09-0808 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
09-00000808
61042 DESERT ROSE DR
764-270-999-127 -300231-
WALL/FENCE
MEDIUM HIGH DENSITY RES
1875
Tiht 4 4 Q"
Architect or Engineer:
,IIk
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirm un er penalty of perjury that am license under provisions of Chapter 9 (commencing with
Section 0001 of)ivision 3 of the Businessd Professi na s Code, and my License is in full force and effect.
Lice la B 'cense 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 70001 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.).
(_) 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.).
( 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:
LQPERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258 %j//}
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PARKW
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/08/09
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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
�1 issued.
—Y'. 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 cern y that, in the performance of the work for which this permit is issued, I shall not employ any
pe on in any manner so as to become sub' to the workers' compensation laws of California,
agree that, if I should become subject o the workers' compensation provisions of Section
of the Labor Code, I s I hwith c ply with those provisions.
e: scant:
WARNIN : FAI RE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN S 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
W
cancellationd this application and state that the above information is correct. I agree to comply with all
nces and state laws relating to 'Ding construction, and hereby authorize representatives
upon the bove-mentioned pr e y for inspection purposes.
ture (Applicant or Agent):
Application Number 09-00000808
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit -Fee . . . . 43.00 Plan Check Fee
.00
Issue Date . . . . 8/14/09- Valuation
1875
Expiration Date 3/20/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
14.00 2.0000 HND BLDG 501-2,000
28.00
----------------------------------------------------------------------------
Special Notes and Comments
75 L.F. 6' GARDEN WALL, 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, 43.00 43.00 .00
.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 5.50 1.00 .00
4.50
Grand Total 48.50 44.00 .00
4.50
LQPERAIIT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000808
Property Address: 61042 DESERT ROSE DR
APN: 764-270-999-127 -300231-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1875
T4'yl 4 Xfv Q"
Applicant: , Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section0001 f Division 3 of the Business We
ssi als Code, and my License is in full force and effect.
License ass: A, B cense No.: 855368
e: o [tor:
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.).
(_) 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.).
(_ 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES
LIMITED PARTNER
60800
GY PKWY
LA QUINTA, CA 92253 H
(760) 777-6032 Cl t`1(; +mac ncr7.
Lic . No.: 855368
------------------
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
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,
n'
agree that, if 1 should beco ie subject to the worke s' compensation provisions of Section
G1 11/�a3377 of the bor Code, I shat for /with coml/pI11y wi h e provisions.
111 -ate: •�YTOPISSIC'.cURE
nt: qAA�•v 1 l
WARNING: FAILUWO RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA ENALTIES 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 certify that I have read this application and state that the above information is correct. I agree to comply with all
city and c unty o din and state laws relating to buildi2f�inspec
constru ion, and hereby authorize re esentatives
of this co ty to ter upon the above-mentioned property n urp Ads. / /1
ynure (Applicant or Agent): V Il
Application Number . . . . . 09-00000808
Permit . . . WALL/FENCE PERMIT
Additional.desc .
Permit Fee 43.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. .
. 1875
Expiration Date 1/27/10
Qty Unit.Charge Per
Extension
BASE FEE
15.00
14.00 2.0000 HND BLDG 501-2,000
28.00
--------------------------------------------------------------------------=-
Special Notes and Comments
75 L.F. 6' GARDEN WALL, ORCO SYSTEM.
2007 CODES.
Other Fees . . . .. . . . BLDG STDS ADMIN (SB1473)
------------_-
1.00
Fee summary Charged Paid Credited
-----------------
Due
------------------------------
Permit Fee Total 43.00 .00
----------
.00
43.00
Plan Check Total .00 .00
.00
.00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 44.00 .00
.00
44.00
LQPERMIT
Bin#
City of La Quinta
& Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and. Tracking Sheet
. Permit #Building
DO,/
0
0
Project Address: ��j
y
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:, 760-77.7-6032
s
Address: 60-800 Trilogy Parkway
Project Description: Lot � � 36n,7- :1�
City, ST, zip: La Quinta, CA 92253
Oreo Combo Wall - if x 6' & 3'
Telephone: 760-777-6032
stwln
Orco Garden Wall- _lf x 6' . -- .
State Lic. #: 640934
City L.ic. #:
Orco Retaining Wall - if x 3'
Arch., Engr., Designer:
Orco Knee Wall - if x 4'
Address:
City, ST, Zip:
Telephone:
'
r
{ a
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabble Nieto
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: 00 NOT WNITE NELOW 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 Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction,
Flood plain plan
Plans resubmitted
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:-
)rd 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