08-1401 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X08-00001401
Property Address: '81469 'RUSTIC CANYON DR
APN: 764-280-999-49 -300236-
Application description: DWELLING - SINGLE FAMILY
Prnpp.rty 7onin0: MEDIUM HIGH. DENSITY RES
Application valuation: 239845
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/14/08
Contractor:
EFINANCE — Applicant: Architect or Engineer: SHEA HOMES, INC.81260 AVENUE 62 SE,P 1 9 2003
LA QUINTA, CA 922531(760)777-6005ITyOFLic. No.: 672285 � NTA
Cloy/
--------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 000) of ivision 3 of the Busine and Prof essi nal 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
Li en la i Li nose No.: 672285 .for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: ractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
TTT Code, for the performance of the work for which this permit is issued. My workers' compensation
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 1$5001.:
(_ 1 1, 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 I am exempt under Sec. , B'.&P.C. for this reason '
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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
insurance carrier and policy number are:
Carrier NTL .UNION INS Policy Number WC1894819
I certify that, inthe performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to beck
ubject to the workers' compensation laws of California,
an a ree that, if 1 s uld becomect to the workers' compensation provisions of Section
vn�'o te Labo o I s all foh comply with those provisions.
Date: U plicant: _
WARNING: FAILURE TO SECURE WORK RS' 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 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. 1 agree to comply with all
city and c my or finances and state laws relating to building construction, an hereby authorize representatives
of i ou ty t e ter upon the above-mentioned property for ns action pur o es.
te: ig ure (Applicant or Agent):
Application Number
08-00001401
------ Structure Information.
SFD PLAN 6420B W/CASITA, MBR&NOOKBOX BAY-----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . .
. . . DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION 2001
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
615.00
PATIO SQ FTG
323.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
IST PLOOR'SQUA1kE FUUTAUE
2i8i.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1129.50 Plan Check Fee
734.18
•Issue Date . . . .
Valuation . . .
239845
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
639.50
140.00 3.5000
-----------------------------------------
THOU BLDG 100,001-500,000
-----------------------------------
490.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
83.50 Plan Check -Fee
20.88
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
4.00 6.5000
EA MECH VENT FAN
26.00
1.00 6.500b
-------------------------------------
EA MECH EXHAUST HOOD
---------------------------------------
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
I
Permit Fee . . . .
124.64 Plan Check Fee
31.16
Issue Date . . . .
Valuation . . .
0
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2781.00 .'0350
ELEC NEW RES - 1 OR 2 FAMILY
97.34
615.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
12.30
Application Number .
. . . . 08-00001401
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
177.00 Plan Check Fee
44.25
Issue Date
Valuation
0
Expiration Date
2/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00 6.0000
EA pLB P"1'Xa'UkE
106.00
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
-----------------------------------------------------------------------------
Special Notes and Comments
SFD - Plan 6420A Lot
49 w/casita (255
sgft"), Box Bay@ MBR (26
sqft) & Bay @
Nook(23 sqft), 2781 S.F.
Permit does not
include block wall, pool
or driveway
approach.2007 CODES
----------------------------------------------------------------------------
Other Fees .. . . . .
. . . . ART IN PUBLIC PLACES -RES
99.61
DIF"COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
73.42
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
23.98
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION -•RES
1930.00
Fee summary Charged
Paid Credited
Due
LQPERMIT
LQPERMIT
Application Number
08-00001401
.Permit Fee Total
1529:64
.00
.00,
1529.64
Plan Check Total
830.47
.00
.00
830.47
Other Fee Total
4672.01
.00
.00
4672.01
Grand Total
7032.12
.00
.00
7032.12
L.