09-0485 (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:
Oil
c& -ht °F 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
09=00_0 7
_00485
81268 CAMBRIA CT
764-280-999-24 -30.0236-
DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
127702
Architect or Engineer:
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 00) f Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Lic se C s License No.: 672285
te: ntractor:
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, 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, 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.).
(_) 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: 01411,
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN ' �!
8800N GAINEY CENTER
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC. COY•( Cif `� dpi.
81260 AVENUE 62 F.,x�. ,•
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:
1 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.
41 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 NTL UNION INS Policy Number WC1894819
_ 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 wor vers' com sation provisions of Section
0 of the Labor e, I shall o with comp) wit rhos Bions.
Date. , plicant:
WARNING: FAILURE TO SECURE WORT ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA 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.
Icertify tha
I have read this application and state that the above information is correct. I gree to comply with all
city and cou ty o inances and state laws relating to building construction, and her y au ice representatives
of thi unt to ter upon the above-mentioned pro erty for in ect n pu=poses.
e: cure (Applicant or Agent)
00
Application Number . . . . . 09-00000485
Structure Information SFD 4210A W/BOX BAY, EXT GAR, EXT PAT
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type
. .
. . . DWELLG/LODGING/CONG <=10
Other struct info
CODE EDITION 2007 CBC
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
557.00
PATIO SQ FTG
391.00,
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1381.00'
Permit .
. .
BUILDING PERMIT
Additional desc
: .
Permit Fee . .
. .
737.50 Plan Check Fee
479.38
Issue Date . .
. .
Valuation
.127702
Expiration Date
. .
.11/10/09
Qty Unit
Charge
Per
Extension
BASE FEE
639.50
28.00
----------------------------------------------------------------------------
3.5000
THOU BLDG 100,001-500,000
98.00
Permit .
. . MECHANICAL
Additional desc
. .
Permit Fee . .
. .
65.50 Plan Check Fee
16.38
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
11/10/09
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA MECH FURNACE <=100K
9.00
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 . .
. .
74.48 Plan Check Fee
18.62
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
11/10/09
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1381.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
48.34
557.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
11.14
LQPERMIT
Application Number . . . . . 09-00000485
Permit . . . PLUMBING -
Additional desc . .
Permit Fee . . . . 122.25 Plan Check Fee
30.56
Issue Date . • . . Valuation . . .
. 0
Expiration Date . . 11/10/09
Qty Unit Charge Per
Extension
BASE FEE
15:00
9.00 6.0000 EA PLB FIXTURE
54.00
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 . . . GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date .11/10/09
Qty Unit Charge Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee . . . . 22.50 Plan Check Fee
5.63
Issue Date . . . . Valuation . . . .
127702
Expiration Date . . 11/10/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
-1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
-
3.00
-------------------------------------------------------------
Special Notes and Comments
-------------
SFD - LOT 24, Plan 4210A,(1381
sft)
w7box bay (26 sqft), ext. garage (83
sqft) & patio ext. (177 sqft)
PHOTOVOLTAIC SYSTEM (1.2A-3KW). Permit
does not include block wall, pool or
driveway approach.
LQPERMIT
Application Number . . . . . 09-00000485
----------------------------------------------------------------------------
Special Notes and
Comments .
2007 CBC, CMC; CPC, 2004 CEC,
2007
ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ART IN PUBLIC PLACES' -RES
.00
BLDG STDS ADMIN (SB1473)
6.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
47.94
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
12.77
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
----------
1037.23
----------
.00 .00
1037.23
Plan Check Total
550.57
.00 .00
550.57
Other Fee Total
4541.71
.00 .00.
4541.71
Grand Total
6129.51
.00 .00
6129.51
LQPERMIT