05-2532 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO '
LA QUINTA, CALIFORNIA 92253
Application Number:
05-,00002532a
Property Address:
81183`�SANTA ROSA CT
APN:
764-270-999-27 -300234-
Application description:
DWELLING - SINGLE FAMILY
Property„Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
240673
Applicant:
4 44
0
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA .QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER.350
SCOTTSDALE, AZ,85258 I
.,�Frchitect or Engineer:
Contractor:
SHEA_ HOMES , INC.
81260 AVENUE 62
. /�/�/✓Z LA QUINTA, CA 92253
(760)'777-6'005
Lic. No.: 672285
J
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/05
�U
JUL Y5 2005 ..
CITY
rui
Is �
,ate:
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: PA
Lender's Address:
LQPERHIIT
of La Quetta, 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. 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 au ooze representatives
of his county to enter up/on tthe above-mentioned property fo pec ion purposes.
All
a1'.4 _gnat tura (Applicant or Agent): r/
- LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under,penalty of that I am'licensed under Chapter 9 (commencing
WORKER'S.COMPENSATION DECLARATION
I hereby following
perjury provisions`of with
Section 7000) hof Division $'of.the Business and Professionals Code, acid riiy License is in full force and effect.'
affirm under penalty of. perjury one of the declarations: _
I, fiave and.wilLmaintain a certificate of conserifto-self-insure for workers' compensation, as provided
. � ,License Class: B . - - .License No.:' 672'285 -
_
for ;by Section 3700 of the Labor Code, for the performance of the work for which this permit is
C t,. _
rate: `� ' -000tractor:
issued..
I have and will maintain workers' compensation insurance, as required, by Section 3700 of the Labor
• P °' .• SI . = �.
�A -
; Code, for the performance of the work, for which this permit -is issued. My workers' compensation'
- OWNER -BUILDER DECLARATION S. -
insurance cairieran"dpolicy number are:
hereby affirm under penalty of perjury thatl. am exempt from, the. Contractor's State License Law for the
Carrier NTL UNION INS: , Policy Number 6436568
following. reason (Sec: 7031.5, Business and.Professions Code: 'Any city or county that requires al5ermit to_
.I certify,-that;.,in the performance of the work for which this permit is issued, I. shall not employ any
construct, alter, improve, demolish,,or repair any structure, prior to it's issuance, also requires the applicant for the
- t, person in any manner so'aeto become subject to the workers' compensation laws of California;
`permivto file a signed statement that.he or, she is licensedpursuant to the provisions of the Contractor's State
. -and agree that,`if I should become subject to the workers' compensation provisions of Section
Licens'e'Law (Ch6pter>9 (commencing with Section 7000) of�Division 3 of the Business and -Professions -Code) or
' 3700 of the Labor Code 1'shaltforthwith comply -with those provisions.'
that he or she is exempt th'refrom'. ' the basis for theallegad exemption. Any violation of Section 7031'.5 by _ _
'r /,�� 'y/
`
. any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: 4� pplicant: . !Vne ii / 5
(_ 1 I; asownecof:the..property, or my employees w ith wages as their sole compensation,. will do,the work, and
-
the structure isnotintended-or offered d for sale ISec. 7044, Business and Professions Code: • The ?
WAR ING:, FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State!66anse'Law:'does not apply to an owner of property who.builds or.improves thereon,
SUBJECT ANIEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES -UP To ONE HUNDRED THOUSAND',
and who.does the -work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE•COST:OF-COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements. are.not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST; AND'"ATTORNEY'S FEES:
one.year of completion, the owner -builder will have the burden of proving that he orshe did not build or
°
improve for the purpose of sale.).
'APPLICANT ACKNOWLEDGEMENT
(_ 1 1, as owner,of.the property; am exclusively, contracting withw.licensed contractors,to construct the project (Sec., •
IMPORTANT Application is hereby made tgthe Dirb&r_of Building and Safety;for a subject to the
. 7044;,Businegs.arid Professions Code: The Contractors' State License Law. does not apply to an owner of. _
,permit
conditions and restrictions set forth on this applicauon:."r" - �'- '.
