05-2476 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ApplicationNumber:0.5=00002476 Owner:
Property Address: 81214 SANTA ROSA CT SHEA LA QUINTA
APN: 764-270-999-21 -300234- C/O JEFF MCQOEEN
Application description: DWELLING— SINGLE-FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application 'valuation: .170639 ,
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/20/05
Contractor: D /e\
Applicant: rchitect or Engineer: SHEA HOMES, INC. �]
/
rINTA, CA 92253 2005
.81260 AVENUE 62
LA QU1I
(760) 777-6005 �'�� 1 `
c)
—u � Lic. No.: 672285 CITY'OFLAQUINTA
l FINANCEDEPT.
_ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that) am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations: .
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I. have and:will..maintain a certificate of consent -to self -insure for workers' compensation, as provided
License Class: -.B Lice se No.:: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which.this permit is
.. ,,,- issued. .. -
/te a{ ontractor: :SEL �irw�'1 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
- - - - ;OWNER -BUILDER DECLARATION. - msurance�carnerand policy, number bre: '
hereby affirm under penalty of periury.ihat I 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 a -permit 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 its issuance, also requires the applicant for the person in any manner.so as to become subipct to the workers' compensation laws of California,
permit to file's signed.statement:that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if Ishouldbecome subject to the workers_ compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the.Labor Code, I shall forthwith comply with those provisions:
that he or sheis 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 (55001.: ate: pplicant: ci -- %`Oi rS� •�
(_ 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 andProfessions Cade: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL
Contractors'. State License Law does not apply,to an owner of property'who builds or improves thereon,- SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOzONE HUNDRED THOUSAND.
and who does the work himself or herself through _his'or her own employees, providedthatthe DOLLARS (S100,000). IN ADDITION TO -THE COST. OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended *or offered for sale. If, however, th_e 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 or she did not build or -
improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_ 1, 1; as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,a6usiness'and Professions Code: The Contractors' State License Law does not apply town owner of conditions and restrictions set forth on this application. -
property who builds or improves thereon, and who contracts for the projects with acontractor(s) licensed 1. Each person upon whose behalf this application is made; each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 1 am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hol&liarmless 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation. '
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for ' spection pu S.
Lender's Name:
ate. L gnatwe (Applicant or Agent):
Lender's Address: I -
LQPERMIT
Application Number . . . . . 05-00002476
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type .. . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone ...
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
576.00
PATIO SQ FTG
177.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1943.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . .
888.00 Plan Check Fee
577.20
Issue Date
Valuation . . . .
170639
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
71.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
248.50
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
70.50 Plan Check Fee
17.63
Issue Date
Valuation
0
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00'
2.00 9.0000
EA MECH FURNACE <=100K
18.,00
2.00 9.0000
EA MECH B/C <=3HP/100K BTU
18.00
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000
---------------------------------
EA MECH EXHAUST HOOD
------------------------------------------
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc ..
Permit Fee
94.53 Plan Check Fee
23.63
Issue Date . . . .
Valuation . . . .
0
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1943.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
68.01'
576.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
LQPERMIT
Application Number .
. . . . 05-00002476
----------------------------------------------------------------------------
Permit . . .
PLUMBING
Additional desc ...
Permit Fee . . . .
152.25 Plan Check Fee
35.81
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/17/05
Qty Unit Charge
Per
Extension
:BASE FEE
15.00
14.00 6 _00M,.EA-PLB�.=FIXTURE
84.60
1.00 15.000.0
-EA PLB: BUILDING 'SEWER
15.00
1.00 7.5'00-0
EA PLB WATER'.. HEATER/VENT
7.50
00 3.0000
EA PLB WATER,,INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
'5.00 7500
EA PLB GAS PIPE >=5
3.75
1.09 15.0000
'EA; "'PLB GAS'METER
.r .. ...
15.00
Permit . . .
GRADING PERMIT
Additional dese
Permit Fee
•15..00- Plan Check Fee
.00
Is'sue.Date
Valuation _
0
Expi•ration:Date.::
12/1.7/0.5 -, F
Qty Unit -Charge
Pet'
Extension.
` BASE FEE
15.00•
- -- --- -- ---------- -------------------------------
-Special Notes and Comments'
----------
SFD -- LOT ,21, PLAN 45.20C;
1943 SF/ ,•255,
SF.CASITABOX BAY_ MBR -26 SF 4' GARAGE .
'_EXT.:- 88' SF. PERMIT DOES NOT INCLUDE
BLOCK -WALLS, POOL, SPA'
--OR DRIVEWAY
APPROACH-
------------------------------
Other Fees . . . . .
. . . . ART IN:,;PUBLIC PLACES RES.
0.0
DIF COMMUNITY CENTERS. -RES
;97.00
DIF'CIU_IC CENTER -`RES
366:[0;0
ENERGY REVIEW FEE
57..72
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
00
DIF LIBRARIES - RES
225.00
DIF=PARK MAINT FAC - RES
5.00
DIF PARKS/REC.--`RES
502.00.
STRONG MOTION (SMI) - RES
17.06
DIF -STREET -MAINT 'FAC -RES.
1-5.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid ,Credited
Due
LQPERAIIT - -
LQPERMIT
Application Number . . . . . 05-00002476
Permit Fee Total 1220.28 .00 .00 1220.28
Plan Check Total 654.27 .00 .00 654.27
Other Fee Total 2479.78 .00 .00 2479.78
Grand Total 4354.33. .00 .00 4354.33
M