08-1200 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:08-00'`0200
Property Address: 8144-5 RUS-T-I-C CANYON DR
APN: 764-280-999-47 -300236-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 150034
Applicant:
Td�/-444"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereb affirm u er penalty of p rju that I am licensed under provisions of Chapter 9 (commencing with
Sec ' n 0001 of ivision of th Bus ss and Prfess'onals Code, and my License is in full force and effect.
Lic n B I I License No.: 672285
J1 Pe: 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, 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: --ll
Lender's Address: N
LQPERMIT
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/15/08
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 AMERICAN HOME Policy Number CA 1593364
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any n r s s to become subject to workers' compensation laws of California,
Ue.
agree t t, if I s Id eco su ct to th ers' compensation provisions of Section
0 of th Labor C e, all rthwi 'c w hose provisions.
J! A
WARNING: FAI RE 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.
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 at I have read this application and statothatbove informatio ' correct. I ee to comply withall
city a tantes and state laws relatintructio, ereby autativesof th �er above-mentionei ctio urpo s.
te:Applicant or Age
LQPERMIT
Application Number .
. . . . 08-00001200
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
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
576.00
PATIO SO FTG
177.00
NUMBER OF UNITS
10.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1688.00
PermitBUILDING
PERMIT
Additional desc .
Permit Fee . . . .
818.00 Plan Check Fee
132.93
Issue Date . . . .
Valuation
150034
Expiration Date . .
1/11/09 `
Qty Unit Charge
Pet
Extension
BASE FEE
639.50
51.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
178.50
Permit MECHANICAL
Additional desc .
Permit Fee . . . .
64.00 Plan Check Fee
4.00
Issue Date
Valuation . . .
. 0
Expiration Date
1/11/09
Qty Unit Charge.
T
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
1.00 6.5000
EA MECH VENT FAN
6.50
1.00 6.5000
-----------------------------------------------------7----------------------
EA MECH EXHAUST HOOD
6.50
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc".
Permit Fee . . .
85.60 Plan Check Fee
5.35
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1688.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
59.08
c:je. A
Application Number . . . . . 08-00001200
Permit. . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per
Extension
576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
------------------------- ---------------------- ----------------------------
11.52
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . . 128.25 Plan Check�Fee
8.02
Issue Date . . . . Valuation . . . .
0
Expiration Date 1/11/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 6.0000 EA PLB FIXTURE
60.00
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.. 1/11/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 47, Plan 4520C 1688 SF/
BOX BAY @ MASTER (26SF) &: 41 EXT. GARAGE
(88SF).PERMIT DOES NOT INCLUDE POOL,.
SPA, BLOCK WALLS OR DRIVEWAY APPROACH.
75P6REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE.
2007 CBC, CMC, CPC, 2004 CEC, 2007,
ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
13.29
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
LQPERNIIT
r
LQPERMIT
Application Number
. . .
08-00001200
-------------------------------------------------------------.---------------
Other Fees . .
. . .
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
15.00
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1110.85
.00 .00
1110.85
Plan Check Total
150.30
.00 .00
150.30
Other Fee Total
4503.29
.00 .00
4503.29
Grand Total
5764.44
.00 .00
5764.44
r
LQPERMIT