08-1403, 09-0098 (SFD) 18-403 refunded and new permit issuedr^
P:O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08=0000140-3 -`3
Property Address: 81421 RUSTIC CANYON DR
APN: 764-280-999-45 -300236-
Application description: DWELLING - SINGLE FAMILY
Property ZQninq: MEDIUM HIGH DENSITY RES
Application valuation: 170639
Applicant:
Tit!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHE.A LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
-SCOTTSDALE. A7 8525A
Architect or Engineer:
Contractor: iD
SHEA HOMES, INC.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)777-7153
Date: 8/14/08
81260 AVENUE 62 V? J 2QL„
LA QUINTA, CA 92253
(760)777-6005
( LiC . No.: 672285 ECF�� QUIfVTA
E DEPT.
---—-----—-------—-----—-------------———--—--------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby a firm under penalty of perjury he I am licen d u der provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Sfn.
�, 7 01 of Div i n the Bu ' s and Profes 'onal 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
Li1c, s1 se No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
tractor: 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 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 manner so as to becomeject 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 I should become sub' the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3 1 is Labor Co , I at1 f w comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by lyRl
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: 1 A cant:
I 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 WARNING: FAILU TO SECURE WORJ R 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.).
(_) 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.).
( ) 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:
LQPERMIT
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 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 rti y that I have read this application and state that the above information is correct. I agree to comply with all
i a d ounty rd
mances and state laws relating to building constructs* and hereby authorize representatives
f • cotglo a ter upon he above-mentioned prope for inspectio urposes. -
ate: "�l Si ature (Applicant or Agent):
X
r
Application Number . . . . 08-00001403
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
-------'-----------------=---------
18T FLOOR SQUARE FOOTAGE
------------------------------------------
1943.00
Permit . . .
BUILDING PERMIT
Additional desc..
Permit Fee . . . .
888.00 Plan Check Fee
577.20
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
17.63
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/10/09
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
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
23.63"
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
LQPERMIT
Application Number . . . . 08-00001403
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 152.25. Plan Check Fee
35.81
Issue Date Valuation . . . .
0
Expiration Date 2/10/09
Qty Unit Charge 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
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-
5.63
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 45, PLAN 4520C, 1943 SF/ 255
SF CASITA,BOX BAY @ MBR -26 SF 4' GARAGE
EXT - 88 SF., PHOTOVOLTAIC SYSTEM,
(1.4C-4KW) PERMIT.DOES NOT INCLUDE BLOCK
WALLS,POOL, SPA OR DRIVEWAY APPROACH.-
PPROACH.2007
2007CODES
Other Fees ART IN PUBLIC PLACES -RES
.00
LQPERMIT
LQPERMIT
Application Number.
08_700001403
----------------------------------------------------------------------------
Other Fees . . .
. . . . .
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
57.72
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK 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
bIF STREET RAINT PAC -AES
67.00
DIF TRANSPORTATION -'RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1242.78
.00 .00
1242.78
Plan Check Total
659.90
.00 .00
659.90
Other Fee Total
4'549.78
.00 .00
4549.78
Grand Total
6452.46
.00 .00
.6452.46
'PLA t,� TY P`C-,
�- P.O. BOX 1504 �^' VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINT X,' CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/10/09
Application Number: rit- 09-0_0000098 Owner:
Property Address: 81421 (RUSTIC CANYON DR SHEA LA QUINTA
APN: 764-280-999-45 -300236- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY. CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SrOTTSDAT,17, Z 95358
Application V810tidh: 159587 APR 15 2009 �l
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC. Cr;�sl1NTi4
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 B sr�e and Professionals Code, and my License is.in full force and effect.
Licepq:p��
1 e No.:672285
actor: _
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 statementthat 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).:
(_ I 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 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.).
1 _ 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:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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,
X41nd agree that, if I should become subject to thew kers' co pensation provisions of Section
700 of the Labor de, I s all f rthwith co Iy wiN tho ovisions.
LS L
Date: scant:
WARNING: FAILU E TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI AL 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 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 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 correct: I agree comply with all
city and cou ty ordinances and state laws relating to building construction, and h reb�uthori esentatives
o� is �(`o—u�rjt ItoCr r upon he above-mentioned pr eny for Tpepecc on purpos .
Date: V W ture (Applicant or Agent):
Application Number .
. . . ." 09-00000098
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
849.50
Plan Check Fee
-552.18.
Issue Date . . .
Valuation
159387
Expiration Date
8/09/09
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
60..00 3.5000
--------------------'--------------------------------------------------------
THOU BLDG
100,001-500,000
210.00
Permit .. ." .
MECHANICAL
Additional desc .
Permit Fee . . . .
65.50'
Plan Check Fee
16.38
Issue Date . . . .
Valuation . .
0
Expiration Date
8/09/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
4.00 6.5000
EA MECH
VENT FAN
26.00
1.00 6.5000
-----------------------------------------------------------------------
EA MECH
EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
89.84
Plan Check Fee
22.46
Issue Date . . . .
Valuation . . .
0
Expiration Date
8/09/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1773.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
62.06
639.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON=RESIDENTIAL
12.78
Permit . . .
PLUMBING
Additional.desc .
Permit Fee . . . .
120.00
Plan Check Fee
30.00
Issue Date . . . .
Valuation
.0
Expiration Date
8/09/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
10.00 6.0000
EAPLB FIXTURE
60.00
" 1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
-
.
Application Number 09-00000098
Permit . . . . . . PLUMBING
Qty. Unit Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP'
3.00
6.00 .7500 EA PLB GAS PIPE >=5
4.50
1.00 15".0000 EA PLB GAS METER
-----------------------------------------------------------------------------
15.00
Permit. . . GRADING PERMIT
AaalLIunal ties
Permit Fee15.00 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 . . . .
159387
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 45, PLAN 4515B, 1773 SF.
WITH 4' GARAGE EXT. (103SF) & BAY @ nook
(24 SF.), PHOTOVOLTAIC SYSTEM (1.3B-3KW)
PERMIT. DOES NOT INCLUDE POOL, SPA,
BLOCK WALLS OR DRIVEWAY APPROACH.
2007 CBC, CMC, CPC, CEC, 2007 ENERGY
CODES-
----------------------------------------------------------------------------
Other Fees ART IN PUBLIC PLACES -RES
20.00
BLDG STDS ADMIN (SB1473)
7.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
55..22
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES.- RES
355.00
DIF PARK MAINT FAC - RES
22.00
LQPERA11T
Application Number
. . . . .
09-00000098
----------------------------------------------------------------------------
Other Fees
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
15.93
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1162.34
.00 .00
1162.34
Plan Check Total
626.65
.00 00
626.65
Other Fee Total
4573.15
.00 .00
4573.i5
Grand Total
6362.14
.00 .00
6362.14
LQPEEN11T