HomeMy WebLinkAbout08-0819 (AR)4 P.O. BOX 1504 ^�
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
'BUILDING PERMIT
Application Number: 08=00000819_►_ Owner:
Property Address: 81519 CASTLEROCK CT SHEA LA QUINTA
APN: 764-280-999-79 -300236- C/O JEFF MCQUEEN
Application description: ADDITION - RESIDENTIAL 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 2025
Applicant: Architect or Engineer:
C/
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 672285
contractor:
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 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, 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. , BAP.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 PAR
LA QUINTA, CA 922
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
Date: 5/14/08
- ---
- — — — — — — — — — — — — WORKER'S COMPENSA�TIO@M 1!� pE�T� — —
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 ovided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I 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 CA 1593364
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 workers' compensation provisions of Section
700 of the Labor Code, I shall fo with comply with those provisions.
ate. plicant:
WARNING: FAILURE TO SECURE WOR ERS' 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 as 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 have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of thiso^u'�nty to1enter upon the above-mentioned property for inspection purposes.
e. Lr� `' nature (Applicant or Agent): /1
Application Number . . 08-00000819
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 54.00 Plan Check
Fee
35.10
Issue Date . . . . Valuation
. .
. 2025
Expiration Date 11/10/08
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
----------------------------------------------------------------------------
9.00
Permit . . . ELECT - ADD/ALT/REM
-
Additional desc . .
Permit Fee . . . . 15.91 Plan Check
Fee
3.98
Issue Date Valuation
. . .
. 0
Expiration Date 11/10/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
26.00 .0350 ELEC NEW RES - 1 OR 2
FAMILY
.91
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Special Notes and Comments
-
REVISION UNDER CONSTRUCTION: ADDITION OF
26 SF BOX BAY WINDOW @ MASTER BEDROOM
----------------------------------------------------------------------------
Other Fees ENERGY REVIEW FEE
3.51
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 69.91 .00
.00'
69.91
Plan Check Total 39.08 .00
.00
39.08
Other Fee Total 3.51 .00
.00
3.51
Grand Total 112.50 .00
.00
112.50
LQPERMIT
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Shea La Quinta, LLC Date: May 23, 2008
Owner's Name: Shea La Quinta, LLC Phone No. (760)
Project Address: 81-519 Castle Rock Court, La Quinta, CA
Project Description: Addition of Box Bay Window @ Master Bedroom
APN: 764-280-999-79-300236 Tract #: 300236 Lot #'s:
Type of Development: Residential XX Commercial Industrial
Total Square Feet of Building Area: 26 sq. ft.
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
1141—
Dated: 05/23/08 Signature: C�J tl KJ
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
17620
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
Gov. Code Project
65995 Approval
26 sq. ft.
$ 0.00
$ 0.00
Agreement Existing Not Subject to Fee
Prior to 1/1/87 Requirement
Note: Pursuant to AB-181, any room additions 500 sq. ft or
less are exempt from developer fees.
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Support Services
Certificate issued by: Leticia C. Torres, Facilities Analyst Si [!G C
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof This Cer ifieatt e�
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
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Building &.Safety Department
78495 Calle Tampico
PO Box 1504
La Quinta, CA 92253
(760) 777-7012 voice — (760) 777-7011 fax
CERTIFICATION OF BUILDING AREA
STREET ADDRESS OF JOB: 81-519 CASTLEROCK COURT
APN: 764-280-999-79-300236
DESCRIPTION OF WORK: REVISION UNDER CONSTRUCTION: ADDITION
OF BOX BAY WINDOW @ MASTER BEDROOM
SQUARE FOOTAGE: 26 S.F.
OWNER'S NAME: SHEA LA QUINTA, LLC
Coachella Valley Unified School District
83-733 Avenue 55
P O Box 847
Thermal, .CA 92274
(760) 398 5909
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
CITY OF LA QUINTA
BUILDING & SAFIFFY DEPT.
APPROVED
06 BY
Please Note: This Letter Verifies Conditioned Square
Footage. Please call your School District to Verify
School Fees, Requirement for Cashiers Check or Money
Order and Hours of Operation.
Post -I& Fax Note 7671
Da10 .J o2 3 pagos ►
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Phone }r -7 7 ? - TO � c/
7 - ��
Fax #
questions regarding this letter, please call:
Kay Hensel, Counter Technician
(760) 777-7084
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