10-1121 (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:
10-00001121
81164 CASPIAN CT
764-2.80-004-25 -35996 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
159946
Ta!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
60800 TRILOGY PARKWAY
DETACHED LA QUINTA, CA 92253
Architect or Engineer:
o `ik
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 01 o£Diylsion 3 of the 81 ass and Profe i alstCode, and my License is in full force and effect.
License Cl a: B License No.: 672285
Date: ontractor: -
OWNER-Bu1 LDER MECLARATI ON
I hereby affirm under penalty of :uplhat 1 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.requlres a permit to
construct, after, 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 pursuamto 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. Anyviolationof Section 7031.5 by
any applicant for a,permit suf>jects;the applicant to:a'clyll penalty of not more than five hundred dollars (4500h:
(_ 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 forsale (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. It, 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:):
(_) 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 town owner of
property who builds ouimproves thereon, and.who contracts for the projects with -a contractor(s) licensed
pursuant to the Contractors' State License Law:).
(_ I I am exempt underSec. , B.AP: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. Cd.
Lender's Name:
Lenders Address:
LQPERmrr
Contractor:
SHEA HOMES., INC.
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253
(760)777-603.2
Lia. No.: 672285
WORKER'S COMPENSATI
(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.
l 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,numberare:
Carrier LIBERTY MUTUAL Policy Number WA266DO66115030-
_ I certify that, iothe performance of the work for which this,permit is'issued„I,shall not employ any
n in any manner so as to become subject to the workers' compensation lawsof California,
nd agree that, if 1 should become subject to the workers' compensation provisions of Section
of, Labor Code,'I shallf rthwith comply ith those, provisions.
ate Applicant:
WARNING: FA LURE TO SECURE WORKERS' CCUPENSATION 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 Safetyfora 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
per to cancellation.
Icor= that a read,this-application and state that the above:information incorrect. I agree to comply with all
city and ty rdinances,and state laws relating to building construction, and hereby authorize representatives
oft t enter upQw1ke above-mentioned property for ' action purposes.
Date: WLLknature (Applicant or Agent):.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760),777-7153
Date: 10./28./10
r
WPERMIT
Application Number . . . . 10-00001121
Permit.
. . . BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . . 849.50
Plan Check Fee
138.04
Issue. Date
. . .
Valuation . . . .
159946
Expiration
Date . . 4/25/11
Qty Unit Charge Per
Extension.
BASE
FEE
639.50
60.00
3.5000 THOU BLDG
100,001-500,000
-----------------------------
210.00
Permit..
. . . MECHANICAL
Additional
desc .
Permit Fee
. . . . 79.50
Plan Check Fee
4.97
Issue Date
. . .
Valuation . . . .
0
Expiration
Date 4/25/11
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-500KBTU
16.50
5.00
6:5000 EA MECH
VENT FAN
32.50
1.00
6.5000 EA MECH
EXHAUST HOOD
--------------------------------------------
6.50
Permit..
. . . ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . . 89.84
Plan Check Fee
5.61
Issue Date
. . .
Valuation . . . .
0
Expiration Date . . 4/25/11
Qty Unit Charge Per Extension
BASE FEE 15.00
1773.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.06
639.00 .0200 ELEC GARAGE OR,NON-RESIDENTIAL 12.78
-------------------------------------------------
Permit.. . . . PLUMBING
Additional desc . .
Permit Fee . . . . 123.75 Plan Check Fee 7.73
Issue Date Valuation_ 0
Expiration Date 4/25/11
Qty Unit Charge Per Extension
BASE FEE 15.00
9.00 6.0000 EA PLB FIXTURE 5.4.00
1.00 15.0000 EA PLB BUILDING SEWER. 15.00
Application Number . . . . . 10-00001121
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
15.00
Extension
1.00
7.5.000
EA
PLB WATER HEATER/VENT.
7.50
1.00
3.000.0
EA
PLB WATER INST/ALT/REP
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
Permit.
. . . GRADING
PERMIT
.00
Additional
desc .
MULTI -SPECIES (MSHCP) FEE
1284.00
DIF PARK MAINT FAC - RES
Permit Fee
. . . .
892.00
15.00 Plan Check Fee
.00
Issue Date
..
DIF TRANSPORTATION - 'RES
Valuation . . . .
0
Expiration Date . . 4/25/11
Qty Unit Charge. Per
Extension
BASE FEE
15.00
-------------------------------- -------
Special Notes and Comments
SFD LOT 25, PLAN 4515C, 1773 SF.
INCLUDES 24 SF. BAY @ NOOK & 103 SF.
GARAGE EXTENSION•. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH. 75%- REDUCTION TO PLAN
CHECK FEES DUE T_O MULTIPLE ISSUANCE OF
SAME PLAN TYPE.. 2001/2008 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
13.80
DIF FIRE PROTECTION -RES
1.4.0.00
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
15.99
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - 'RES
1930.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 1157.59 .00 .00
115.7.59
Plan Check Total 156.35 .00 .00
156.35
Other Fee Total 5795.79 .00 .00
5795.1.9
LQPERMIT