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08-1070 (SFD)Y e.1 g P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: [;O8"=00001'070�� 81429_JACARANDA CT 764-280-999-158 -300236- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 159466 T4t�l 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 3 SCOTTSDALE, AZ 85258 Architect or Engineer: P /A - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of ivision 3 of the in ss and Prof ssionals Code, and my License is in full force and effect. la -e C . 13 cense No:: 672285 Date: tractor: 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 ISec. 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 _ 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.). 1 _ 1 I am exempt under Sec. , B.&P.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. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: JUL 0 71000 CIT yF ,_FrNANr.= .,..__OQUILA NTA 6/19/08 . WORKER'S COMPENSATION DECLARATION I 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. yl 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, 1 nd agree that, if I should become subj t to the workers' compensation provisions of Section �B%%�0 f the labor Co II fo ply with those Provisions. ate: scant: WARNING: FAILURE TO SECURE WORK '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 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 informa n is correct. I agree to comply with all city and co y or da ces and ate laws relating to building constructio and hereby authorize representatives oft un en o eabove-mentioned property f r i pec tion rposes. at�b e: g ure (Applicant or Agent): Application Number . . . . . 08-00001070 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 849.50 Plan Check Fee 552.18 Issue Date Valuation . . . . 159466 Expiration Date 12/16/08 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 . . . . 73.00 Plan Check Fee 18.25 Issue Date . . . . Valuation . . . . 0, Expiration Date . . 12/16/08 , 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 --------------------=------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW'RESIDENTIAL Additional desc . . Permit Fee . . . . 91.06 Plan Check Fee 9.34 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/16/08 Qty Unit Charge Per Extension BASE FEE 15.00 1749.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 61.22 742.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.84 Permit PLUMBING Additional desc . . Permit Fee . . . . 129.00 Issue Date . . . . Expiration Date . . 12/16/08 Plan Check Fee . Valuation . . . Qty Unit Charge Per BASE FEE 10.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERMIT 32.25 0 Extension 15.00 60.00 15.00 �'a Application Number . . . . . 08-00001070 --------------------7-------------------------------------7----------------- Special Notes and Comments Permit . . . . . . PLUMBING -GARAGE EXT. (103 SF.) Qty ' Unit Charge Per PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM -9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Issue Date . . . . Expiration Date 12/16/08 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------7-------------------------------------7----------------- Special Notes and Comments SFD - LOT 158, PLAN 4515C, 1749 SF, 4' -GARAGE EXT. (103 SF.) PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES ------------------------------------------------------------ Other Fees . . . . ... . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 15.74 DIF STREET MAINT. FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged -=------------------------- Paid Credited -------------------- Due Permit Fee Total 1157.56 ---------- .00 .00 1157.56 Plan Check Total 612.02 .00 .00 612.02 Other Fee Total 4565.96 .00 .00 4565.96 Grand Total 6335.54 .00 .00 6335.54 LQPERMIT PREPARED 3/16/11, 10:15:55 .INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF LA QUINTA ------------------------------------------------------------------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS APN Alternate ID STRUCTR ------------------------------------------------------------------------------------------------------------------------------------ PERMIT - INSPECTION. RESULT DATE/STATUS INSPECTOR 08 00001070 81429 JACARANDA CT 764-280-999-158 -300236- 000 000 B001 00 BUILDING PERMIT 120 0001 FOOTINGS 7/25/08 APPROVED GB 000 000 B001 00 BUILDING PERMIT 125 0001 SLAB 7/25/08 APPROVED GB* 000 000 B001 00 BUILDING PERMIT 135 0001 ROOF NAIL 9/02/08 APPROVED KK 000 000 B601 00 BUILDING PERMIT 140 0001 OKAY TO WRAP 9/10/08 APPROVED RR •000 000 B001 00'BUILDING PERMIT 145 0001 FRAMING 9/12/08 APPROVED KK 000 000 B001 00 BUILDING PERMIT 150 0001 INSULATION .9/16/08 APPROVED KK 000 000 B001 00 BUILDING PERMIT 160. 0001 DRYWALL NAIL 9/18/08 APPROVED - KK 000 000 B001 00 BUILDING PERMIT 155 -0001 LATH 9/18/08 APPROVED. KK 000 000 B001 00 BUILDING PERMIT 900 0001 COMMUNITY DEVELOPMENT FIN 11/12/08 APPROVED KK 000 000 B001 00 BUILDING PERMIT 910 0001 PUBLIC WORKS FINAL 11/12/08 APPROVED KK ' 000 000 B001 00 BUILDING PERMIT 199 0001 FINAL 11/12/08 APPROVED • KK REQ COMM: ' 000 000 E01 00 ELEC-NEW RESIDENTIAL 310 0001 ROUGH ELECTRICAL 9/12/08 APPROVED - KK 000 000 E01 00 ELEC-NEW RESIDENTIAL 315 0001 TEMP USE OF PERMANENT POW 10/09/08 APPROVED KK 000 000 E01 00 ELEC-NEW RESIDENTIAL 399 0001 ELECTRICAL FINAL 11/12/08 APPROVED KK 000 000 GP 00 GRADING PERMIT 197 0001 GRADING FINAL 11/12/08 APPROVED KK 000 000 M01 00 MECHANICAL - 405 0001 ROUGH MECHANICAL - 9/12/08 APPROVED KK 000 000. M01 00 MECHANICAL 499 0001 MECHANICAL FINAL 11/12/08 APPROVED KK 000 000 P01 00 PLUMBING 210 0001 SEWER CONNECTION 7/18/08 APPROVED GB 000 000 P01 00 PLUMBING 200 0001 UNDERGROUND PLUMBING 7/18/08 APPROVED GB 000 000 P01 00 PLUMBING 230 0001 ROUGH PLUMBING 9/12/08 APPROVED KK 000 000 P01 00 PLUMBING 245 0001 SHOWER PAN 9/12/08 APPROVED KK 000 000 P01 00 PLUMBING 235 0001 GAS LINE / GAS TEST 10/02/08 APPROVED KK 000 000 P0*1 00 PLUMBING 299 0001 PLUMBING FINAL 11/12/08 APPROVED KK