08-1405, 09-0099 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tity/
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:8�
LQPERMIT
Application Number .
. . . . 08-00001405
Structure Information
Construction Type . .
. . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=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
.1.00
1ST FLOOR SQUARE FOOTAGE
1943.00
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
888.00 Plan Check Fee
144.30
Issue Date
Valuation . . . .
170639
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
639.50
71.00 3.5000
THOU BLDG 100,001-500,000
248.50
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
70.50 Plan Check Fee
4.41
Issue'Date . . .
Valuation
0
Expiration Date
2/10/09
Qty Unit Chargee
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
2.0'0 9.0000
EA MECH B/C <=3HP/100K BTU
18.00
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000
----=-=---------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
94.53 Plan Check Fee
5.91
Issue Date
Valuation . . . .
0
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
'BASE FEE
15.00
1943.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
68.01
'576.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
LQPERMIT
X�,
Application Number
08-00001405
----------------------------------------------------------------------------
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
152.25 Plan Check Fee
8.95
Issue Date
Valuation . . .
. 0
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
14.00 6.6000
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
Permit . . .
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation
0
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
------------------------------=---------------------------------------------
BASE FEE
15.00
Permit
SOLAR PERMIT
Additional desc .
Permit Fee
22.50 °Plan Check Fee
1.41
Issue' Date . . . .
Valuation . . .
. 170639
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000
EA SOLAR EQUIP MISCELLANEOUS
3.00
---------------------------------------------------------------------------
Special Notes and Comments
SFD _ LOT 170, PLAN 4520C,
1943 SF/ 255
SF CASITA,BOX BAY Q MBR -26 SF 4.' GARAGE
EXT - 88 SF., PHOTOVOLTAIC SYSTEM,
(1.4C-5KW): 75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE
ISSUANCE OF SAME
PLAN TYEP. PERMIT DOES
NOT INCLUDE BLOCK
WALLS,POOL, SPA OR DRIVEWAY
APPROACH.
LQPERMIT
Application Number
. . . . .
08=00001405
-----------------
Special Notes and
-----------------------------------------------
Comments
2007 CODES
Other Fees . . .
... . . . .
ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
14.43
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN C:HEC;K. FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00.
STRONG MOTION (SMI) - RES
17.06
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
•1930.00
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
----------
1242.78
------------------------------
.00 .00
1242.7.8
Plan -Check Total
164.98
:00 00
164.98
Other Fee Total
4506.49
.00 .00
"4506.49
Grand Total
5914.25
..00 .00
5914.25
LQPERMIT
P.O. BOX 1504
,78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:'
Applicant:
-09-00000099
\81406 RUSTIC CANYON DR
764-280-999-170 -300236-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
149689
in }RAt01d _rY PE -
BUILDING & SAFETY DEPARTMENT.
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
Architect or Engineer:
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
- --- (760)777-6005
Lic. No.: 672285
' LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 00) of Division 3 of the Business and Professi �Cde,and my License is in full force and effect.Lice a la�: 1p c-51
o.: 672285
ate: tractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
(_ 1 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 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.).
1 _ I 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
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:
LQPERAIIT
350
D.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date
APR 151009
2/10/09
WORKER'S 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 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
insurance carrier and policy number are:
Carrier NTL UNION INS Policy Number WC1894819
'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,
r and agree that, if I should become subject to the wo ers' c4nsati
on provisions of Section
X3700 f the Labor �e, /I sh r Ifa hwith com I with hdsisons.
ate:. IIL�<,J�/u\ plicanLf (�✓ i !V�
WARNING: FLURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIM L 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.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forthon 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 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 th t 1 have read this application and state that the above information is correct. 1 agree to comply with all
city and c unty ordinances and state laws relating to building construction, and hereby authoriz epresentatives
oft i o ty to mer upo a above-mentioned property for in pecti n purpoT ,�' 1,
I l`�TYV\
ate: I gnature (Applicant or Agent)
J
Application.Number .
. . . . 09-00000099
Permit. . . .
BUILDING PERMIT
Additional desc .
Permit Fee',.
814.50
Plan Check Fee
529.43
Issue Date
Valuation . .
149689
Expiration Date
8/09/09
Qty. Unit Charge
Per
Extension
BASE
FEE
639.50
50,.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
1.00,001-500,000
175.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
90.00
Plan Check Fee ..
22.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/09/09
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
5.00 6.5000
EA MECH
VENT FAN _
32.50
1.0.0 6.5000
----------------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW'RESIDENTIAL
Additional desc .
Permit Fee . . . .
83.40
Plan Check Fee
20.85
Issue Date
Valuation
0
.Expiration Date
8/09/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1636.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
57.26
557.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
11.14
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
146.25
Plan Check Fee
36.56
Issue Date . .
Valuation . . . .
0
Expiration Date
8/09/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00 6.0000
EA PLB FIXTURE
78.00
1.00 15.0000.EA
PLB BUILDING SEWER
15.00
LQPERn11T
LQPERA11T -
Application Number . . 09-00000099
Permit .. PLUMBING
Qty Unit Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.5'0
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
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 8/09/09
Qty Unit Charge .Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee 22.50 Plan Check Fee
5.63
Issue Date . . . . Valuation . . . .
149689
Expiration Date 8/09/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 170, Plan 4210A. 1636 S.F.
w/Casita (255sf), MBR Box Bay (26sf),
Ext Garage (83sf) & Ext Patio (177sf),
1.1A & 3KW PHOTOVOLTAIC SYSTEM
Permit does not include block wall, pool
or driveway approach.
2007 CBC, CMC, CPC, 2004 CEC, 2007
ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
20.00 .
BLDG STDS ADMIN (SB1473)
6.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
52.94
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
LQPERA11T -
LQPERIIIIT
Application Number
. . .
09-00000099
-------------------------------------------------
Other Fees . .
. . . . .
---------------------------
DIF LIBRARIES -•RES
355.00
DIF PARK MAINT FAC
- RES
22.00
DIF PARKS/REC - RES
892:00
STRONG MOTION (SMI)
- RES
14.96
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION
- RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1171.65
.00
.00
1171.65
Plan Check Total
614.97
.00
.00
614.97
Other Fee Total
4568.90
.00
.00
4568.90
Grand Total
6355.52
.00
.00
6355.52