08-1290 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
Application Number: 08-00001290
Property Address: 6015.1 TRILOGY PKWY
APN: 764-270-999-136 -300231- t
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 4300
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License C ss: B License o.. 672285
ate: ZZ tractor:
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).:
(_) 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 _ 1 1, 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.).
(_) 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
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE,-AZ 85258.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/30/08
Contractor: D u
SHEA HOMES, INC.
60800 TRILOGY PAR A AUS 22 EU '0
LA QUINTA, CA 922 3
(760)777-6005 I
Lic- No.: 672285 CITY OFLAGUIIu,.
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
1 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.
A 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 AMERICAN HOME Policy Number CA 1593364
I certify that, in the performance of the 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,
and agree that, if I should become subject t corkers' compensation provisions of Section
700 of the Labor Cod all forthwit ith those provisions.
e: 22 14 pplicant: ,
WARNING: FA URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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. - - - -
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and h authorize representatives
of t/his/[c�//pnty t//ryenntter uponOe above-mentioned pr ope r�++s ection pur /
atm , g; gnature.(Applicant or Agent1:
-
n
Application Number . . . . 08-00001290
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 72.00
Plan Check
Fee
.00
Issue Date
Valuation
. .
. 4300
Expiration Date 1/26/09
Qty Unit Charge Per
Extension
BASE FEE
45.00
3..00 9.0000:THOU BLDG 2,001-25,000
27.00 -
-----------------'---------
Special Notes and Comments
------------
------
---------------
.172 L.F. 8' PERIMETER WALL AT IRRIGATION'
PUMP STATION TOWARD.BACK OF DRIVING
RANGE, ORCO SYSTEM
Fee summary Charged Paid
Credited
Due
Permit Fee Total 72.00
.00
.00
72.00
Plan Check Total .00'
.00
.00
.00
Grand Total 72.00
.00'
.00
72.00'
LQPERMIT
.
N ,
QUWC44J
BUILDING & SAFETY DEPARTMENT
F iY�9`S� (760) 777-7012
00 FAX (760) 777-7011
To: Greg Butler, Building & Safety Manager To CDD:
.From: Planning
Building Permit Release
(This.is an approval'to issue a Building Permit)
The Community Development Department has reviewed the following project:
Description: n -
Address or general location:
APN and or legal description:
The Community Development Department finds that:
❑ ...issuance of this.Building Permit does not require Community Development '
Department approval.
... issuance of this Building Permit is approved by the Community Development
Department.
l
?�T�1�fj
Planner sioa
KAY'S GRN SHEET.doc
7/15/2004
P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (7 60) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
S
To.- Greg Butler, Building & Safety Manager To PW: 7-
From: PAUL GOBLE; SENIOR ENGINEER Due Date: S/
Permit #: Status:
Building, Plans Approval
(This is an approval to issue a Building Permit)
The Public Works Department has reviewed the Building Plans for the following
project:
Description:
Address or General Loca ion:
� 0
Applicant Contact:. 7,PAq7y'�
The PUBLIC WORKS DEPARTMENT finds that:
❑ ...these Building Plans do not require PUBLIC WORKS Department
approval.
❑ ...these Building Plans are approved by the. PUBLIC WORKS Department.
