09-0734 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09=00.000734)
Property Address:
81283 JASMINE CT
APN:
764-280-999-33 -300236-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2125
Applicant:
Tjht 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011 '
INSPECTIONS (760) 777-7153
O Date: 7/28/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN �4
8800 N GAINEY CENTER 50
SCOTTSDALE, AZ 85258•
r.+
J.,
Contractor:
SHEA HOMES LIMITED PARTNERSHIP'�,.�-Y-- ; J
o!
60800 TRILOGY PKWY ti,r %�-
-LA QUINTA, CA 92253
(760)777-6032
Lic. No.: 855368
LICENSED CONTRACTOR'S DECLARATION
I h reby affir under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Se 7000) of Division 3 of the u•tri s and Profe sio Is Code, and my License is in full force and effect.
Atse s: B /\ cense No.: 855368
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 1, 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 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 contractorls) 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: pIr
LQPERMIT
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 NTL UNION INS Policy Number WC1894819
1 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 bec me subject to the workers' compensation laws of California,
and agree that, if I should becom s bject to the workers' compensation provisions of Section
x'10 of the Labor ode, I shall f rt with c mply with those provisions.
�D/I1Me. pplicanr.
WARNING: FAILURE TO SECURIWOKE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CNALTIES 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.
I certi that I .h ve read this application and state that the above inf rmation is correct. I agree to comply with all
a coun rdinances and state laws relating to building const tion, and hereby authorize representatives
I is t e ter upon the above-mentioned property for insp ion p poses.
a at
ignature (Applicant or Agent):
LQPERDIIT
Application Number
09-00000734
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee
54.00 Plan Check Fee
.00
Issue Date. . . . .
Valuation . . .
. 2125
Expiration Date
1/24/10
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
85 L.F. COMBO WALL, 3'
RETAINING, 6 -
GARDEN, 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
j
Bin#
City of La Quinta
Req'd
fermit #
'1
Building & Safety Division
n
P.O. Box 1504, 78495 Calle Tampico
Plan Sets
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:
Item
Amount
Owner's Name: Shea Homes
A. P. Number:
Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor: Shea Homes
Telephone: 760-777-6032
IBM
Address: 60-800 Trilogy Parkway
Project Description: Lot `33
City, ST, zip: La Quinta, CA 92253
Orco Combo Wall -'85 If x 6' & 3'
Telephone: 760-777-6032
Called Contact Person
Oreo Garden Wall - . If z 6' =
State Lic. # : 640934
City tic. #:
Orco Retaining Wall - If x 3'
Arch., Engr., Designer:
Orco Knee Wall - If x 4'
Address:
City, ST, Zip:
Telephone: s.,
Construction Type: Occupancy:
State Lic. #: g
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Name of Contact Person: Gabbie Nieto
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPUCANT: 00 NOT WHITE BELOW THIS LIME
#
Submittal
Req'd
Rec'd
TRACIUNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up '
Construction
Flood plain plan
Plans resubmitted J ,
Mechanical
Grading plan
2nd 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:-
70 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
5
t . N
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number.
X09=000OA734
Property Address:
81283 JASMINE CT
APN:
764-280-999-33 -300236-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
2125
Tu�/ 4 4 4"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirm un r penalty of peri th t I am licensed nder provisions of Chapter 9 (commencing with
Section 7 00) of ivision 3 of the B s e and Profe sio als Code, and my License is in full force and effect.
Lice s'C a • nse No.: 672285
at ntractor:
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 _ 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.).
(_) 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
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/07/09
l; •t- 91 1
r%-
WORKER'S COMPENSATI • ATION
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 NTL UNION INS Policy Number WC6987825
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 su 'ect to the workers' compensation laws of California,
a d agree that, if I should become subje o the the
compensation provisions of Section
00 f the Labor Cod , sha I fonhwit omp y with those provisions.
at ant:
WARNING: FAILURE TO SECURE WOR' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION T HE 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.
iwd this application and state that the above information is correct. I agree to comply with all
nces and state laws relating to buildin constructio nd Hereby authorize representatives
upon the above-mentioned prope rsection rposes.
' ature (Applicant or Agent):
Application Number . . . . . 09-00000734.
Permit -. WALL/FENCE PERMIT
Additiori'al desc
Permit Fee . . . . 54.00 Plan Check Fee
.00
Issue Date . . . . 7/29/09 Valuation . . .
. 2125
Expiration Date 1/25/10
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
85 L.F. COMBO WALL, 3' RETAINING, 6'
GARDEN, ORCO SYSTEM.
2007 CODES
CHANGE OF CONTRACTOR FEE ASSESSED TO
INSERT SHEA HOMES INC. AS NEW CONTRACTOR
OF RECORD. -
---------------------------------------------------------------
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
-------------
1.00
• CHANGE OF CONTRACTOR
4.50
Fee summary Charged Paid Credited
----------------- ---------- ---------- ---------- ----
Due
------
Permit Fee Total 54.00 54.00 .00
.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 5.50 1.00 .00
4.50
Grand Total 59.50 55.00 .00
4.50
I
LQPERMIT