04-6736 (SFD)V
i
.
P
P.O. Box 1504 ��1'
78-495 CALLS TAMPI N?L92253___—INS
OV 16 2004
LA QUINTA, CALIFORNIA
CITOF LA QUINTA
a"
BUILDING & SAFETY DEPARTMENT
`1 (760).777-7012
FAX (760) 777-7011
TION REQUESTS (760) 777-7153
BUILDING-PERMIT'-`-� ?'
Application Number . . . 04-0000673_6 Date 10/14/04
Property Address ,6 101'9 -HONEYSUCKLE ST
APN: 764-270-99'9=135 —300233 -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . MEDIUM HIGH DENSITY RES -
.Application valuation . . . . 168537
C.L' r@T
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258.
Contractor
r
------------------------
SHEA HOMES, INC. -
81260 AVENUE 62
LA QUINTA CA 92253
(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
576.00
PATIO SQ FTG
177.00
NUMBER OF,UNITS
i.00
FIRST FLOOR SQ FTG
1917.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
881.00 Plan Check Fee
143.16
Issue Date
Valuation . . .
. 168537
Qty Unit Charge
Per
Extension
BASE FEE
639.50
69.00 3.5000
THOU BLDG 100,001=500,000
241.50
----------------------------------------------------------
�.
--=•--
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Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee
70.50 Plan Check Fee
5.00
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE FEE -
15'.-00
2.00 9.0000
-EA MECH FURNACE <=100K
—_ 18.00
.00 11.0000
EA MECH FURNACE >100K
.00
2.00 9.0000
EA MECH B/C <=3HP/100K BTU
--18-.00
P.O. Box 1504 • /i .
(N 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: d 073(0 ^ M
e: T((o.0 f„}Applicant: t o En jn a�,n.n
Applicant's Mailing Address:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm un penalty of perjury that I am licensed under provisions ap er 9 ( mmQnCipg with Section 7000) of Division 3 of the Business and Professionals
Code, and my Lic in full force and effect.1{Ur'�
-cense Class \ -cense No.`Y
/,1"'—o'C ntractor`/' 1�
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 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
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.
ave and ill aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ed. y ers' compensati(�n Trance came and li y n mb
artier /Policy Number
_ I certify that, -n the performance of the work for whicf775ermit -s 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, ihould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those pykvisions
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
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 Quinta, its
officers, agents and employeesfor 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 n commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to ca cellation.
I certify that I have read this application and state that the above in rmati is correct. I a e to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this coun o e r on the abov entioned property for inspection purposes.
e—O -gnature (Applicant or Agent
Application Number
04-00006736
Page 2
Date 10/14/04
Qty Unit Charge
Per
Extension
.00 ,
16.5000
EA MECH'B/C
>3-15HP/>100K-500KBTU
.00
2.00
6.5000
EA MECH
VENT FAN
13.00
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
------------------------------------------------7---------------------------
Permit
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
93.62
Plan Check Fee
5.85
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1917.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
67.10
576.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.52
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Permit .
. .. . . .
PLUMBING
Additional
desc
Permit Fee
. . . .
152.25
Plan Check Fee
9.52
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charg.e
Per
Extension
BASE
FEE
15.00
14.00
6..0000
EA PLB
FIXTURE
84.00
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
5.00
.7500
EA PLB
GAS PIPE >=5
3.75
1..00
15.0000
EA PLB
GAS METER
15.00
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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
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Special Notes and Comments
'
SFD LOT 135
PLAN 4520C,
1917 SF
- 255 SF
CASITA, 88
SF GARAGE
EXT. PERMIT DOES
NOT INCLUDE BLOCK WALL,
POOL, SPA OR
DRIVEWAY APPROACH.75%
REDUCTION
TO PLAN
CHECK FEE
DUE TO MULTIPLE
ISSUANCE. OF
SAME PLAN
TYPE.
Page 3
Application Number
. . . . .
04-00006736 Date 10/14/04
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Other' Fees .
. . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
98.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.32
DIF FIRE PROTECTION -RES
98.00
GRADING PLAN CHECK FEE
00,
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC -. RES
503.00
STRONG MOTION (SMI) - RES
16.85
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
,1098.00
Fee summary
Charged-
Paid Credited
Due
Permit Fee Total
1212.37
.00 .00
1212.37
Plan Check Total
163.53
.00 .00
163.53
" Other Fee Total
2439.17
.00 .00
,2439.17
Grand Total
3815.07
.00 .00
3815.07