07-0376 (SFD)Z__ --_.-
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r _07-00000376 '
Property Address: 61245 CACTUS SPRING DR
APN: 764-280-999-155 -300235-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 170639
T4ht 4 4a Q" -
BUILDING & SAFETY DEPARTMENT
DETACHED
Zrchite,t or Engineer:
BUILD1[Nla PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/02/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
/stnn 800 N GAINEY CENTER 350
v� �S TTSDALE, AZ 85258
�cl OQ% C, or:
G� HOMES, INC.
60 AVENUE 62
A QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereb affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Se tion 000) f Division 3 of the mss and Professionals Code, and my License is in full force and effect.
Licen e B .License No.: 672285
ate: tractor: 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 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.).
1 _ 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 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: tj
LQPERMIT
—-————————————— — — -
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
Yissued.
lI 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,
Id agree that, if I s ou become subject to the ers' compensation provisions of Section
�3VpOcOf the Lab Co e, hall h ' h omply th t`ho�se provisions.
e: I o I icant.
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 ck hat I h e read this application and state th a above information is correct. I agree to comply with all
cit nd u!�'" r aces and state laws rE
ding cons ction, an ereby authorize representatives
of
this c - t1� en er upon the bove-menpr pe fo spec 'on pur
e: Si ure (Applicant or ant):
Application Number . . . . . 07-00000376
Structure Information
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10
Flood Zone ... . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG 576.00
PATIO SQ FTG 177.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1943.00
------------------------------ ---------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 888.00
Issue Date
Expiration Date 8/01/07
Plan Check Fee . . 577.20
Valuation . . . . 170639
Qty Unit Charge Per Extension
BASE FEE 639.50.
71.00 3.5000 THOU, BLDG 100,001-500,000 248.50
------------------------------------------------=---------------------------
Permit . . . MECHANICAL
Additional desc .
Permit Fee 70.50 Plan Check Fee
Issue Date . . . . Valuation
Expiration Date . . 8/01/07
17.63
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
2.00
6.5000
EA
MECH
VENT FAN
13.00
1.00
----------------•------------------------------------------------------------
6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
1943.00 .0350
576.00 .0200
LQPERMIT
ELEC-NEW RESIDENTIAL
94.53 Plan Check Fee
Valuation . .
8/01/07
23.63
0
Per Extension
BASE FEE 15.00
ELEC NEW RES 1 OR 2 FAMILY 68.01
ELEC GARAGE OR NON-RESIDENTIAL 11.52
Application Number, . . . . . 07-00000376
Permit
. . .
PLUMBING
BASE FEE
Additional
desc . .
SFD - LOT 155, PLAN 4520C,
Permit Fee
. . . .
152.25
Plan Check Fee
35.81
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date
8/01/07
2005 ENERGY CODES
Qty Unit Charge
Per
. ART IN PUBLIC PLACES -RES
Extension
DIF COMMUNITY CENTERS -RES
BASE
FEE
15.00
14.00
6.0000
EA PLB
FIXTURE
84.00
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
5.00
.7500
EA PLB
GAS PIPE >=5
3.75
1.00
----------------------------------------------------------------------------
15.0000
EA PLB
GAS METER
15.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
GRADING PERMIT
15.00
8/01/07
Plan Check Fee
Valuation . .
00
0
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 155, PLAN 4520C,
1943 SF/ 255
SF CASITA,BOX BAY @ MBR -26
SF 4' GARAGE
EXT - 88 SF.PERMIT DOES NOT
INCLUDE
BLOCK WALLS,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
57.72
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
17.06
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
LQPERMIT
Application Number . . . . . 07-00000376
Fee summary Charged
Permit Fee Total .. 1220.28
Plan Check Total 654.27
Other Fee Total 4549.78
Grand Total 6424.33
LQPBRM[T
Paid Credited Due
.00 .00 1220.28
.00 .00 654.27
.00 .00 4549.78
.00 .00 6424.33