04-7873 (BLCK)BUILDING & SAFETY DEPARTMENT
►x 1504 (760),777-7012
CALLE TAMPICO FAX (760) 777-7011
NTA, CALIFORNIA 92253 INSPECTION• REQUESTS (760) 777-7153
Application Number . .
Property Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
Owner
BUILDING PERMIT
SHEA HOMES FOR ACTIVE ADULTS
81-260 AVENUE 62
LA QUINTA CA 92253
04-00007873" Date 12/1,7/04
60605 DESERT ROSE DR
764-270-99,9-77 -300233-
WALL/FENCE
MEDIUM HIGH DENSITY RES
2125
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
WCC: NTL UNION INS
WC: 6436568 08/'01/05
CSLB': 672285 06/30/05
CCC: B
-----------------7----------------------------------------------------------
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 54.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 2125
Qty Unit Charge Per Extension
BASE FEE 45.00
1.00 9.0000 THOU BLDG 2,001-25,000 9.00
----------------------------------------------------------------------------
Special Notes and CommeDts
85 LF OF 6' GARDEN WALL ORCO STANDARD.
RET WALL @ REAR OF PROPERTY 4' FROM
EXISTING GARDEN WALL -PER APPROVED
PRECISE.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------- ----------
Permit Fee Total 54.00 .00 00* 54.00
Plan Check Total .00 :00 00 .00
Grand Total 54.00 .00 .00 54.00
P.O. Box 1504 •4 �� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:��W % 3 1 Date:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
Architect or Engineer's Address:
Lic. No..
0 (Ar
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm un penalty of perjury that 1 am licensed under provisi �t (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my Li is in full force and effect.
cense Class Cic.nse No.
/Date 1 2— Z& I'C_ontractor
OWNER43UILDER DECLARATION
1 hereby affirm under penalty of perjury that 1 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 sale.).
U 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.).
U I am exempt under Sec. , BA 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
of the work for which thi permit is issued.
h ve an 1 maintain w ers' compensation insurance, a required by Secti n 3700 of the'Labor Code, for the performance of the work for which this permit is
sued�vYprkers� tion i cy ce carri��
_ I certify that, in the performance of the work for whi ",this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomi and agree that,)) should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those si /
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
Lender's Address
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 Ouinta, 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.
1 certify that 1 have read this application and state that the above information is CAect. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this ch -0 enter uponpe above-mentioned property for inspection purposes.
/tegnature (Applicant or Age
111 1
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12/15/2004 09:42 17603200977 MSA SURVEY PAGE 03/03
PROPERTY
LINE
1-0
n
F
w
x
TF
-9—EE PLAN 7, '77
,7,
4" DIAL SDR 35 PERF PIPE W/ 1 CF. FG
3/4- GRAVEL WRAPPED W1 MIRAFI -E PLAN
[
14ON FILTER FABRIC' - 2% SLOPE TO
OUTLET PAD
DRAIN. PROVIDE OUTLETS 0 100'
INTERVALS.
LO'
X� X Ri
QIJANTITIES
(FOR PERMIT PURPOSES ONLY) P
1,975 Ur SECTION E -E
)R DETAILS. REAR YA14D BLOCK WALL LOT NOS.
RG 128
103 LF W/ RETAItj[NQ WALL PG 91
NT&
3RD SUBSTITUTE MYLAR
75 CY PER LOT THIS MYLAR IS IDENTICAL TO THE MYLAR APPROVAL
BY THE CITY ENGINEER ON O9.Z21/04, EXCEPT FOR
THE REVISIONS NOTED HEREON.
TH- NO--sHRINKAGE--------j---'--jT C26401
LOT NOS.
RG 129
Pa 92
NOS.
130
03
Ds.
14
52 LF
Y OF
990 LF
-- PLANS
ING
i.
253 LF
17,57+ SF
3,192 SF
3.
26 EA,
3RD SUBSTITUTE MYLAR
75 CY PER LOT THIS MYLAR IS IDENTICAL TO THE MYLAR APPROVAL
BY THE CITY ENGINEER ON O9.Z21/04, EXCEPT FOR
THE REVISIONS NOTED HEREON.
TH- NO--sHRINKAGE--------j---'--jT C26401
LOT NOS.
RG 129
Pa 92
NOS.
130
03
Ds.
14
Bin #
City of La Quinta
(� ( Building & Safety Division
lJ P.O. Box 1504 78-495 Calle Tampico
p ico
La Quinta, CA 92253 - (760) 777-7012
r'4""BuildingPermit Application and Tracking Sheet
Permit #
Project Address: 60605 Desert Rose Drive
Owner's Name: Shea Homes For Active Adult
A. P. Number:
Address: 81-26OAvenue 62
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Contractor: Shea Homes For Active Adult
Telephone: 760-777-6032
Address: 81-260Avenue 62
Project Description: Lot 77
City, ST, zip: La Quinta, CA 92253
Addt'1 Orco Garden Wall — 851f x 6' SLG%
Telephone: 760-777-6032
Reviewed, ready for corrections
State Lic. #: 640934
City Lic. #:
Arch., Engr., Designer:
Truss Cates.
Address:
City, ST, Zip:
Telephone:
m
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie Lares
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 760-777-6032
Estimated Value of Project:
APPLICANT: 00 NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:-
7d 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� JD