07-0582 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00000582
Property Address: 81709 RUSTIC -CANYON DR
APN: 764-280-999-37 300237 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 225179
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
RrnTTATIAT,F, A 77SSR b
D
Applicant: rchitect or Engineer: �-
I'l.r✓� 2l��oJ
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.
Licenseass:I rB License No.: 672285
ate. 6 vractor:
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 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.).
(_ I 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.).
1 _ 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: _ a
Lender's Address
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor: I•'Nf� MAD 012007
SHEA HOMES, IN
81260 AVENUE 6
LA QUINTA, CA 2253 CITYOFLAQUINTA
(760)371=6-005 FINANCE DEPT•
Lic. No.: 672285
------------------
WORKER'S COMPENSATION DECLARATION
Date: 2/21/07
- 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.
KI 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 agiee that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor pde, I shall forthwith comply with those provisions.
t o'er` jll,'p fta/nt:. 1
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 bu}'�i g construction, and hereby authorize representatives
ofoft� tltyltq er upon the above-mentioned prop�rt_y or in t n.purposes
l/ u L".�-ll b .P
te: nature (Applicant or Agent)'
Application Number
07-00000582
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . :
1080.50
Plan Check Fee
702.33
Issue Date
Valuation
225179
Expiration Date .'
8/20/07
Qty Unit Charge,
Per
Extension
BASE
FEE
639.50
126.00. 3.5000
THOU BLDG
100,001-500,000
441.00
Permit . . .
MECHANICAL
Additional desc .
Permit. Fee74.50
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
117.85,
Plan Check Fee'.
29.46
Issue Date
Valuation . . . .
0
Expiration Date
8/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2599.00_ .0350
ELEC
NEW RES - 1 OR 2 FAMILY
90.97
594.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.88
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 .
LQPERMIT - - - -
Application.Number . . . 07-00000582
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 8/20/0.7
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 37, PLAN 5500B, 2599 SF'. (149
SF. EXERCISE ROOM, 63 SF,BB, SF.
,83
GARAGE EXTENSION). 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
62.94
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
70.23
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
22.51
DIF.STREET MAINT FAC -RES'-
67.00
DIF. TRANSPORTATION - RES
1930.00
Fee summary Charged Paid mCredited
Due
- ------ -------- - - ---------- ----------
Permit Fee Total 1448.35 .00 .00
1448.35
Plan Check Total -790.55 .00 .00
790.55
Other Fee Total 4630.68 .00 .00
4630.68
Grand Total 6869.58 .00 .00
6869.58
LQPERMIT. .