' property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
-1. Each person upon whosebehalf this application is'made, each person at whose request and for
pursuant.to the Contractors' State License Law.).
vv Tose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ ) I am exempt under,Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and.hold harmless the City
,ate:
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: PA
Lender's Address:
LQPERHIIT
of La Quetta, 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. 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 au ooze representatives
of his county to enter up/on tthe above-mentioned property fo pec ion purposes.
All
a1'.4 _gnat tura (Applicant or Agent): r/
Application Number .
. . . . 05-00002532
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info
CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
719.00
PATIO SQ FTG'
214.00.
NUMBER. OF UNITS
1.00
-----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2769'.:00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit .Fee
1133.00 'Pl-an Check Fee
73;6.:45
Issue Date
Valuation
240.673
Expiration Date
12/2:0/05
Qty. Unit Charge
Per
Extension
BASE FEE`
639:50
141.00 3.5000
THOU BLDG 100,001-500,000
-------------------
493':50
Permit'
MECHANICAL
'Add'itional-desc .
tEee7.2.=00
Plan Check Fee
18.00
Issue Date
Valuation
.0
Expiration.Date ..
12/20/05.
Qty Unr'>t,Charge:
Per.
-Extension
BASE _FEE
15.00
1.00- 9.0000;
EA MEC -H. -..-FURNACE <=.1O0K
9..00
1.Go 9.01000`EA. MECH B/C <=3HP/100'K BTU
9.00
5.00 - 6.50.00
EA MECH ;VENT: FAN
32%50
1,.00 6.5000
EA MECH EXHAUST_HOOD
6.50.-
Permit
ELEC=NEW-RESIDENTIAL.
'Ad,ditional desc
Perini Fee'.
116.20 Plan Check. Fee
29.05.
Issue-. Date,..
Valuation
0
Expiration Date
12/20/.05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2769.00 .0350
ELEC NEW RES- 1 OR 2 FAMILY
96.92
214.00 0200
ELEC GARAGE OR NON-RESIDENTIAL
4.2.8
LQPERMIT
LQPERMIT
Application Number .
. . . . 05-00002532
----------------------------------------------------------------------------
Permit . . .
PLUMBING
Additional desc .
Permit Fee ...
171.00" Plan Check Fee
42.75
Issue Date . . . .
Valuation
0
Expiration Date
12/20/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
17.00 6.0000
EA PLB"FIXTURE" "
102.00 G
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 ... ;
1.00.
1.00 9.0000.
EA PLB LAWN SPRINKLER SYSTEM
9.00
6.00 .7500
EA PLB GAS'-PIPE ">=5"
4.SO
1.`00 1S.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;•:,
12/-20/05
Qty "Unit "Charge
Per
Extension .
BASE FEE
15.00
Special Notes= and Comments''
y
_ SFD`,= LOT(:27, 176430C,
2769'.SF. ,PERMIT
. DOES:•`NOT `INCLUDE-BLOCK WALLS, POOL, SPA
OR.;DRIVEWAY' APPROACH
_ ------2 =- - - - -- `-------------
Other Fees . . . . .
---.------- --- ---- --
-----------------------
ART SIN PUBLIC .PLACES-RES
101 .,68
DIF-'COMMUNITY CENTERS-RES
97."00
DIF,CIV-IC CENTER RES;
366.00
ENERGY. REVIEW`•'FEE_,
73.65
'DIF FIRE PROTECT-ION-RES.
.9:7..00
GRADING'PLAN•CHECK FEE
.00
DI°F LIBRARIES - `.RES '
225.00
DIFPARK MAINT FAC - RES
5.00
Hs
DIF PARKS/REC " ;, RES_
5,02.0:0.
STRONG MOTION `('SMI') - RES
2"4.06
DIF STREET MAINT:FAC-RES
15.'00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged' Paid Credited
Due.
LQPERMIT
�.
Application Number .
. . . .
05-00002532
Permit Fee Total
1507.20
.00
.00.
1507.20.
-
Plan Check Total
826.25.
.00
.00
826.25
Other Fee Total
2604.39
.00
.00
2604.39
Grand Total
4937.84
.00
.00'
4937.84-'
LQPER Iff .