09-0736 (BLCK)t"' '
P.O. -BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 090-0000736
Property Address: 81307 JASMINE CT
APN: 764-280-999-35 -300236-
Application description: WALL/FENCE
Property Zoning: MEDIUM_ HIGH DENSITY RES
Application valuation: 1250
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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
Contractor:
Applicant: Architect or Engineer: SHEA HOMES LIMITED ERSHI
60800 TRILOGY PKW
LA QUINTA, CA 92 3
\ (760) 777-6032
Nl� Lic. No.: 855368
LICENSED CONTRACTOR'S DECLARATION
under penalty of perjury that I arflicensed under provision of Chapter 9 (commencing with
of Division 3 of the Business and of�s�si'o'ry�ls Code, and r License is in full force and effect.
13 i n l ! Aicense Nd: 8►55368
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur hat 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 _) 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: a
Lender's Address: lit
LQPERMIT
Date: 7/28/09
WORKER'S COMPENSATION DECLARATION\
I hereby affirm under penalty of perjury one of the following declarations:
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
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
rson in any manner so as to become subject to the workers' compensation laws of California,
aa Id agree that, if I should become uNect to the workers' compensation provisions of Section
79Wthe Labor Code, I shall fo with comply with those provisions.
ate: !;�l licant:
WARNING: FAILURE TO SECURE WOS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA 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.
I certif that I h e read this application and state that the above information is correct. I agree to comply with all
an unty r i nces and state laws relating to building constAction, and hereby authorize representatives
ofts u t n upon the above-mentioned pr ty for insp on purposes.
ate: nature (Applicant or Agent):
1
r'
Application'Number . . . . 09-00000736
Permit . . . . . . WALL/FENCE
PERMIT
Additional desc . . '
Permit Fee 31.00
Plan. Check
Fee
.00
Issue Date.
Valuation
. . .
. 1250
Expiration Date 1/24/10
Qty Unit Charge Per
Extension
BASE
FEE
15.00
8.00 2.0000 HND BLDG
501-2,000
16.00
- - ---- ------------------------------------------
Special Notes and Comments
50 L.F. COMBO WALL, 3' RETAINING
6' a
GARDEN, ORCO SYSTEM. 2007 CODES
----------------------------------------------------------------------------
Other Fees . . . . ... . . BLDG
STDS ADMIN (SB1473)
1.00
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 31.00
----------
.00
----------
.00
31.00
Plan Check Total .00
.00
.00
.00
Other Fee Total 1.00.
.00
.00
1.00
Grand Total 32.00
.00
.00
32.00
LQPERMIT
Bin#
Submittal
City of La Quinta
Recd
Permit #
PERMIT FEES
Building & Safety Division
Plan Sets
P.O. Box 1504,78-495 Calle Tampico
Plan Check submitted
La Quinta, CA 92253 - (760) 777-7012
Amount
Building Permit Application and Tracking Sheet
Project Address:I , -C
�, „
Owner's Name: Shea Homes
A. P. Number:
Plan Check Deposit
Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor:. Shea Homes
Telephone: 760-777-6032
Address: 60-800 Trilogy Parkway
Project Description: Lot
City, ST, zip: La Quinta, CA
92253
Orco Combo Wall - �)Q If x 6' & 3'
Telephone: 760-777-6032
<_
-0
Orco Garden Wall - . If z 6
State Lic. #: 640934
Flood plain plan
City tic. #:
Oreo Retaining Wall - if x 3'
Arch., Engr., Designer:
Oreo Knee Wall - If x 4'
Address:
City, ST, Zip:
Telephone:
E F ��
`
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie Nieto
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPUME 00 NOT WRITE NELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIUNG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked up f
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
S.M.I.
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
.Grading
Developer Impact Fee
IN HOUSE:-
"d Review, ready for corrections/issue
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
��
i
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09,�00000736D
Property Address:
81307 JASMINE CT
APN:
764-280-999-35 -300236-
Application description:
WALL/FENCE
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
1250
Tu!t
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
�/A
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby a m under enalty of perjury that I am ' ensed under provisions of Chapter 9 (commencing with
Section 70 01 of Div' ion of the Business an Pro sionals Cade, n my License is in full force and effect.
Lice4ne Cla Licens o. 72285ILItnt ctor:
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 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
�o
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
i
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/07/09
SCOTTSDALE, AZ 8158 f
Contractor: OCT
SHEA HOMES, IN QI 2009 ?�'I
60800 TRILOGY R
LA QUINTA, CA 42253 CITY 0. f
4�ii
...R ti'J cA
(760)777-6005 `a'f`."kf. ut;PT
Lic. No.: 672285
-----------------------------------------------
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.
_ 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 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 beco subject to the workers' compensation laws of California,
nd agree that, if I s Id become ject to the workers' compensation provisions of Section
1 `gyp f the Labor o shall fo with comply with those provisions.
_A k_7
WARNI G: FAILURE TO SECURE 0 ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIPt9L 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 perrpit, 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
cit and unty or Knces and state laws relating to building constru n, and hereby authorize representatives
of is co a upon the above-mentioned pro for 'nspe n purposes.
i ature (Applicant or Agent)
0,
Application Number . . . . . 09-00000736
Permit . . . . . .' WALL/FENCE-PERMIT
Additional desc .
Permit Fee . . . . 31.00 Plan Check Fee
00
Issue Date . . . . 7/29/09 Valuation . . .
. 1250
Expiration Date 1/25/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
8.00 2.0000 HND BLDG 501-2,000•
16.00
--------------------------------------------------------7-------------------
Special 'Notes and Comments
50 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 31.00 31.00 .00.
.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 5.50 1.00 .00
- 4.50
Grand Total 36.50 32.00 .00
4.50
LQPERMIT