07-0578 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
07-00000578
81673 RUSTIC CANYON DR
764-280-999-34 -300237-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY --RES
216061
T4ht
1�1��
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/21/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 880.0 N GAINEY CE 350 %1
SCOTTSDALE, AZ 85 L n
,hitect or Engineer:
�C_�
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 Business and Professionals Code, and my License is in full force and effect. _
License)Cl ss: License No.: 672285
Date: ontraaor:
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).:
(_) 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.).
( 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: F 0-11
Lender's Address:
LQPERMIT
Contractor: U MAR ® 12007
SHEA HOMES, INC.
81260 AVENUE 62 CITY OF LA QUINTA
LA QUI NTA , CA 9 2 FINANCE DEPT.
(760)777-6005
Lic. No.: 672285
------------------
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 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 I should become subject to the workers' compensation provisions of Section ,
%3�80»f the Lab r Co shall rtwith comp) with those provisions.
Il I ; ��
ate: 'p icant:
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 state laws relating to buWg construction, and hereby authorize representatives
of this o yh te
nter upon the ove-mentioned proPBrtYlor i e ion purpo s.
S' ature (Applicant or Agent):
r.
Application Number
07-00000578
PermitBUILDING
PERMIT
Additional desc .
Permit Fee . . ._
1049.00
Plan Check Fee
681.85
Issue Date
Valuation
216061,
Expiration Date
8/20/07
Qty Unit Charge
Per
Extension "
BASE
FEE
639.50
.117.00 3.5000
THOU BLDG
100,001-500,000
409.50
Permit . . .
MECHANICAL
.Additional desc .
Permit Fee
74.50
Plan Check Fee
18.63
Issue Date . . . .
Valuation . . . .
0
Expiration Date
.8/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 .9.0000
EA MECH
FURNACE <=100K
18.00
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
115.61
Plan Check Fee
28.90
Issue Date
Valuation
0
Expiration Date t
8/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2450..00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
85.75
743.•00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
14.86
Permit . . . PLUMBING
Additional desc .
Permit Fee
.160.50
Plan Check Fee
40.13
Issue.Date . . . .
Valuation . . . .
0
Expiration Date
8/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
15.00 6.0000
EA PLB FIXTURE
90.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMn
e
' Application Number
07-00000578
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
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
. 8.00 .7500
EA PLB GAS PIPE ->=5
6.00
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
8/20/07
Qty Unit Charge
.Per
Extension
BASE FEE
15.00
-------------------------------------------------------------
Special Notes and Comments
SFD - LOT 34, PLAN 5500A,,
2450 S.F. .
WITH EXT. BOX BAY (63
SF.) @MBR AND 4'
GAR. EXT. (83 SF.). PERMIT
DOES NOT
INCLUDE POOL, SPA,.BLOCK WALLS OR
DRIVEWAY APPROACH.2001
CBC, CMC, CPC,
2004 CEC, 2005 ENERGY
CODES
----------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
40.15
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
68.19
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
21.60 .
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION -•RES
1930.00
Fee summary Charged Paid Credited
Due
Permit Fee Total
-------- -------
1414.61 00 .00
7 --
1414.61
Plan Check Total
769.51 .00 .00
769.51
Other Fee.Total.
4604.94 .00 .00
4604.94
Grand Total
6789.06 .00 .00
6789.06
LQPERMIT
PREPARED` 3/16/11,
10:52:31
INSPECTION HISTORY REPORT
_
PAGE 1
PROGRAMBP521L
0/00/00
THRU 0/00/00
CITY OF
LA QUINTA
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---------------------------------------
APPLICATION
PROPERTY ADDRESS
APN
Alternate ID
STRUCTR
PERMIT-
INSPECTION _
RESULT DATE/STATUS
INSPECTOR.
07 00000578•
81673 RUSTIC.CANYON DR
764-280-999-34
-300237-
000
000
B001
00
BUILDING PERMIT
120
0001
FOOTINGS
3/28/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT.
125
0001
SLAB.
3/28/07
APPROVED
EM ._
000
000
B001
00
BUILDING PERMIT
135
0001
ROOF NAIL
4/26/07
APPROVED
EM
000
000
B001
00
B iumgG PERMIT
14.0
0007.QKAY
TO, WRAP
5/01/07
APPROVED
�� EM
000
000
B001
00
BUILDING PERMIT
145
0001
FRAMING
5/04/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT
150
0001
INSULATION
5/08/07
APPROVED
EM
000-000
B001
00
BUILDING PERMIT
155.
0001
LATH
5/10/07
APPROVED
EM"
000
000
B001
00
BUILDING PERMIT
160
0001 -DRYWALL
NAIL -
5/10/07
APPROVED
EM
000
000
B001
00
BUILDING_.PERMIT
199
0001
FINAL'
7/10/07•APPROVED.
EM.
00.0
000
E01
00
ELEC-NEW RESIDENTIAL
310
0001
ROUGH ELECTRICAL
5/04/07
APPROVED
EM
000
000
E01
00
ELEC-NEW RESIDENTIAL
. 315
0001
TEMP USE -OF PERMANENT -POW
6/14/07
APPROVED
EM
000
000
E01
.00
ELEC-NEW RESIDENTIAL
399
0001
ELECTRICAL FINAL
7/10/07
APPROVED
EM -
' 000
000
GP '00
GRADING PERMIT
197."0001
GRADING FINAL
7/10./07
APPROVED
EM"
000
000
MO1
00
MECHANICAL
- 40.5
0001
ROUGH MECHANICAL
5/04/07
APPROVED
EM
000
000
M01
06
MECHANICAL
499
0001
MECHANICAL -FINAL
7/10/07
APPROVED
EM
000
000
PO1
00
PLUMBING -
210
0001
SEWER CONNECTION
3/20/07
APPROVED
EM. '
' 000
000
P01
00
PLUMBING
200
0001
UNDERGROUND PLUMBING ,
3/20/07
APPROVED
- EM
. 000
000
PO1
00
PLUMBING
245
0001
SHOWER PAN
5/04/.07
.APPROVED
EM '
000
000
P01
00
PLUMBING
230 ,0001'ROUGH
PLUMBING-
5/04/07
APPROVED
EM _
000
000
P01
00
PLUMBING _
235
0001
GAS LINE / GAS TEST
6,/01/07
APPROVED
EM '
000
000
P01
00
PLUMBING
299
0001'PLUMBING
FINAL.
7/10/07
APPROVED
EM _