08-1402 (SFD)P.O. BOX 1504
78-495 ,CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _08-00001402
Property Address: 81457 RUSTIC CANYON .DR
APN: 764-280-999-48. -300236-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH_, DEN$ITY RES.
Application valuation: 242110
Tiht 4 4 Q",
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
RrnTTgnAT,P, "Z 95758
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/14/08
Contractor:
F p [1
Applicant: Architect or Engineer: SHEA HOMES, INC.
81260 AVENUE 62 Cyt, ��Q^
LA QUINTA, CA 92253 jj
(760) 777-6005
r `�^ LiC- No.: 672285 CIT1'OFLAQUIRITA
FIr�ANce DEPT.
-------------- -----------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereb affirm u "der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of ivision 3 of the Business nd Profess i at Code, and my License is in full force and effect.
JA
B U No.: 672285
at . 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 _ 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.).
(_) 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
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.
Y 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
I certify that, in the performance of the work for whichthis permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California, ,
anq agree that, if I should becomes 'ect to the workers' compensation provisions of Section
�j7 0 of h abor C de, I hall fortw th c mply with those provisions.
atm e: 1� " cant:
WARNING: FAIL RE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AMEMPLOYER 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 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.
certify that I have read this application and state that the bove information is correct. I agree to comply with all
city tcounty rdinanc�on
and ate laws relating to buildi construction, and hereby authorize representatives
of�48ri r ua above-mentioned property r inspection purposes.
Dab ture (Applicant or A
Application Number .
. . . 08-00001402
Structure Information
Construction Type .
. . TYPE V - NON RATED
Flood Zone . .
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC -
'
# BEDROOMS
'4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
719.00
PATIO SQ FTG
322.00
NUMBER OF UNITS
1.00
-
--------------------------
1ST FLOOR SQUARE FOOTAGE2769.0
---------------------------------- - - - -
0
-- --- - - - - - -
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1140.00 Plan Check Fee
741.00
Issue Date
Valuation . . .
242110
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
639.50
143.00 3.5000
- ----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
500.50
Permit
MECHANICAL
- Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
22.50
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
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additiorial.desc .
'Permit Fee
126.30 Plan Check Fee
31.58
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/10/09
Qty, Unit Charge
Per
Extension ,
BASE FEE
15.00
2769.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
96.92
719.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
14.38
' LQPERMIT
-
Application Number
08-00001402
--------------------------------------------------------------------------=-
Permit . .
PLUMBING
Additional desc .
Permit Fee . . . .
171.00 Plan Check Fee
39.75
Issue Date . . .
Valuation . . .
. 0
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
17.00 6.0000
EA PLB FIXTURE
i02.00
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
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
PermitSOLAR
PERMIT
Additional desc .
Permit Fee . . .
22.50 Plan Check Fee
.,5.63
Issue Date . . . .
Valuation . .
. 242110
Expiration Date,.
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.0'0
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 48 PLAN 6430C 2769 SF,
INCLUDES 108 S.F EXT.
PATIO,
PHOTOVOLTAIC SYSTEM (1.11C-5KW) PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL, SPA
OR DRIVEWAY APPROACH.
2007 CODES
------- ----------------------------------------------
Other Fees . . .
-- ----------------
. . . . ART IN PUBLIC PLACES -RES
105.27
LQPERMIT
Application Number
. . . . .
08-00.001402
---------------------------
Other Fees '. ...
-----------------------------------------
. . . . . .
DIF:COMMUNITY CENTERS -RES
--------
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
74.10
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
24.21
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
-----------------
Charged
--------=-
Paid Credited
----------------------------
Due
-
Permit Fee Total
1564.80
.00 .00
7
1564.80
Plan Check Total
840.46
.00 .00
840.46
Other Fee Total
4678.58
.00 .00
4678.58
Grand Total
7083.84
.00 .00
7083.84