04-4716 (BLCK)Tihf 4 4 Q"
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO _ FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
Application Number . .
Property Address . . .
APN:
Application description
.Property Zoning . . . .
Application valuation .
Owner
BUILDING PERMIT
. . . C0 4.x-0-0-0-0-4 716 Date 6/.10/04
. . . 60504 DESERT SHADOWS DR
.764-270-999-3 -300231-
. . . WALL/FENCE
. . . LOW DENSITY RESIDENTIAL
2950
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA -92253
(760) 777-6005
WCC: NTL UNION INS
WC: 7165833 08/01/04
CSLB: •672285 06/30/05
CCC: B
---------------------------•--------------------------------------------------
Permit . . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee . . . . 54.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 2950
Qty Unit Charge Per. Extension
BASE FE•E ` ' - 4 5. 0 0
1.00. 9.0000 THOU BLDG 2;001-25,000 9.0`0
---------------------------------------------------------------------------
Special•Notes and Comments
118 L.F. 6' GARDEN WALL, ORCO SYSTEM. ,t
1
Fee summary Charged Paid Credited Due
Permit Fee Total 54.00 .00 .01 54.00
.Plan Check Total .00 .00 ..00 .00
Grand Total 54.00 .00 .00 54.00
E�UN 1 '� 2004 1
CITY OF LA —
QUINTA
VOICE (766)7.77-7 I:
78 495 CALLS TAMPICO
P.O. Box 1504_ - auba. ( FAX 760) 777-701
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-715.
BUILDING & SAFETY DEPARTMENT
Application Number: 0 14 - L4 I I G I Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address:
42
Architect or Engineer's Address:
A
Lic. No.:
BUILDING PERMIT DECLARATIONS `
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penilty of perjury that t am licensed u provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my License i 11 force and effect.
cense Class
License No. v✓ ��
i Date , htracto,
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Ant
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 signec
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 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.).
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 sell -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.
maintain w9oers' compensati�surance_ as required by Section 3700 of the Labor Code, for the performance of the work for which this pemrit is
Carrier/ Y{ "-1 — - – 101- — - 'Policy Number 14V 32 ' ✓ y
_ 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, and agree t if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
/fort • comply with those provisions.
Date 4 ` plicant
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.I.
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, indemnify and hold harmless the City of La Ouwft. its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this pamA.
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 pemlit, 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 info •on is correct I agree to comply with all city and county ordinances and state laws rotating to building
construction, and here y autEneturp...
retatives of this county to nt upon atwve rtrentioned property for inspection purposes.
I
,---Data '�^' `� licant or Agent):
INSPECTIONS
'JCM Inspections
39725 Garand Lane Suite F
Palm Desert, CA 92211
Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
PRESTRESSED CONCRETE INSPECTION REPORT Date:
Project Name: Project No:
Trilogy @ La Quinta - Shea Homes 02-1109
Project Address:
81-260 Avenue 62
City:Title
La Quinta, CA
24 AWS a✓ UBC Other:
File # ❑ D 1.1
APP# ❑ D 1.4
E] Other
Client:
Shea La Quinta, LLC
Sub -Contractor:.
Sun Coast Tensioning
General Contractor:
Shea Homes
Architect: Structural Engineer:
Bassenian Lagoni Borm & Assoc,lnc/Suncoast Post Tension LP
(n�
Size and Type of Tendons:ct— C %n0 o a . nn�
` STT A�12 \' �l
Jack Machine Calibration,• (� /\� (\� C (� (�
VC Q"yc ei 1,,0 `C c ,� _.) �, . \SNS — C,,,C k < 5.s t f e � � AS's +1
Calibration Date:(nQ 6,-^�
Weather:
,\
IA\cl"" �
Unreso ved Items:
R None
See Below
A' L� \c. n `i I'D 0'';O L1 s2< Shu Du1.S IC
Description of Work Inspected:
Lot # Location
Specified
Tendons Elongation (in) Actual Elongation (in)
•
a 3�y
al i �• �% a , QL
i%
�/ '',� �L
t,
,-9 q.
3, j
4"
3j 13- 3�
I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications applicable building laws. Final report issued at project completion.
Inspector: Jac"
ac C. Millin ICBO Certi�fi&ioo+ 0842216-89
Con�tracto ? presentat' e% /
Copy 1 JCM Inspections
Copy 2 Project Superintendent
M: 1
Copy 3 Governing Agency
I
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