10-1220 (BLCK)F
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: � 10-000.01220
Property Address: 61210 TALEA DR
APN: 764-280-004-34..-35996 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2375 .
f
BUILDING & SAFETY DEPARTMENT
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT
I hereby affir under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing` with
Section 7000 of'D vision 3 of the Bus'lessand Professional Code, and my License is in full force and effect.
Lice s ass: B.
Li ense No.: 672285
ate. �v ontractor:
OWNER -BUILDER DECLARATION.
I hereby affirm under penalty of perjury that I am exempt from'the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions .Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
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).:
(_ 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
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is 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 I, 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 I am exempt under Sec. , B,&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: -
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
,'INSPECTIONS (760) 777-7153
Date: 11/09/10
Owner: r r
SHEA LA QUINTA Q t
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
i
Contractor: ✓~ =`i;''•1�`E`
SHEA HOMES, INC. Ot�'(�r,y't;��E x• i!�
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)77776032
Lic. No.: 672285
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
'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
insurance carrier and policy number are: -
Carrier LIBERTY MUTUAL 'PolicyNumber WA266DO66115030
I certify that, in the performance ofthe work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
anfl agree that, if I should become subject to the workers' compensation provisions of Section
j 0 of the Labor Code, I shall forthwith comply with those provisions.
Dat A icant: '
WARNING: FAILURE TO'SECURE 0 KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND .
DOLLARS ($100,000). 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 act or 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
permit to cancellation. -
certify that I have read this application and state that the above information is correct. I agree to comply with all
city and coun or' inances and state laws relating to building construction, and hereby authorize representatives -
;ate:
f th' unty [o/e1 ter upon the above-mentioned property for inspection purposes.
✓ a re (Applicant or Agent):
Application Number .10-00001220
T Permit. WALL/FENCE PERMIT _.
Additional desc
Permit Fee 54.00 Plan Check Fee
.00
Issue Date Valuation
2375
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 .
95 L.F. 6' GARDEN WALL, ORCO SYSTEM.
2007 CODES.
------------------_--------------------------------- - - ---- .
Other Fees BLDG 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
s' Other'Fee Total 1.00 .• 00 } '.00
1.00 S
• Grand Total 55.0.0 ', .00 .0o
55.00
LQPERMIT. -
_ ,
Bin #
• City of La-Quinta
Req'd
Permit #
" ; Building & Safety Division
^ PERMIT FEES
P.O. Box 1504,78-495 Calle Tampico
' O' •
La Quinta, CA 92253 (760)777-7012,,' ".
Building Permit Application and Tracking Sheet
Project Address: 61210 Talea Dive
Owner's Name: Shea Homes, Inc.
A. P. Number: r
Address: 60918 Desei*t'Rose Drive
Legal Description: Trilogy @ La Quinta Annex
City, ST, Zip: La Quinta, CA 922531
Contractor: Shea Homes
• C
Telephone: 760=777-6032
5".i+.'w`'. 4,,7..."i+' ;, ` w
'''' w •i .
Address:. 60918 Desert Rose Drive"
Project Description: Lot 34
City, ST, Zip: La Quinta, CA 92253
Truss Cates.
Tele hone: 760-777-6032
p
` r''�`
�'
Oreo Garden Wall - 95 if x 6' r ;
,t^ _•
State Lic. # : 640934
City Lic. #:
s
i
Arch., Engr., Designer:
Plans picked up
Address:
Construction
City, ST, Zip:
Telephone: p
i t ,: yk r x
Construction Type: Occupancy'
Plans resubmitted
`
Mechanical'
State Lic. #:
�t` s� �. ;� y
Project type (circle one):New; Add'n Alter Repair Demo
2od Review, ready for corrections/issue
Electrical
Name of Contact Person: Gabbie Nieto
S ft
Q• " •
#Stories: _
#Units: "
Telephone # of Contact Person: 760-777-6032 ',
Estimated Value of Project:
APPLICANT: 00 NOT WRITE BELOW TN18 LINE 1
# .
. Submittal
Req'd
Ree'd
TRACKING #
^ PERMIT FEES
Plan Sets
Plan Check submitted .
Item '
Amount
Structural Cates.
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
Mechanical'
Grading plan
E
2od 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
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
�'
Called Contact Person
A. 1. P. P.
Pub. Wks. Appr
Date of permit issue
School Fees
Tota_7_
l Permit Fees
55
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