QwAt-&-) MA - f _12ec�rzf_
these B i�ld P hs reqttre-corrections. Please forward a copy of the
attached to the applicant. -When the corrections are made
please return them to e PUBLIC WORKS Department for review. T e44-1C�c-K—
S C eE
� I
AT-
Sh/M " �-V r '—" Ora iEiL
PAUL GOBLE SENIOR ENGINEER Ir RECEVEb
Date z
JUL 2 2008
SeTvlces
®eivelO
ment - }
CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHE
PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERIVf
Form updated & .effective 6/2612008 c•
Green Sheet aDDrovals are forwarded to the Buildinq & Safety Department directly by rub
NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL -
requirements listed below are complete. Incomplete applications or applications which cannot be processed will be
returned to applicant. (�
Date: eVt
49 Developer: e'�--� U l PiS
TractIN.: Tract Name: "j'�� o Lot No.(s): p
Address(s): - $I -r'; Q /+ Ph9ne Number: 7Z �97
411/
The following are the requirements r Public Works Clearance fo auth nze issuance a building p it from e
Building & Safety Department:
❖ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4 AND #5 BELOW CgCEIVED
❖ TRACT HOMES: PROVIDE ITEMS #1, #2, #3F'#4 (AS APPLICABLE) AND #6 BEL
❖ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3 AND #5 BELOW AUG 9 ZO08
WALLS: PROVIDE ITEMS #7 BELOW
❖ SIGNS: PROVIDE ITEMS #8 BELOWeDf: S_rvices
❖ OTHER: PROVIDE ITEM #9 BELOW Developm
1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad
(maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6
months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet
submittal until a Pad Elevation Certificate can be provided.
2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed
Soils Engineer. Recently rough graded residential developments which have a previously approved
geotechnical certification are exempt from this requirement.
3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots.
Final maps may be viewed at the .following website:
http://www.la-guinta.org/PlanCheck/m search.aspx
4. Attach a completed <1 acre per lot or infill project Fugitive Dust Control project information form, PM1 C
plan & agreement or provide alternative.& valid City approved PM10 plan set reference number or hard copy
plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately witF-
grading plans & are subject to additional requirements. A current PM10 certification number is required.
5. Attach a copy of the precise grading plan to the Public Works Department showing building location(s). AC
flood zone developments will require an approved flood plain development plan.
6. Attach an approved rough or precise grading plan for the building location(s) for pad elevation verification or
City plan set number if available. Plans may be viewed at the following website:
http://www.la-quinta.org/PlanCheck/m search.aspx
Attach wall plan & related approved grading plan.
Attach sign layout/plan & related precise grading/landscape plan.
9. Attach supporting documentation for grease trap or special facility installations.
I have reviewed and confirmed the requirements listed- above as presented and find the
sufficiently complete for construction of the proposed buildings/structures/walls/signs c
Pursuant to my findings, the above project may be released for building permit issuance.
Recommended by: \CDated:
Public Works Distribution: (_) Green Sheet to Building & Safety
(_) Green Sheet to Planning Department
Declined for approval for reason(s) as follow(s), Blease correct and resubmit:
improvements to be
the subject lot(s),.
Page 1 of 4
Bin #
,
City of La Qu►nta
Building 8r Safety Wilon
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 `
Building Permit Application and Tracking Sheet
Permit # 0P.O.
Project Address:
Owner's Name: 14ol,"gs
�AeSN6,A
A. P. Number:
Address: (VO -800
Legal Description: —r 1 L,bV 0 Qu I rsJ'T—pq
City, ST, Zip: M 6kM /VT 4 C q . 1 Z2S3
Contractor:SHEA I'+OWlf-S
Telephone: ?&0 ^ -777 ^ ('p4103 �•4;N<•;<:!:��wi:�>�::<:�sk:}`>i:'<€?:
.vJ.v
Project Description:
Address: �PQ —900 LO64- 71W&V)f V
City, ST, Zip: LA Q(,(,( N`m G1 u 53
Telephone: r"< ytiyti �:?r'°4f •
P 7!>,0 7 ? ? - tooc? }.;:
;';S.i +:i::!.;•.•1,.,5;•5:}.::.:.:rrf.::r '!?;::::
.17Z LF _
State Lie. # : b40,734 City Lie. #•:
Arch., Engr., Designer:
Address:
hprjk o (/ PK l VIA rI
City., ST, Zip:
Telephone:
P
ti>>:}:.;fi rY�:::.:!:: ::>>'':`•.
Wrhv::v
Construction Type: Occupancy
State Lie. #:
Project type (circle one): New Add, n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: J 4r If S
Telephone # of Contact Person: -71v O - Z-7 Z — q-718,
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" 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:-
'"' 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
Total Permit Fees
771-2.. i rf Z ODD
1 -� P/, — .DPW 7/OS"
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