05-0571 (SFD)P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
--0.5-00000571
(�7DateI1
Application Number . . . .
.
F�i40Property
CSLB: 672285
Address . . . . ...
81081 BARREL
CACTUS RDAPN:
------ Structure Information
764-270-999-159
-300233105
Construction Type . .
Application description . .
. DWELLING -
SINGLE FAMILY
CJDETAC�-�H��DI�T�
Property Zoning . . . . . .
. MEDIUM HIGH
DENSITY RES
FIS+gCJ�L )2P
Application valuation . . .
. 162740
3.00
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
WCC: NTL UNION INS
WC: 6436568
08/01/05
CSLB: 672285
06/30/05
CCC: B
------ Structure Information
SFD PLAN 5505A MBR BOX & EXT
GAR -----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
539::00
PATIO SQ FTG
221.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
1847.00
----------------------------------------------------------------------------
Permit .. . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
860.00 Plan Check Fee
559.00
Issue Date . . . .
Valuation . .
. . 162740
Qty Unit Charge
Per
Extension
BASE FEE
639.50
63.00 3.5000
THOU BLDG 100,001-500,000
220.50
------------------------------------------------.-----------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
77.00 Plan Check Fee
19.25
Issue Date
Valuation . .
. . 0
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
3.00 6.5000
EA MECH VENT FAN
J 19.50
P.O. BOX 1504 •4 4 a" VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: OJ - �J i Date
Applicant:Yi C o ngin r
h.
Applicant's Mailing Address: hitect or Engineer's Address:
No. C _ 2W"Iy ,
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provi ons eFGhrpg g with Section 7000) of Division 3 of the Business and Professionals
C e, and my L' se is in full force and effect. lilt
icense Class` icense .
ate w Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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 cpmpletion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).
U 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.).
U I am exempt under Sec. , B.& P.C. for this reason
WORKERS' 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
kA of the work for which IN permit is issued.
Q�tued.
an wi maintain kers' compensation ins rance, as requir d by S ion 3700 f the Labor Code, for the performance of the work for which this permit is
workers' ti/on��as�rance c rte
are olicy Number
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, f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
Uforthwith comply with those pro isi
ate - 4 pplicant
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.
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 !`
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 1180 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 rmation is ect. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this cou ty to nter upon bove-mentioned property for inspection purposes.
ate ignature (Applicant or Agen
Application Number . . . . . 05-00000571
Page 2
Date 2/14/05
Qty Unit Charge
Per
Extension
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
-------------------------------------------------------------
Permit . . . . . .
--------------
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
90.43 Plan Check Fee
22.61
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1847.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
64.65
539.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
10.78
---_-------------------------------------------------------------------------
Permit . . . . . .
PLUMBING
Additional desc
Permit Fee . . . .
129.00 Plan Check Fee
32.25
Issue Date . . . .
Valuation . . . .
0
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
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00 .7500
EA PLB GAS PIPE >=5
4.50
1.00 15.0000
EA PLB GAS METER
15.00
-----------------------------7----------------------------------------------
Permit . . . . . .
GRADING PERMIT
Additional desc
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - Plan 5505A Lot
159 w/MBR box bay
(26 sqft) & ext garage
(83 sqft). Permit
does not include block
wall, pool or
driveway approach.
--------------------------
-----------------------
Other Fees . . . . .
---------------------------
. . . . ART IN PUBLIC PLACES -RES
00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
Page 3
Application Number . . . . . 05-00000571 Date 2/14/05
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE 55.90
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC - RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 16.27
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
1171.43
.00
633.11
.00
2477.17
."00
4281.71
.00
Credited Due
.00
1171.43
.00
633.11
.00
2477.17
.00
4281.71