07-0579 (SFD)P.O. BOX 1504
78-495 CALLE-TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ' 07-00000579
Property Address: 81685 -RUSTIC -CANYON DR
APN: 764-280-999-35. -300237-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 170639
T4hf 4- 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 8800 N GAINEY CESR 35011
SCOTTSDALE, AZ A X i ,
Applicant: rchitect or Engineer:
MSYA C ns
rl cE -2-La
------------------
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 �Ia,Ss: s LicenseNo.: 672285
ate: Contractor:
OWNER -BUILDER DECLARATION
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 i,s 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.).
(_ 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 contractorls) 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
Contractor: L3FINAN&V
AR 0 1 •2007
SHEA HOMES, IN_
81260 AVENUE 6 OF LA QUINTA
LA QUINTA, CA' (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.
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
00 of the L or Code, I al forilhLw'Q\h comply ith those provisions.
e: ( PPlicant: • g�1 Yom] L d
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). INADDITION 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,apj county ordinances and state laws relating to buildi construction, and her"y authorize representatives
of this ount{y ID_enter upon t above-mentioned grope fot insp do pyrposes. -
!`11V1 f b
ate: ature (Applicant or Agent)'
LQPERMIT
Application Number
07-00000579
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 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
r
Permit Fee
888.00 Plan Check Fee
577.20
Issue Date . . . .
Valuation
170639
Expiration Date
8/20/07
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 P1an.Check Fee
17.63
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
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
.8/20/07
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
. . . 07-00000579
Permit . . . .PLUMBING
Additional desc .
Permit Fee . . . .
152.25 Plan Check Fee
35.81
Issue Date . .
Valuation
0
Expiration Date
8/20/07
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
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 35, 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, r
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
355.00
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
LQPERMTT
LQPERMIT
Application Number
. . .
07-00000579
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
.00
6424.33
LQPERMIT