04-4715 (BLCK)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
BUILDING PERMIT
f 04-0 0 4_7_1-5� Date 6/10/04
60526 DESERT SHADOWS DR
.764-270-999-4-300231-
WALL/FENCE
LOW"DENSITY RESIDENTIAL
3500
Owner Contractor
SHEA LA QUINTA SHEA HOMES, INC.
C/O JEFF MCQUEEN 81260 AVENUE 62
8800 N GAINEY CENTER 350 LA QUINTA CA -92253
SCOTTSDALE AZ 85258 (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 . . . 63.00 Plan Check Fee .00
Issue Date Valuation . . . . 3500
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
140 L.F. 6' GARDEN WALL, ORCO SYSTEM
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- --- ------ ----------
Permit Fee Total 63.00 .00 .00 63.00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 .00 .00 63.00
JUN .17 2004
'CITY ®F LR �ujNTA
Taf
P.O. Box 1504_ Qgmro,
VOICE (760)
T
78-495 CALLE AMPICO FAX (7b0) ; ii.i01
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-715:
BUILDING g SAFETY DEPARTMENT
Application Number: 04-41715 Date:
Applicant: I Architect or Engineer:
Applicant's Mailing Address:
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under p alty of pequry that I am licensed unde�iops of 9 (��ong with Section 7000) of Division 3 of the Business and Professionals
Code, and my Licens full force and effect.
Licensee Class /,( �� icense No.
i Date `J [ Q"I ontractor5Lem, 97---
OWNER -BUILDER DECLARATION
I 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: 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 (5500).):
(--) I, as ownei 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
1 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.
1 e an mamtarn w ars' compensati nsuranc , as requirSection 3700 of the Labor Code. for the performance of the work for which this gambit is
/) /, t fed workers' m satio urance car
_ 1 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
fort' comply with those prov-Ins
Da .
te ` • ` - ` Ii not �1
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 (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,
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
Lenders 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 Quints, 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 pemtit issued as a result of this application becomes null and void if work is not commenced within 180 day* from date of issuance of such permit or
cessation of work for 160 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 county ordinances and stale taws relating to building
construction and reby authorize representatives of this county meter ug
the above-mentioned property for inspection purposes.
Date Signature (Applicant or Agent):
INSPECTIONS
J CM Inspe6tibris
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:
Trilogy @ La Quinta - Shea Homes
Project No:
02-1109
Project Address:
81-260 Avenue 62
City:
La Quinta, CA
Title 24 AWS UBC Other:
File # RD 1.1
App# RD 1.4
Other
Client: Sub -Contractor:.
Shea La Quinta, LLC Sun Coast Tensioning
General Contractor:
Shea Homes
Architect:
Bassenian Lagoni
Structural Engineer:
Borm & Assoc, Inc/Suncoast Post Tension LP
Size and Type of Tendons:--P-
Jack Machine Calibration•
0A". keg 2a. 01� I 33.O n
Calibration DateNw',' :)6- -C)LA
Weather:
RIA , C\�"
Unresolved Item
None
See Below
I
(,C, L goy R, 77-�,i z\AA t4DI n k (0 Q L77,e7�ya..t �_'SrT
Description of Work Inspected:
Lot # Location
Specified
Tendons Elongation (in)
Actual Elongation (in)
0 3
26CAror)"n- 51'rio-1
Gf
44
2
Ilk
f
Ihereby 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: Ja' C. Millin lCB Cd-r4i �ic'Q,66n No: 0842216-89
Contract7w, R septat
epre ive:
Copy 1 JCM Inspections
Copy 2 Project Superintendent
Copy 3 Governing Agency
'itx'v
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