10-1162 (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:
10-00001162
81176 CASPIAN CT
764-280-004-24 -35996 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
225245
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
60860 TRILOGY PARKWAY
DETACHED LA QUINTA, CA 92253
Architect or Engineer:
141 &_
-------------------
LICENSED CONTRACTOR'S DrECLARATION
1 hereby affirm u er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section"700 of h,Won 3 of the :BusI Professional Cod e, and my License is in full force and effect.
ucci -Ct L' nse No.: 672265
/Date: ontractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I sm.exempt from the'Contractcr's State License Law for the
following reason (Sec. 7031.5, Business end Professions Code: Any city or county thatrequkes a permit to
construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the..applicant forthe
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Low (Chapter 9 (corrmmencing 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 (9500).:
1—) I, as owner of the property, or my employees with wages as: their sale compensation, will do the:work, and l000
the structure'a not intended or offered forsal&(Sec. 7041; Business and Professions. Code: The
Contractors' State License Law does notapply'to anownerof property who builds or improves thereon;
and who does the work.himseH 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 issold within
one yearof completion; the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) 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 thereonrand who comracts`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
Contractor:
SHEA HOMES, INC.
60800 TRILOGY PARKE
LA QUINTA, CA 92253
(760)777-6032
.Lia. NO.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/03/10
------------------
WORKER'S COMPENSATION:DECULRATION
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
Xissued:
I have and will maintain workers' compensation insurance, as required'by Section 3700 of the labor
Carie, for the performance .of,the work for which this permit is issued. My workers' compensation
Insurance carrier and.policy number are:
Cartier LIBERTY MUTUAL Policy Number WA266DO66115030,
1 certify thst, 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 shout becomesubject to the workers' compensation provisions of<Section -
,3.7100 of the Labor Co i1 shall forthwith comply with those provisions.
ate � V" Dllcame //lX V
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 (9100,000). 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 harmless the City
of, La Quints, Its officers, agents. and employees for any actor omisslonrelated 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, m cematon 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. Lagree to comply with all
city andourtv ordinances and state laws relating to building,construction, and herebyauthorize representatives
4of. c to enter upon above-memloned property for Inspection purposes.
D v
nature :(Applicant or Agent):
Application Number . . . . 10-00001162
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 1080.50 Plan Check Fee 175.58
Issue Date . . . Valuation . . . . 225245
Expiration Date 5/02/11
Qty Unit Charge Per Extension
BASE :FEE 639.,50
126.00 3.5000 THOU BLDG 100,001-500,000 441.00
Permit. . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 111.50
Issue Date
Expiration Date 5/02/11
Plan Check Fee.. . 6.97
Valuation . . . . 0
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.00.00
EA MECH
FURNACE <=100K
18.00
2.00
16.5000
EA MECH
B/C >3-15HP/.>100K-500KBTU
33.00
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
6.500.0
EA MECH
EXHAUST HOOD
6.50
Permit.
. . . ELEC-NEW RESIDENTIAL
Additionald_esc
.
Permit Fee
117.:85
Plan Check Fee
7.36
Issue Date
Valuation
0
Expiration
Date
5/02/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
.259-9.00
.0350
ELEC
NEW RES - .1 OR 2 FAMILY
90.97
594.,00
------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.88
Permit.. . . PLUMBING.
Additional desc .. .
Permit Fee . . . 160.5.0 Plan Check Fee .
Issue Date . . . Valuation . . . .
Expiration Date 5/02/11
Qty Unit Charge. Per
BASE FEE
15.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQr RMff
10.03
0
Extension
15.00
90.00
15.00
LQPERMIT
Application Number . . . 10-00.001162
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
i..00 3.0.000 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 5/02/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
--------------- I ---------------------
Special Notes and Comments
SFD - LOT 24, PLAN 5500A, 2599 SF.
INCLUDES 149 SF. EXERCISE ROOM. 63 SF.
BOX BAY @ MBR & 83 SF. GARAGE EXTENSION.
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS OR DRIVEWAY APPROACH. 75% -
REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE.
2007/2008 CODES. 2010 PLAN UPDATE.
----------------------------------------
Other Fees .-. . . . . . . ART IN PUBLIC PLACES -RES
63.11
BLDG STDS ADMIN (SB1473)
10.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
9.9.5.00
ENERGY REVIEW FEE
17.56
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE.
.00
DIF LIBRARIES - RES
3.55.06
MULTI -SPECIES (MSHCP) FEE
1284.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
8.92.00
STRONG MOTION (SMI) - RES
22.82
DIF STREET MAINT FAC=RES
67.00
DIF TRANSPORTATION - RES
1930..00
Fee summary Charged Paid Credited
---------- -----
Due
-----------------
Permit Fee Total 1485.15 .00 .00
1485.35
Plan Check Total 199..94 .00 .00
199.94
LQPERMIT
Application Number . . . . . 10-00001162
Other Fee Total 5872.49 .00 .00 5872.49
Grand Total 7557.78 .00 .00 7557.78
LQPBRM[T
Certificate of Occupancy
G 01V Building & Safety Department
This Certiricate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
California Building Code, certifying that, at the time of issuance, this structure was in compliance
with the provisions of the Building Code and the various ordinances of the City regulating
building construction and/or use.
BUILDING ADDRESS: 8.1-176 CASPIAN COURT
Use classification: SINGLE FAMILY DWELLING Building Permit No.: %1162
Occupancy Group:- R3 Type of Construction: VN Land Use Zone: MH.
Code Edition: 2007 CBC Sprinkler Installed: NO
Owner of Building: SHEA LA QUINTA
Address: 60-800 TRILOGY PARKWAY
City, ST, ZIP: LA QUINTA, CA 92263
GREG BUTLER By: KIRK KIRKLAND
Building Official Date: JUNE 1. 2011
POSTIN A CONSPICUOUS PLACE