-00001221
Permit . . . WALL/FENCE PERMIT
Additional desc
-
Permit Fee 54.0.0 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 2,001-25,000
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 .00
.00
Other Fee Total 1.00 .00 .00.
1.00
Grand Total 55.00 .00 .00
55.00
LQPERMIT -
"
Bi"#:
'V City of La,Quinta
Rcq'd
-Permit #.
'y1
Building & Safety Division .
'
PERMIT FEES
P.O. Box 1504, 78-495 Calle Tampico
Plan Sets
La Quinta, CA 92253 - (760) 777-7012
R
Building Permit Application and Tracking Sheet
Project Address: 61190 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
Plan Check Deposit
Address: 60918 Desert Rose Drive
3
Project Description:,,, Lot:35 '.
City; ST, Zip: La Quinta, CA 92253
Called Contact Person
Telephone: 760-777-6032
Ilk
Oreo Garden Wall - 100 If x 6'.
Energy Calcs.: -
Lic. # : 640934
City Lic. #:
.State
Arch., Engr., Designer.
K
Address:
Plans resubmitted +
City, ST, Zip:
,
Telephone:
y* �t ' • r
Construction Type: 'Occupancy:
god Review, ready foi• corrections/issue
State Lic. #:
�; ,ted c �n �w,"
Project type (circle one): New Add'n Altera Repair Demo,
Name of Contact Person: Gabble Nieto'
Sq. Ft.:.
# Stories:
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS LINE +
#
Submittal
Rcq'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
"Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan CheckBalance
Energy Calcs.: -
Plans picked up
Construction
Flood plain plan
Plans resubmitted +
Mechanical
y
Grading plan
god Review, ready foi• corrections/issue
Electrical
Subcontactor List
Called Contact Person-
Plumbing
Grant Deed
Plans picked up
S.M.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
r
Developer Impact Fee
Planning Approval
Called Contact Person c
A.I.P.P.:'
Pub. Wks. Appr
Date of permit issue,
School Fees
7
:�
Total Permit Fees
55