07-0465 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:'
Applicant:
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
07-00000465 Owner:
81688 RUSTIC CANYON DR ' SHEA LA QUINTA
764-280-999-132 -300237- C/O JEFF MCQUEEN
DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
MEDIUM HIGH DENSITY 'RES SCOTTSDALE,.AZ 85258'
159387
rchitect or Engineer
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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 lass B License No.: 672285
/at tractor: I
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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 00
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.).
( ) 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/13/07
Contractor: r`
SHEA HOMES, INC. + FEB 20 ZOOIy
81260 AVENUE 62
LA QUINTA, CA 92253 CITY OF LA QUINTA
(760),777-6005 FINANCE DEPT.
Lic. No.: 672285
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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.
1 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 o as to become subject to the workers' compensation laws of California,
and agree that, if I sh ecomes ct to th orkers' compensation provisions of Section
3700 of the Labo e, all fo hwi compt ith those provisions.
a e: 16 ,0 can
ou—
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 1 80days will subject
permit to cancellation.
Icertify hat I have read this application and state that t above info at n is corr t. I agree to comply with all
city and ount ordinances and state laws relating to buil in g onstruction, nd her authorize representatives
oft my gn(er upon t above-mentioned pro rt r 'nspec n on,
oses.
D nature (Applicant or Agen
Application`Number
. . . 07-00000465
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee.
849.50,,
Plan Check Fee..
552.18,
Issue Date,... . . .
Valuation
15938.7
Expiration Date ..
8/12/07
Qty `Unit Charge
Per
Extension
BASE
FEE
639.50
G0:00 3:5000
THOU BLDG
l00,0niz5Qn,nnn
210.00
Permit . . .
MECHANICAL .
Additional desc .
Permit Fee
65.50
Plan Check Fee
16.38
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/12/07
Qty Unit Charge
Per
Extension
BASE
FEE
•15.00
1.00 9.0000
EA MECH
FURNACE <=100K
9.00
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 .. . . .
89.84
Plan Check Fee
22.46
.Issue Date . . .
Valuation . . .
0
Expiration Date
8/12/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1773.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
62.06
639.00 .0200
-----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
12.78
Permit
PLUMBING
Additional desc
Permit Fee . . . .
120.00
Plan Check Fee
30.00
'Issue Date
Valuation
0
Expiration Date
8/12/07
Qty Unit Charge
Per.
Extension
BASE
FEE
15.00
10.00 6.0000
EA PLB FIXTURE
60.00
1.00 15.0000
EA PLB BUILDING SEWER
15'.00
LQPERMIT
.-.
..
. .
Application" Number . . . . . 07-00000465
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
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 8/12/07
Qty Unit Charge Per
Extension
BASE FEE-
15..00
----------------------------------------_-----------------------------=
Special Notes and Comments.
--------
SFD - LOT 132, PLAN 4515B, 1773 SF.
WITH 4' GARAGE EXT. (103SF) & BOX BAY Q
MORNING ROOM (24 SF.). PERMIT
DOES NOT INCLUDE POOL, SPA, -BLOCK WALLS
OR DRIVEWAY APPROACH.
.2001 CBC, CMC, CPC; 2004 CEC, 2005
ENERGY CODES
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Other Fees . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
55.22
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
15.93
DIF.STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary, Charged Paid Credited
Due
Permit Fee Total 1139.84 .00 .00
1139.84 .
Plan Check Total. 621.02 .00 .00
621.02
Other Fee Total 4566.15 .00 .'00
4566.15
Grand Total 6327.01 .00. .00
6327.01
LQPERMIT