04-6289 (SFD)60237 Angora Ct
4
IIIIIII VIII III VIII
IIII 53
IE
P=r -o- pe'rty Address
Tdf 4 4 Qgh4
P.O. BOX 1504
, pp _ -7_$• -4 -95 -C= -TK LE TAMPICO
L A QUINTA, CALIFORNIA -92253
2 ?_'' BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Applic,a.
. . . .00-4-0-0-0-0-6-2-8-
Date 9/15/04
P=r -o- pe'rty Address
'6-0-2-3-7—.ANGORA CT
APN:
764-270-999-123 -300233-
Application description
. . . DWELLING - SI'NGLE FAMILY
DETACHED
Property Zoning . . .
. . . . MEDIUM HIGH DENSITY RES
Application valuation
137494
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: 6436568
08/01/05
CSLB: 672285
06/30/05
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE•V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . . . ...
. . . NON -AO FLOOD ZONE
Other struct info .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
479.00
PATIO SQ FTG
3,37.0,0
NUMBER OF. -UNITS
1.00
FIRST FLOOR SQ FTG
1530.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
"
Permit Fee . . . .
772.50 Plan Check Fee
502.13
Issue Date . . . .
Valuation . .
. . 137494
Qty Unit.Charge
Per
Extension
BASE FEE
639.50
38.00 3.5000
THOU BLDG 100,001-500,000
133.00.
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
77.00 Plan Check.Fee
19.25
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge Per Extension
P.O. Box 1504
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: Date: [D • q • G g
Applicant: i t,Qr Engineer—
Applicant's Mailing Address:chitect or Engineer's Address:
AAA—) kctvr�1 r (,� r l C,
ic. No.: Qccz- 2 Lel a 1
BUILDING PERMIT DECLARATIONS
LICENSEE) CONTRACTOR'S DECLARATION
I hereby affirm under majilty of perjury that I am licensed under provisi ns of Chapter 9 ( mmepcin, with Section 7000) of Division 3 of the Business and Professionals
14C de, and Licens is II force and effect. 9 _
, Class ss ,cense No. p t C
/ Date VV L4
G� �
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 ($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 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. , B.& 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 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 h ve aid j,II maintain wo�rs' compensation insurance, as re wired by Section 3700 of the Labor Code, for the performance of the work for which this permit is
!fie �" s; eQ yyj'0f, C0j nsationJpcnrance carri rani l�'aF..• (i
/t< v`L i �Dk �/` /Policy Number �Q a
_ 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 that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/Oate IL `�� plicant C
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.).
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, indemnify and hold harmless the City of La Ouinta, 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 that I have read this application and state that the above information is act. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
�co ty to enter upo above-mentioned property for inspection purposes.
'Signature (Applicant or Age,<pA-
v`
Application Number
. 04-00006289
Page 2
Date 9/15/04
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2.00
9.0000
EA
MECH FURNACE <=100K
18.00
.2.00
9.0000
EA
MECH B/C <=3HP/100K BTU
18.00
3.00
6.5000
EA
MECH VENT FAN
19.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
----------------------------------------
Permit .
. . . . .
-----------------------------------
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . .
78.13 Plan Check Fee
19.53
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1530.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
53.55
479.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.58
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
123.00
Plan Check Fee
30.75
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
9.00
6.0000
EA
PLB FIXTURE
54.00
1.00
15.0000
EA
PLB BUILDING SEWER
15.00
1.00
7.5000
EA
PLB WATER HEATER/VENT
7.50
1.00
3.0000
EA
PLB WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA
PLB GAS PIPE >=5
4.50
1.00
15.0000
EA
PLB GAS METER
15.00
----------------------------------------------------------------------------
Permit .
. . . . .
GRADING PERMIT
Additional.desc
Permit Fee
. . . .
15.00 Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
-------------------------7--------------------------------------------------
Special Notes
and Comments
SFD - LOT
123, PLAN 4510B,
1530 SF.
Page 3
Application Number
.. . . . .
04-00006289 Date
9/15/04
----------------------------------------------------------------------------
Special Notes and
Comments
PERMIT DOES NOT INCLUDE
BLOCK
WALLS,
POOL, SPA OR DRIVEWAY
APPROACH
------------------------------__7
Other Fees . . .
------------
. . .. . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
50.21
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT PAC - RES
5.00
DIF PARKS/REC - RES
502.00.
STRONG MOTION (SMI) - RES
13.74
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1065.63
------------------------------
.00 .00
1065.63
Plan Check Total
571.66
.00 .00
571.66
Other Fee Total
2468.95
.00 .00
2468.95
Grand Total
4106.24
.00 .00
4106.24
02/04/2005 04:05 17603401819 ----- PAGE 06/21
I IIIIIII VIII III VIII IIII 68
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INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, Califomia Administrative Code, Title 24, State of Caltfomia, in the building at
60-237 ANGORA CT, LOT 3123, PHASE 8A, LA QUINTA CA
CEILINGS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-38
WALLS:
TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13
GENERAL CONTRACTOR: SHEA HOMES LICENSE #
BY: TITLE:
PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517
BY: TITLE; ACCOUNT REPRESENTlVE DATE:
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