04-5765 (BLCK)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760),777-7012
78-495 CALLS TAMPICo FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153'
BUILDING PERMIT
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Application Numb . . . . . 04-00005765 Date 7/28/04
Mopelt9yOAddrness� . 60-580 STAGHORN DR
APDL: 764-270-999-68 --300233-
pphic� Uldescri� tion WALL/FENCE
p.e9VyE7Zon��ir-ng . . . . MEDIUM HIGH DENSITY RES
Application -valuation . . 3306.
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Owner Contractor
--- - - - - - - - - - - - - - - - - - - - - -. --7 ----------
----.--
SHEA LA QUINTA SHEA HOMES, INC.
C/O JEFF-MCQUEEN 81260 AVENUE 62
8800 N GAINEY CENTER,350 LA QUINTA CA 92253
SCOTTSDALE. AZ 85258 (760) 777-6005
WCC: NTL UNION INS
WC: 7165833 0.8/01/04
CSLB: 672285 06/30/05
CCC: B
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Permit . . WALL/FENCE PERMIT
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date Valuation . . . . 3306
Expiration Date 1/.28/05
t.
Qty Unit Charge Per Extension
BASE •FEE" 45. 0'0
2.00 9.0000 THOU BLDG 2,001-25,000 18.00
Special Notes and Comments
58 L.F.. 6' GARDEN WALL, 5.8 L.F. 3'
GARDEN WALL, 58 L.F. 3' RETAINING WALL,
ORCO SYSTEM
.Fee summary Charged Paid. Credited Due
Permit Fee Total 63:00 .00 .00., 63.00
Plan Check Total .00 .00 .Ov', t .00
Grand Total 63.00 .00 .00 63.00
P.O. BOX 1504 •
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 04 - 5 7 to 5 Date: -s-,.?-o
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
/�9
Lic. No..
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under enalty 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 ss Lice se s1t�V rc yff�ct. � I ; „ C S, -
License Class W d � ( icen��seNo. 1 j.Q
/date Z /Contractor ke A
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 ($500).):
U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sate.).
U I.
as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , B.8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
Jof the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�t$ed �Iy workers' ompensation in ance ca�+e��jd�polic �u(�Y�
�arrier �l Cl . VI.Yi6,6%,- �Pol�Number _ L 110 yJ 7i,S
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 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those kvisions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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.
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 n
Lender's Address A
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, indemnity 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 coreI agree to comply with all city and county ordinances and state laws relating to building
constructiop, and ereby authorize representatives of this county to a upon the ve-mentioned property for inspection purposes.
�teSi� (Applicant or Agent):
07/27/2004 09:05 17603200977 MSA SURVEY PAGE 02/02
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AIR. CONDITIONER PAD Z
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ESMT. EASEMENT
FF FINISH FLOOR ELEVATION V
PL. PROPERTY LINE
PE PAD. ELEVATION
PUE PUBLIC UTILITY EASEMENT
S SEWER LATERAL
S/W SIDEWALK
R/W -RIGHT OF WAY
LOT 000 LOT NUMBER
0000 " PIAN TYPE
ELECTRIC JUNCTION 60X
7T TRANSFORMER
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FIRE HYDRANT
RETAINING WALL
GARDEN WALL
RETAINING/GARDEN WALL .
WALL RETURN
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R/W & EIC
STAGHORNDRIVE
Approved bv: ' Date
❑ Planning Commission
Vcommunity
ity Council
Dev. Dept. 2 °
Initials _ik�___--
Case No.
Exhibit
L7 With Conditions
NOT AOR CONSTRUCTION
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TRACT NO. 30023-3 7 ADDRESS- STAGHORN DRIVE~ IrSCALE, 1•-30' DATE MARCH 19, 2004
ACKNOWLEDGEMENT: THIS emeR WAS PREPARED FOR BUYER INFORUATION ONLY.
LOCA ONS DETAILS ARE PROVIDED W OTHER DOCUMENTS. DIMENSIONS SIZES AND PLOT
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ADDITIONS D ALL RENS 9NOriN ART: APPROXIMATE AND WILL NSI S1. SI ON ND L I H
CONDITIONS. AGENCY INSPECTION REOUIREMDM,. UTILITY COMPANY REQUIREMENTS
AND OTHER FACTORS BEYOND THE CONTROL Or SHEA HOMES. SHEA HOMES EXPRESSLY
RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ALL ITEMS. TRILOGY AT LA OUINTA, RIVERSIDE COUNTY, CA.
BUYER IS ADVISED TO RENEW ACTUAL INSTALLED LOCATIONS OF ITEMS PRIOR TO THE CLOSE
OF ESCROW. NI rERO, SMITH AND ASSOCIATES, INC.
BUYER• SIGNATURE OATS PLAWMVG / CIM MGnUMZBVG / LAPM MMFM3=
PRENCNTED AND REV16WE0 BY SALES COUNSELOR: 777 A' MQV= CANYON WAY. SMT 301
SIGNATURE RATE PdLlf SP CAbIP'ORNIA 8,YY8,8�8784
ZEAHO]VJC (780 980-8811 / FAr 953-7809
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