08-1848 (ELEC) G .eay, 4
4,a
P.O. BOX 1504 ria VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/12/08
Application Number: 08-00001848 Owner:
Property Address: 81361 RUSTIC CANYON DR SHEA LA QUINTA
APN: 764-280-999-40 -300236- C/O JEFF MCQUEEN
Application description: ELECTRICAL 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 200
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253 ~------`_
(760)777-6005 n
iI,lf ,1 /A- Lic. No. : 672285 1 0 I
•
1`•.'V 12 2000 ____
LICENSED CONTRACTOR'S DECLARATION WORKER'S CO PENSAT1�f1 ,rP� •1. R
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the followingdackir_���� t�' ''
Section 7000)of Division 3 of the -ness and Professionals Code,and my License is in full force and effect. I have and will maintain a certificate of consent to self-ins ii �torwhr p- rtpensation, provided
Lice lass: B License No.: 672285 for by Section 3700 of the Labor Code,for the performance of the wor 's permit Is
y7 Chi II 4}r{,}�,�, �/ issued.
ate I 1 -� V nntractor: 4�1 111 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
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS Policy Number WC1894819
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the performance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any ma ner so as to become subject to the workers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that,if v-h•-Id bec Subic&f tot worker mpensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the titI she T l'twwlth co pl wTTFrii ,. ovisians.
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).: aete: I a/ /" l
ppli. (..'
( ) I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and f
the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
1 I I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application_
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_I I am exempt under Sec. ,B.&P.C.for this reason — 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and • my ordinances and state laws relating to buiidi construct ,and he by authorize representatives
of thi• • ty t•enter u••n the above-mentioned ope f ins tion r
Lender's Name: (ftLender's Address:
❑ Ut:ignature(Applicant or A anti:
LQPERMIT
Application Number 08-00001848
Permit ELEC-TEMPORARY POWER
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee _ . .00
Issue Date . . . Valuation . . _ . 0
Expiration Date . . 5/11/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
Special Notes and Comments
TEMP POWER POLE FOR CONSTRUCTION
Fee summary Charged Paid Credited Due
Permit Fee Total 30.00 .00 .00 30.00
Plan Check Total .00 .00 .00 .00
Grand Total 30.00 .00 .00 30.00
LQPERMIT
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AVENUE 62
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Bin
# City of La Quinta
Permit# Building &Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:Ca ,Aot c. /�polart Owner's Name: Shea Homes
A.P.Number: l Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta City,ST,Zip: La Quinta, CA 92253
Contractor: Shea Homes Telephone: 760-777-6032
Address: 60-800 Trilogy Parkway Project Description: L - LL 3
City,ST,Zip: La Quinta, CA 92253 Temporary Power Permit
Telephone: 760-777-6032
State Lic.#: 640934 City Lic.#:
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: Occupancy:
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Gabbie C. Nieto Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: 760-777-6032 Estimated Value of Project: $200.00
APPLICANT:00 NOT WRITE BELOW 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 2,d 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:- 3rd 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