07-1939 (SFD)Tiht4-4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, A7 8S258
Applicant: rchitect or Engineer
Ca,
------------ — -------——----—------ — — — — — — — — — — — — — — — — —
LICENSED CONTRACTOR'S DECLARATION
1 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. -
nse Class: B LicenseNo.: 672285
Date:' 1 ontractor: V •�
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 1, 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 be 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.).
(_ 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: 7/05/07
Contractor: D �d
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253. JUL 12 2007
(760)777-6005 vU
Lic. No.: 672285 CITY
—.OF - - 011lluT.
-------———— — -----------------------------------
WORKER'S
----------------------------------
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 marine so as to become subject to the workers' compensation laws of California,
and agree that, if I ho becom subject to th workers' compensation provisions of Section
I Q7Q0 of the Labor Code I she l o �h m wi h those provisions. -
ate: `l b_1A15pIicant
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 Is 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 Ouinta, 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 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 above information is correct. 1 agree to comply with all
city a diu�jty ordinances and state laws relatingtol ng c ruq�n, a hereby. authorize representatives
o f ct er upon he above-mentioned pr for i p.
Date: nature (Applicant or Agent): '
P.O. BOX 1504
_78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
07-00001939J
Property Address:.
81868 RUSTIC CANYON DR
APN:
764-280-999-73 -300237-
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
MEDIUM.HIGH DENSITY RES
Application valuation:
166943
Tiht4-4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, A7 8S258
Applicant: rchitect or Engineer
Ca,
------------ — -------——----—------ — — — — — — — — — — — — — — — — —
LICENSED CONTRACTOR'S DECLARATION
1 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. -
nse Class: B LicenseNo.: 672285
Date:' 1 ontractor: V •�
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 1, 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 be 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.).
(_ 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: 7/05/07
Contractor: D �d
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253. JUL 12 2007
(760)777-6005 vU
Lic. No.: 672285 CITY
—.OF - - 011lluT.
-------———— — -----------------------------------
WORKER'S
----------------------------------
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 marine so as to become subject to the workers' compensation laws of California,
and agree that, if I ho becom subject to th workers' compensation provisions of Section
I Q7Q0 of the Labor Code I she l o �h m wi h those provisions. -
ate: `l b_1A15pIicant
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 Is 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 Ouinta, 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 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 above information is correct. 1 agree to comply with all
city a diu�jty ordinances and state laws relatingtol ng c ruq�n, a hereby. authorize representatives
o f ct er upon he above-mentioned pr for i p.
Date: nature (Applicant or Agent): '
Application Number ..
. . . . 07-00001939
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
539.00
PATIO SQ FTG
537.00
ISTUMBER OF UNITS ..
1:00.
---------------- -------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1847.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
856.50 Plan Check Fee
556.73
Issue Date
Valuation
161587
Expiration Date
1/01/08j
Qty. Unit•Charge
Per.
Extension
BASE FEE
639.50
62.00 3.500.0
THOU BLDG 100,001-500;000
217.00
Permit
MECHANICAL.
Additional desc..
Permit Fee
86.50 Plan Check Fee
21.63
Issue Date . .
Valuation
0
Expiration Date
1/01/08 .
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
1.00 9:0000
EA MECH FURNACE <=100K
9.00
1.00 11.0000.
EA MECH FURNACE .>100K
11.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9:00
1.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
16.50
3.00. 6.5000
EA MECH VENT FAN
19.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . .
81.19 Plan`Check Fee
3.76
Issue Date . . . .
Valuation
0
Expiration Date
1/01/08,
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPERMIT
.
LQPERMIT
Application Number .
. . . . 07-00001939
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1847.00 .0300
ELEC NEW RES - MULTI FAMILY-
55.41
539.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL.
10.78
Permit . .
PLUMBING
Additional desc .
Permit Fee
i?n nn- Plan Check Fee
16.50
Issue Date
Valuation
0
Expiration Date
1/01/08
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
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 15.000&
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
1/01/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
--- - --------------------------
Special Notes and Comments
SFD -.LOT 73, PLAN 5505C, 1847 sf
-
26 SF BOX BAY
MBR, 83 SF. GAR. EXT.,315 SF PATIO
EXT. PERMIT DOES NOT INCLUDE BLOCK WALL,
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
55.67 .
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES = RES
355.00
Application Number
07-00001939
Other-Fees
-------------------------------------
DIF PARK MAINT FAC
- RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI)
- RES
16.15
DIF STREET.MAINT FAC -RES
67.00
DIF TRANSPORTATION
- RES
1930.00
Fee summary
Charged
Paid Credited
Due .
----
Permit Fee Total
----------
1159.19
---------- ----------
.00
----------
.00
1159.19 -
Plan Check Total
598.62
.00
00
598.62
Other Fee Total
4546.82
.00
.00
4546.82
Grand Total
6304.63
.00
.00
6304.63