10-1169 (SFD)c` !• "
P.O. BOX 1504 VOICE (760) 777-7012
Tt 4 4 78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date:, 11/03/10
Application Number: 10-00001169 Owner:
Property Address: 81171 CASPIAN CT SHEA. LA QUINTA
APN: 764-280-004-28 -35996 - 60800 TRILOGY PARKWAY D a
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL ;
Application valuation: 157928
n:;r 012010
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC. CITYOFLAQUINTA
6.0800TRILOGY PARKWAY RINA. i7EPT
LA QUINTA, CA 92253
(760)777--6032
- Lio. No.: 672285
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9'(commencing with
Section7D00) of Division 3 of the Buskiess and Professo, als;Cod e, and my License is in full force and effect.
License Cl ss: -B License No:: 672285
Date I I ontrador
OWNER UILDER 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, Businessand 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 Corrtractor'sz,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 subjecwthe applicant to a civil penalty of not more than five hundred dollars ($500)::
(_) I, as, owner 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.,70", 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 intendedlor for sale. It, however, the.bullding or Improvement is, sold within
one year of completion, the owner -builder will have the burden of proving thathe 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 twan owner of
property who builds or improves thereon, and who contracts,for the projects with =a contractor(s) licensed
pursuant to the Contractors' State.l ioense Law.):
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Data. Owner:
CONSTRUCTION'.LENDING AGENCY
I hereby affirm under penalty of perjury that there 1s 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:
L.QPERMIT
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WORKER'S' COMPENSATION DECLARATION
I hereby affirm under penaltyof'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,jor'the performance of the,work for which this permitis
issued.
Y__'I have and will maintain workers' compensation insurance; as requlred:by Section 3706 of the Labor
Code; for the performance of the work for which this permit.Wissued. My workers' compensation
Insurance,carrier andpolicy number are:
Carrier LIBERTY MUTUAL Policy Number WA266DO66115030
_ I certify that; in the performance of the work,for'which this,pormtt is issued, (`shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that' If l should become subject tothe workers' compensation. provisions of Section
IP700 otthe Labor Code, I shall forthwith co ly with those.provisions.
te: scant.
WARNING: FAIL RE TO SECURE'WORKERS MP.ENSATION'COVERAGE IS UNLAWFUL; AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO,ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 fora 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.end 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, indemnity and hoid'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 haveread this.epplication and state thatthe- above' information incorrect. I agree to comply with all
cttIthi-N.Wip
crdinances and state laws relating to building construction, and hereby authorize representatives
of er upon the above-mentioned pro rty for inspection purposes.
y S' re (Applicant or Agent)i��
3
LQPERMIT
Application Number . . . . . 10-00001169
Permit. .. . . BUILDING PERMIT
Additional desc .
Permit Fee . . 842.50 Plan Check Fee 547.63
Issue Date . . . Valuation . . 157928
Expiration Date . . 5/02/11
Qty Unit Charge Per Extension
BASE FEE 639.50
58.00 3.5000 THOU BLDG 100,0.01-500,000 .203.00
-------------------------------------------------------------------
Permit.. . MECHANICAL
Additional desc . .
Permit Fee . . . . 79.50
Issue Date . . .
Expiration Date . . 5/02/11
Plan Check Fee 19.88
Valuation . . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA MECH FURNACE <=100K
9.00
1.00
16.5000
EA MECH B/C >3-15HP/>100K-50OKBTU
16.50
5.00
6.5000
EA MECH VENT FAN
32..50
1.00
6.5000
EA MECH EXHAUST HOOD
6.5.0
Permit.
. . . ELEC-NEW RESIDENTIAL
Additionaldesc
. .
Permit Fee
87.78 Plan Check Fee
21.95
Issue Date
. . . .
Valuation
0
Expiration
Date
5/02/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.773.00
.0350
ELEC NEW RES_ - 1 OR 2 FAMILY
62.06
536.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
10.72
---
Permit.. . . . PLUMBING
Additional desc .
Permit Fee . . . . 123.75 Plan Check Fee .
Issue Date Valuation . . .
Expiration Date 5/02/11
Qty Unit Charge Per
BASE FEE
9.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
30.94
0
Extension
15.00
54.00
15.00
■ -3
Application Number 10-00001169
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/RSP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
7.00 .7500 EA PLB GAS PIPE >=5
5.25
1.00 15.0000 EA PLB GAS METER
15.00
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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
-------------------------•----------- -- -
Special Notes and Comments
SFD - LOT 28, PLAN 4515B, 177.3 SF.
INCLUDES BAY @ NOOK. PERMIT DOES NOT
INCLUDE POOL; SPA, BLOCK WALLS OR
DRIVEWAY APPROACH. 2007/200.8 CODES. 2010
PLAN UPDATE.
-----------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
7.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
54.76
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
._00
DIF LIBRARIES - RES
355.00
MULTI -SPECIES (MSHCP) FEE
1284.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) _ RES
15.79
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged. Paid Credited
----------------- ---------- ---------- ---
Due
Permit Fee Total 1148.53 .00 .00
1148.53
Plan Check Total 620.40 .00 .00
620.40
Other Fee Total 5836.55 .00 .00
5836.55
Grand Total 76.05.48 .00 ..00
760.5.48
LQPEBMIT