09-0809 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000809
Property Address: 61064 DESERT ROSE DR
APN: 764-270-999-128--300231-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1550
c&t!t 4 4 Q"
Applicann Architect or Engineer:
C6 /
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 0001 4f Division 3 of the Bu' e and Prof onals Code, and my License is in full force and effect.
License B t�.: 855368
ontractov
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, 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, 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 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 ISec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERAIIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 35Tff
SCOTTSDALE, AZ 85258 11D
Contractor:
SHEA HOMES LIMITED
60800 TRILOGY PKWY
LA QUINTA, CA 92253
(760)'777-6032
Lic. No.: 855368
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/31/09
LM
AUG 14 203
P
CITY OF I.A QUIPJTA
F?n 1a%lCF r',EFIT
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
arson in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I sho Id`bec4fortwith
ject to the workers' co nsation provisions of Section
o the Labor C e, 1 hcomply rhos i ns.
ate: Applicant: .
WARNING: AILURE TO SECURE WO 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 th t I have read this application and state that the above information is correct. I agree to comply with all
city and c unty or finances and state laws relating to building con�ponereby authorize r resentatives
of this nt t nter upon t above-mentioned proper for inss.
te: S' tura (Applicantor Agent): i v
Application Number . . . . . 09-00000809
Permit . .
. WALL/FENCE PERMIT
- Additional desc .
Permit Fee
37.00 Plan Check
Fee
.00
Issue Date
Valuation
1550
Expiration Date
1/27/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1'1.00 2.0000 HND BLDG 501-2,000 -
--
22.00 '
----------------------
Special Notes and
------------------------------
Comments
-------
--------------
62 L.F. 6- GARDEN
WALL, ORCO SYSTEM.
2007 CODES.
---------------------------------------------_-------------------------------
" Other -Fees
BLDG STDS ADMIN (SB1473)
1.00
Fee summary
Charged PaidCredited
Due
-----------------
Permit Fee Total
------------------------------
37.00 .00
----------
.00
37.00
Plan Check Total
.00 .00
.00
.00
Other Fee Total
1.00 .00
.00
1.00
Grand Total
38.00 .00
.00
38.00 .
LQPERA11T
Bin#
Submittal
City of La Quinta
Building & Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 1 OwA
PERMIT FEES
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
Amount
Telephone: 760-777-6032
s Lt
Address: .60-800 Trilogy Parkway
Project Description: Lot iZ� 30112,3.3
City, ST, zip: La Quinta, CA
92253
Orco Combo Wall - if x 6'& 3'
Tele none: 760-777-6032
P
' :.
_ t
Oreo Garden Wall'- . 2 if i-6 '
_
State Lic. # : 640934
Called Contact Person
City Lic. #:
Orco Retaining Wall - if x 3'
Arch., Engr., Designer:
Oreo Knee Wall - if x 4'
Address:
Plans picked up
City, ST, Zip:
Construction
Telephone:
State Lic. #:
Flood plain plan
z. P�
Construction Type: Occupancy:
.-
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie Nieto
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: 00 NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIQNG
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 Cafes.
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
��
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00000809
Property Address: 61064 DESERT ROSE DR
APN: _ 764-270-999-128 -300231-
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1550.
Applicant:
T44
4.4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
LICENSED CO1NTR CTOR'S DECLARATION
I hereby af�rm und� penalty of p rjury t I am licensId urer provisions of Chapter 9 (commencing with
Section 70 0) of D' ision 3 of the usine and Profes lona Code, and my License is in full force and effect.
1 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 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: ta I PC
LQPERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUE
8800 N GAINEY
SCOTTSDALE, AZ
Contractor:
SHEA HOMES, IN
60800 TRILOGY
LA QUINTA, CA
(760)777-6005
Lic. NO.: 6722
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:
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
1� 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
1 certif that, in the performance of the work fo 'ch this permit is issued, I shall not employ any
per n in any manner so as to become sub' ct t the orkers' compensation laws of California,
an aWFAILETOSECURIEWOKE
ree that, iome sub)% o th ers' compensation provisions of Section
abll forthwith co ly with those provisions.
t:
WARNIN ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). 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 It at I hav read this application and state that the above information is correct. I agree to comply with all
ci a c unt o inances and state laws relating to building c ruction, and hereby authorize representatives
of c01 10 er upon he above-mentioned property fo sp [ion purposes.
fte ignature (Applicant or Agentl: -
Application Number . . . . . 09-00000809
Permit . . . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 37.00 Plan Check Fee .
Issue Date . . . . 8/14/09 Valuation . . . .
Expiration Date . . 3/20/10
.00
1550
Qty Unit Charge Per Extension
BASE'FEE 15.00
11.00 2.0000 HND BLDG 501-2,000 22.00
----------------------------------------------------------------------------
Special Notes and Comments
62.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 37.00
Plan Check Total .00
Other Fee Total 5.50
Grand Total 42..50
LQPERAI[T
Paid Credited Due
37.00 .00 .00
.00 .00 .00
1.00 .00 4.50
38..00 .00 4.50