07-0681 (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:
07-00000681 '
61210 CACTUS SPRING DR
764-280-999-20 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
216061
cTe-44 bt�tv 4�Q�w
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
:TIONS (760) 777-7153
Date: 3/05/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER
.SCOTTSDALE, AZ 85258
r4A chitect or Engineer:
VLC. % 1,le Lt L%l----
--------------------------------------------------
'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.
Lice s lass:&�7ntacl
cense No.: 672285
ate: �or:
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).:
(_ 11, 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 _ 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. , BAP.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:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(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.
I 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
1�3700 of the ab 1 she fH orthwith co ly with those provisions.
ate: pelican .
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 aunt ordinances and state laws relating to build' g constrf�tiinonynd he y authorize representatives
of t is BAtQr upon t above-mentioned pro r 'nspeease
ate: o ,ignature (Applicant or Agent . L
Application Number . . . . . 07-00000681
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1049.00
Plan Check Fee
681.85
Issue Date
. . . .
Valuation . . . .
216061
Expiration
Date
9/01/07
e
Qty Unit Charge
Per.
Extension
BASE
FEE
639.50
117.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
409.50
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
74.50
Plan Check Fee
18.63
Issue Date
. . . .
Valuation .. . . .
0
Expiration
Date
9/01/07
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
. . . .
115.61
Plan Check Fee
28.90
Issue Date
Valuation . . . .
0
Expiration
Date
9/01/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2450.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
85.75
743.00
--------=-------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
14.86
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 160..50
Issue Date . . . .
Expiration Date . . 9/01/07
Plan Check Fee '..
Valuation . . . .
Qty Unit Charge Per
BASE FEE
15.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMIT
40.13
0
Extension
15.00
90.00
15.00
Q
Application Number . . . . . 07-00000681
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
9/01/07
Qty Unit
Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT 20,
PLAN 5500A, 2450 S.F.
WITH EXT. BOX
BAY (63 SF.) @MBR AND 4'
GAR. EXT. (83
SF.). 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
40.15
DIF. COMMUNITY CENTERS -RES
74.•00_
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
68.19
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
21.60
DIF STREET MAINT FAC -RES.
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged Paid � Credited
Due
Permit Fee Total 1414.61
Plan Check Total 769.51
Other Fee Total 4604.94
Grand Total 6789.06
LQPERMIT
.00
.00
.00
.00
.00 1414.61
.00 769.51
.00 4604.94
.00 6789.06
PROPOSED —
GARDEN WALL
LEGEND
R
AIR CONDITIONER PAD
BC
BACK OF CURB
PORPOSED SURVEY SETBACK
ESMT.
EASEMENT
EX.
EXISTING
FF
FINISH FLOOR ELEVATION
PL
PROPERTY LINE
PE
PAD ELEVATION
PUE
PUBLIC UTILITY EASEMENT
S
SEWER LATERAL
S/W
SIDEWALK
R/W
RIGHT OF WAY
LOT 0 0 0
LOT NUMBER
0000
PLAN TYPE
O
ELECTRIC JUNCTION BOX
FTI
TRANSFORMER
VAULT
PB
PRIMARY PULL BOX
®
WATER METER
FIRE HYDRANT
RETAINING/GARDEN WALL
RETAINING WALL
GARDEN WALL
EX. RETAINING/GARDEN WALL
2:1 EARTH SLOPE
EXISTING RETAINING/
GARDEN WALL
65.00'
PROPOSED
N GARDEN WALL
BAY 7302
v Lri IT
V
N LOOT 200
rn
EXERCISE 5500
79000 PRODUCT 2
PLAN A
v
5-
PL-\\
'
pL GARAGE s
4' GARAGE 7606
OJ M T V.
`t Wy \L
N r 1 S/w
w
\T p
14. 3'
R/W & BC
PL-`
27.11'
CACTUS SPRING DRIVE
•N
TRACT NO. 30023-5 15F-2 ,ADDRESS- 61210 CACTUS SPRING DRIVE SCALE. 11-20' 1 DATE. MAY 29, 2007
ACKNOWLEDGEMENT: THIS EXHIBIT WAS PREPARED FOR BUYER INFORMATION ONLY. -
ADDITIONAL DETAILS ARE PROVIDED IN OTHER NDIMENSIONS, SIZES AND
LPLOT PLAN
LOCATIONS OFF ALL ITEMS SHOWN ARE APPROXIMATEIMATE ANDD WILL VARY BASED ON HELD
CONOMONS, AGENCY INSPECTION REQUIREMENTS, UTILITY COMPANY REOUIREMENTS
AND OTHER FACTORS BEYOND THE CONTROL OF SHEA HOMES. SHEA HOMES EXPRESSLY
RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ALL ITEMS. TRILOGY AT LA ODK1 A, MUSDE <rWM, CA.
BUYER IS ADVISED TO REVIEW ACTUAL INSTALLED LOCATIONS OF ITEMS PRIOR TO THE CLOSE
OF ESCROW.
BUYER: SIGNATURE: DATE' MSA CONSULTING, T INC.
PRESENTED AND REVIEWED BY SALES COUNSELOR: 34200 BoB HoPB Dues ■ RANcuo MmAOS ■ CA 92270
SIGNATURE,• DATE,• Tmmmm (760) 32"M • FAx (760) 323.7893