09-0670 (ELEC) „ellit4
cri Qtthili II.
` P.O. BOX 1504 �” 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: 10/07/09
Application Number: 09-00000670 Owner:
Property Address: 61194 LIVING STONE DR SHEA LA QUINTA
APN: 764-280-999-200 -300236- C/O JEFF MCQUEEN (........--;\
Application description:: ELECTRICAL 8800 N GAINEY CENTER 3501Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 200 ' 1Contractor: 1Applicant: Architect or Engineer: SHEA HOMES, INC. 160800 TRILOGY PARKWAY , 40°\
LA QUINTA, CA 92253 10%1'- �_
�/� (760)777 6005 : — wry
Lic. No. : 672285 )'"'•
\......... ----.;--
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby (firm under penalty of perjury that I am licensed under pr isions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7 co. 1 iw'en 3 of the Busln n Professionals de a d my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
C Lic 672285 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
of issued.
a G racer: 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
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 NIL UNION INS Policy Number WC6987825
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 manner so as to become.subjectto 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 a agree that,if I should become sable a th workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 71 of the Labor I all forthwit c mpl with those provisions.
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).: =ai: �/ scant:
( ) 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 WARNING: FAILURE TO SECURE W S'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,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,
1 1 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 informs• Is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.(. city and co my ordin ces and state laws relating to building constructi. :nd hereby authorize representatives
oft s ceu y to pon the above-mentioned property r in . cr• v.. ,
Lender's Name: s jL`i
■�., i re(Applicant or Agent):
Lender's Address: F"-'Lt]°'( •
LQPERMIT
Application Number 09-00000670
Permit ELEC-TEMPORARY POWER
Additional desc .
Permit Fee . . . 30.00 Plan Check Fee _ . .00
Issue Date . . . 7/28/09 Valuation . . . . 0
Expiration Date . 1/24/10
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
Special Notes and Comments
INSTALL TEMP POWER POLE FOR CONSTRUCTION
CHANGE OF CONTRACTOR FEE ASSESSED TO
INSERT SHEA HOMES INC. AS CONTRACTOR OF
RECORD.
Other Fees BLDG STDS ADMIN (SB1473) 1.00
CHANGE OF CONTRACTOR 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 30.00 30.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5.50 1.00 .00 4.50
Grand Total 35.50 31.00 .00 4.50
LQPERMIT
art
"�t,
P.O. BOX 15041 k e Way/ at 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: 7/28/09
Application Number: 09-00000670 Owner:
Property Address: 61194 LIVING STONE DR SHEA LA QUINTA
1 APN: 764-280-999-200 -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
0
Contractor: D 4
Applicant: Architect or Engineer: SHEA HOMES LIMITED PARTNER. P
r I 60800 TRILOGY PKWY JUL 2 8 2009
LA QUINTA, CA 922531 u
(760) 777-6032
wt IPt Lic. No. : 855368 Q� r ` - r r Mit 01 ''• 12 Wit
.i Aninuni
Ret '
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
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 following declarations:
Sc ion 70 }of Division 3 of the Busin and Profe s eels Code,and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
Cis : B License h�:� y53 68 for by Section 3700.of the Labor Code,for the performance of the work for which this permit is
• J��1� issued.
tractor: ` tiL I have and will maintain workers'compensation Insurance,as required by Section 3700 of the Labor
Cede,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 appileant for the person in any manner 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 a 1 agree that,if I should _ ma subject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code)or V 00 of the La Code,I ❑rthwlth comply with those provisions.
that hoar she Is exempt therefrom and the bans for the alleged exemption. Any violation of Section 7031.6 by 7](, i
any applicant for a permit subjects the applicant to a clvil penalty of not more than five hundred dollars th500).: `-V I ii
( I I.as owner of the property,or my employees with wages as their solo compensation,will do the work,and
the structure Is not intended or offered for sale(Sec.704-0,Business and Professions Code: The WARNING: FAILURE TO SECURE W RKERS'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 CRIM NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
end who does the work himself or herself through his or her own employees,provided that the DOLLARS 0100,0001. 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
( ) 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 Coda; 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 far the praiocts with a oontractor(s)fcensed 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
' th I have rea 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 co or aces and state laws relatin p Ilding c nsrructitrn,and hereby authorize representatives
his tin i e r the above-mention property for. spectivn purposes.
Lender's Name:
.eta_ re(Applicant or Ag
Lender's Address: ��1,04i
LQPERMIT
Application Number 09-00000670
Permit ELEC-TEMPORARY POWER
Additional desc .
Permit Fee . . . 30.00 Plan Check Fee . . .00
Issue Date Valuation . . . . 0
Expiration Date . . 1/24/10
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
Special Notes and Comments
INSTALL TEMP POWER POLE FOR CONSTRUCTION
Other Fees BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
Permit Fee Total 30.00 .00 .00 30.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1.00 .00 .00 1.00
Grand Total 31.00 .00 .00 31.00
LQPERMIT
Bin# City of La Quinta
Permit# Building &Safety Division
(nl° P.O. Box 1504, 78-495 Calle Tampico
0 La Quinta, CA 92253 -(760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: t 4 6 LA L ll` h� (J� i� D /
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 Telephone: 760-777-6032
Address: 60-800 Trilogy Parkway Project Description: Lam- 200
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:BB NITWAITE 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 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:- 3'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