07-0518 (SFD)f
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
.L"
Application Number:
Property Address:
APN:
Application description
Property ZOnina;
Application valuation:
Applicant:
. A0111"�
`007-00000518
81637 RUSTIC CANYON DR
764-280-999.-31 -300237-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
170639
Tiht 4,4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
Chitect or Engineer:
�
iLC _2_� 1-4 � 1
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Cl ss: B LicenseNo.: 672285
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 1$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.).
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.).
I _ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/16/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSPATF; A7 R5 _
Contractor:
SHEA HOMES, INC MAR Q 2 2007
81260 AVENUE 62
LA QUI NTA , CA 9 25 CITY OF LA QUINTA
(760)777-60 05 FINANCE DEPT.
Lic. No.: 67228
WORKER'S COMPENSATION DECLARATION
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.
,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 1247619
I 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,
and agree that, if 1 should become subject to the workers' compensation provisions of Section
3700 of the Labor ode, I sha�forth`aw/itheo ly with those provisions.
ate: IL l� plican
WARNING: FAILURE 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 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 to comply with all
city and county ordinances and stateIaws_LgLaIiQ#Ato building construction, aA hereby authorize representatives
of thi y tp enter upon th bove- ntioned erty r in ction ses.
D I
��a ure (Applicant or gent): +
LQPERMIT _
Application Number .
. . 07-00000518
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
577.20
Issue Date . . . .
Valuation . . . .
170639
Expiration Date..
8/15/07
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 .'
8/15/07
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
8/15/07
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
Application Number
07-00000518
Permit . . .
PLUMBING
Additional desc .
Permit Fee
152.25 Plan Check Fee
35.81
Issue Date
Valuation
0
Expiration Date
8/15/07
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 . . . PERMIT
_GRADING
Additional desc .
Permit Fee . . . ..
15.00 Plan Check Fee
.00
Issue Date . . .
Valuation . . . .
0
Expiration Date
8/15/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special'Notes and Comments'
SFD - LOT 31,.PLAN 4520C, 1943 SF/ 255
SF CASITA,BOX BAY Q MBR -26 SF 4- GARAGE
EXT - 88,SF.PERMIT'DOES NOT INCLUDE
BLOCK WALLS,POOL, SPA
OR DRIVEWAY
APPROACH. 2001 CBC, CMC, CPC, 2004 CEC,
2005 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
57.72
DIF FIRE -PROTECTION -RES
140.00 .
GRADING PLAN CHECK FEE.
.00
DIF LIBRARIES - RES
355.0'0
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
LQPERMIT
" Application Number
- :, ._ . . .
07-00000515
'
+ Fee -summary.
Charged
Paid
Credited
'Due
Permit Fee Total
-- --
1220:28
_----------
.00
---- - - - - -- -
00
- --
1220.28
- Plan.Check Total
654.27
.� .00.
#.00
•654'.27
Other Fee Total
4549.78
.00
.00
4549.78
- Grand Total
6424.33
.00-
' QO
6424.33
36
- LQPERMIT - , 1 - -
_ •
-
PREPARED
'3/16/1,1,'10:44:04
.INSPECTION
HISTORY REPORT
PAGE 1, '
PROGRAM
BP521L
0/00/00
THRU 0/00/00
CITY OF
LA QUINTA-
------------------
APPLICATION
------------------------------
PROPERTY ADDRESS-
------------------------
. APN
-----------------------------
------------------------
Alternate ID.
-------
STRUCTR
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
07 00000518
81637
RUSTIC CANYON DR
764-280-999-31
-300237-
000
000
B001
00
BUILDING PERMIT
120
0001'
FOOTINGS -
3/19/07
APPROVED
EM
000
000
B001'00
BUILDING PERMIT
125
000I.SLAB
3/191/07
APPROVED
EM
000
000
B001
00
BUILDING'PERMIT
- 135
0001
ROOF NAIL
4/18/07
APPROVED
EM -
• 000
000
8001
00
BUILDING PERMIT
140
0001
OKAY TO WRAP,
4/25/07
APPROVED
EM _
000
000
B001
OO -BUILDING
PERMIT
145
0001
FRAMING
4/30/07
APPROVED
EM
- 000
000
B001
OO..BUILDING
PERMIT
199
0001
FINAL
6/25/07
APPROVED
EM.
000
000
E01
00
ELEC-NEW RESIDENTIAL '.
310
0001
ROUGH ELECTRICAL
4/30/07
APPROVED
EM
000
000
E01
00
ELEC-NEW RESIDENTIAL
315
0001
TEMP USE OF.PERMANENT POW
6/07/07
APPROVED
EM- .
. 000
000
E01
00
ELEC-NEW-RESIDENTIAL
'. 399'
0001
ELECTRICAL FINAL
6/25/07
APPROVED
EM,
000
000
GP .00.
GRADING PERMIT
197
0001
GRADING FINAL
6/25/07
APPROVED
EM
.000
000
-M01
.00
MECHANICAL
405
0001
ROUGH MECHANICAL
4/30/.07
APPROVED
EM
000
000
M01
00
MECHANICAL
499
0001
MECHANICAL -FINAL
6/25/07
APPROVED
EM
000
000
P01
06
PLUMBING
210
0001
SEWER CONNECTION
3/14/07
APPROVED
EM
000
000
P01
00
PLUMBING
-200
0001
UNDERGROUND PLUMBING
3/14/07
APPROVED
EM
000
000
-P01
00
PLUMBING
230
0001
ROUGH PLUMBING .-
4./30/07
APPROVED
EM
000
000
P01
00
PLUMBING
235
0001
GAS LINE /.GAS TEST
5/23/07
APPROVED
EM -..
000
0.00
•PO1
00
PLUMBING
_299
0001•
PLUMBING FINAL
6/25/07
APPROVED
EM -