08-1043 (SFD)' P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 -4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: `08-00001043 Owner:
Property Address: L81498 JACARANDA CT SHEA LA QUINTA
APN: 764-280-999-145 -300236- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 852 ..--_
Application valuation: 159387 jDi
Applicant:
Architect or Engineer:
to /o—
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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 CI ss: Ill license No.: 672285
ate: �41_1 ntractor:
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 _ I 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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. , 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62 JUL 071008
LA QUINTA, CA 92 53
(760) 777-6005 C17yORl,gQUI
Lic. No.: 672285 FINANre.,_ NTA
------------------
WORKER'S COMPENSATION DECLARATION
Date: 6/17/08
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 provided
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
3700 of the Labor Code, I shall foAhwith comply with those provisions.
,11rate.41(Y,1,-�,_,Iicant:
WARNING: FAILURE TO SECURE WR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI 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 information is correct. I agree to comply with all
city an c dn' ordinances and state laws relating to building co struction, and hereby authorize representatives
o unty o e r upon the above-mentioned p erty for i pection purposes.
ate: nature (Applicant or Agent):
Application Number . . . . . 08-00001043
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
849.50
Plan Check Fee
552.18
Issue Date
Valuation
159387
Expiration
Date
12/14/08
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
65.50
Plan Check Fee
16.38
Issue Date
. . .
Valuation . . . .
0
Expiration
Date '.
12/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA ' MECH
FURNACE <=100K
9.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
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
. . . .
89.84
Plan Check Fee
22.46
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1773.00
.0350
ELEC
NEW RES - 1 OR2 FAMILY
62.06
639.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
12.78
Permit
. .
PLUMBING
Additional
desc..
Permit Fee
120.00
Plan Check Fee
30.00
Issue Date
Valuation . . . .
0
Expiration
Date
12/14/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
10.00
6.0000
EA PLB FIXTURE
60.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
c'
Application Number 08-00001043
Permit . . . : . . PLUMBING
Qty Unit.Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
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 Plan Check Fee
.00.
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/14/08
Qty Unit Charge Per
Extension
BASE FEE
=----------------------------------------------
15.00 .
------------------------
Special Notes and Comments
-----
SFD - LOT 145, PLAN 4515C, 1773 SF.
WITH 4' GARAGE EXT. (103SF) & BAY @ nook
(24 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
15.93
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 1139.84 .00 .00
1139.84
Plan Check Total 621.02 .00 .00
621.02
Other Fee Total 4566.15 .00 .00
4566.15
Grand Total 6327.01 .00 .00
6327.01
LQPERMIT