09-0813 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000813
Property Address: 61047 DESERT ROSE DR
APN: 764-270-999-132 -300231-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 3875
Applicant:
Td!t 4 4 Q"
Architect or Engineer:
�Ik
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affi on under enalty of perjury that am license un er provisions of Chapter 9 (commencing with
Sec -00 ) of 1 si n 3 of the Bu ne nd Profes .nal Code, and my License is in full force and effect.
Lic se'c nsp allo.: 672285
at o ractor:
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 1$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 improvementis 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
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
VOICE (760) 777-7012
FAX (760) 777-7011
SONS (760) 777-7153
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-6005
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.
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
perso in any manner so as to become s I ct to the workers' compensation laws of California,
and gree that, if I should become subie t the the
compensation provisions of Section
70 of the Labor Cod , I shall forth with those provisions.
ate pplicant:
WARNING: FAILURE TO SECURE WOR S' 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.
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 hav read this application and state that the above informs ' n is correct. I agree to comply with all
Ag2state laws relating to' building constrnd hereby authorize representatives
above-mentioned property for inspecti purposes.
Applicant or Agent):
/09
Application Number . . . . . 09-00000813
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee 63.00 Plan Check Fee 00
Issue Date . . . 8/14/09 Valuation 3875
Expiration Date 3/20/10
Qty Unit Charge Per Extension
BASE FEE 45.00
2.00 9.0000 THOU BLDG•2,001-25,000 18.00
----------------------------------"------------------------------------------
Special Notes and Comments
155 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
Permit Fee Total 63.00
Plan Check Total .00
Other Fee Total 5.50
Grand Total 68.50
LQPERA11T
Paid Credited Due
63.00 .00 .00
.00 .00 .00
1.00 .00 4.50
64.00 .00 4.50
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000813
Property Address: 61047 DESERT ROSE DR
APN: 764-270-999-132 -300231-
Application description: WALL/ FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 3875
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258 D
Contractor:
Applicant: Architect or Engineer: SHEA HOMES LIMITED
60800 TRILOGY PKWY
LA QUINTA, CA 92253
(760)777-6032
Lic. No.: 855368
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirm nder penalty of perjury t t I am licensed der provisions of Chapter 9 (commencing with
Section 001 f Division 3 of the B ir) s and Profes ion Is Code, and my License is in full force and effect.
Lic nse No.: 855368
Date: rector:
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 1$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.).
(_ I 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.I.
Lender's Name: ,\
Lender's Address: N
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/09
if L U t
AJUG 14 203309 PL
3RSHIP
C17_y0? ,!,A9"UOWTA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the fallowing 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
perso in any manner so as to become subject to the workers' mpensation laws of California,
and ree that, if I should become u ject to the workers' co p nsation provisions of Section
1 7 f the Labor Code, hi f th it,
comply wi h th isions.
Date: lu pplicant: v
WARNING: LURE TO SECURE WORK E ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 t comply with all
city c unty o dinances and state laws relating to b 'ding co truct on, and here authoriz epresentatives
o i n to n er upon the above-mentioned pro y f r in pecti purposes.
Date: ignature (Applicant or Agent):
Application Number
. . . . . 09-00000813
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee . . .
. 63.0.0
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 3875
Expiration Date
1/27/10
Qty Unit Charge'
Per
Extension
BASE FEE
45.00
2.00 9.0000
THOU BLDG 2,001-25,000
18.00
----------------------------------------------------------------------------
Special Notes and
Comments
155 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
63.00
.00
.00
63.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
64.00
.00
.00
64.00
LQPERMIT
Bin#
Submittal
City ®f La Quinta
Rec'd
Permit #
PERMIT FEES
Building & Safety Division
Plan Sets
P.O. Box 1504, 78-495 Calle Tampico .
n�`�
��/
La Quinta, CA 92253 - (760) 777-7012
OQ`
Building Permit Application and Tracking Sheet
Project Address: l O�'1 `
�k
Owner's Name: Shea Homes
A. P. Number:
boll -3
Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta
City, ST, zip: La Quinta, CA 92253
Called Contact Person
p•
Contractor: Shea Homes
Telephone: 760-777-6032
�`��� {f _ V
Address: 60-800 Trilogy Parkway
Project Description: Lot 13 2 -
City, ST, zip: La Quinta, CA
City,
92253
Orco Combo Wall - if x 6' & 3'
Telephone: 760-777-6032ts�`
Flood plain plan
Orco.Garden Wa11-- �5�1f x 6 '.
Plans resubmitted
Mechanical
State Lic. # : 640934
City Lic. #:
Orco Retaining Wall - If x 3'
Arch., Engr., Designer:
2nd Review, ready for corrections/issue
Orco Knee Wall - if x 4'
Address:
City, ST, Zip:
Telephone:
p
'`'}
+. �",~'.rt
_
Construction Type:- Occupancy:
Grant Deed
State Lic. #:tA
Plans picked up
ra€E
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:
APPUCANT: 00 NOT WERE NELYW 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
Pian Check Balance
Energy Caics.
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:-
"d 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
.