07-1807 (SFD)P.O. BOX 1504
78-495 CALLETAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
0.7-00001807'-
""�'6-1-7-1.8—TUI;ARE LN
764-2807999-105 -300237-
DWELLING SINGLE.FAMILY
MEDIUM HIGH DENSITY RES
187396
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CE:
SCOTTSDALE, AZ 8
I-A,,hitect or Engineer:-,
------------------------------- --------------------
LICENSED CONTRACTOR'S- DECLARATION
I hereby.affi m unde ,penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70 0)of D' ision 3of,the Business end Profs ionals Code, and my license is in full force and effect.
Lice a B' . License No:: 6:72285
..Dais ntractor
OWNER•BUILDER'DECLARATION
.. I hereby affirm under penalty of _perjury that;l am,eiempt-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,permt to°
construct; alter, improve,.demolish; or repair-anystiucture, prior to its issuance,;also-requires the app scant for_ the
permit to file a signed statement that he or she is licensed pursuant to the proGisions'of the Contractors State-,
License Law. Cha fer9 mm in in wi h -
( p - Ico e q g t Secuon.7000Pof Division Sof"the Business and Professions Codelbr�
that he or she is exempt therefrom and the bass for ,the alleged exemption. Any violation of Section 7031 .5 by
any applicant fora permit subjects the applicant to a civilpenalty;of not more than five -hundred dollars ($500);: .
( P I; as owner ofthe property, or my, employees with wage's`as their. sole compensation will do the work sand
the structure .is - ''not intendedoroffered for'sale`ISec: 7044 Business and Professions Code:' -Thee`
Contraciors'.StateLicense Law does norappjy to'amowne.r.ofpioperty..wh6 builds or. impioves.thereon,
.and who does`the work himself or herself through his or"her own employees; provided:that..the
improvements -are novintended or offered for sale If; however,: the buildingor'improvement is sold within
one year of compietion,.the owner -builder will have the burden;of�proving'.t6ii hebr she did not build or '
improve for the purpose ;of salsa:
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the Oroject (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
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (76%777-7153
Date: 6/20/0'7-
J6
N 2 b
Contractor: 1UU7 f
SHEA HOMES, INC.CITyQF�QUIN7
81260 AVENUE 62.. F11IIANCE'DEpT
LA QUINTA, CA.92253 .
(760)777-6005 .
Lic. No.: 672285
WORKER'S COMPENSATION DECLARATION
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 370.. of the Labor Code, for the performance of the work'for which this permit is
►,/ issued.. - - - ;
11� 'I have a' hj.will maintain workers, compensation insurance as required by Section 3700 of the. Labor
Code, for the. performance ofthe work for which this permit is issued. My, workers' compensation ,
insurance'cairierand policy number are:
Carrier AMERICAN ;HOME Policy Number; .1247619.
l,certify'that, in theperformanceof the work•for which this permivis-.issued Ishall not employ any
ia.' y.
' .persona
in,ny;manner sola§ to become subject to the 'workers'lcompensatipn laws ofCalifornia;
'-a agreethat, if I s o me 'e t workers compensation` provisions of Section
'of the Labor e, II f h Ji y with those provisions.
J.
to - plica '
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE iS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES,AND.CIVIL FINES UP TO ONE:HUNDRED THOUSAND
DOLLARS (§.100,0001. IN ADDITION;TO THE:COST .OF,COMPENSATION, DAMAGES AS PROVIDED FOR 1N
SECTION 3706 OF THE LABOR CODE, INTEREST; AND ATTORNEY'S FEES.
APPLICANTACKNOWLEDGEMENT
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 ofissuance of such permit, or cessation of work for 180 days will subject
erm" to cancellation. '
certify th .fhjad this applcation and statet the ve i formation correct. I -agree to comply with all
city n - unty esandstate laws relatin i co uctin, hereby authorze representatives
. oft i y pontheabove-mentio d pr efL for'i oses.
ate: nature IApplican�C
LQPERMIT
Application Number 07-00001807
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
478.00
PATIO,.SQ FTG
178.00
NUMBER 'OF 'UNITS
1.00•
1ST.FLOOR SQUARE FOOTAGE
- ------------------------- ------- ------------------------------------------------
2174.00
Permit BUILDING PERMIT
Additional'desc
Permit Fee . . . . 926.50 Plan Check Fee
602:23
Issue..Date . . . . Valuation
181091
Expiration Date... 12/17/0,7
Qty. Unit Charge Per
Extension
BASE FEE.
..639.50.
82.00 3.5000 THOU BLDG 100,001-500,0.00
--------------------------------------------------- ------------ ---------------
287.00
Permit MECHANICAL
Addit-ional-desc
Permit: Fee 7.7.00 -Pl-an--Check Fee.
21...:63
Iss u e Date . . . . Valuation:.-
Date
- -
Ex"' " '
pirat.�
-Date 12_/17;
/0
!Qty Unit Charge, per.
txtension'.'..
BASE, -FER1
. '.�=160K
"�b000'��EA
'_?�
.2 : 00 9* :,MECH FURNACE'
.18. 010
'
.0.0 -FURNACE, -,,>100K--
11 0 -MtdH
.2.;0'0;:-:' - •9 0000: EA = :MECH B C:-<=31P/iddk." U
18.:0,0
. 00. . 16 -560 MtC
0,0 ",
3,.Ob '&.56'00 .8A, kttI:MENT
.19. 56
""
1w. 6.50,db,EA MEjH'EXHAUST HOOD
- - - - - - - - - --- - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6:50
- - - - - - - -
Permit ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee 100.65 Plan Check Fee
3...77
issue 'Dat�e . . . . Valuation . . . .
. ... 0
Expiration Date 12/17/07'
Qty Unit Charge Per
Extension
BASE FEE
15.00.
LQPERMIT
Application Number . . . 07-00001807
Permit . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per
Extension
2174.00 .0350 ELEC NEW RES -*1 OR 2 FAMILY
76.09-
478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
9.56
'
Permit . . . PLUMBING
-
Additional desc ...
Permit Fee 138-00 -Plan Check Fee .-
34.50,
Issue Date Valuation
0.
Expiration Date 12/17/07
Qty Unit Charge Per.
Extension
BASE FEE
` 15 .:00
12 ..00 .6.0.000 EA PLB' FIXTURE
72.00
1.00. 15.0000:.�EA PLB=BUILDING SEWER
15•.00
1.00 7•.5:066. EA PLB, WP.TER•-,HEATER%VENT
7 :'50
�
1.00 9•.�00.00EA PLB LAWN SPRINKLER -`SYSTEM
9.00''
'
6. 00 ' 7,50'd EA PLB GAS .PTPE, >=5.
4.50'
;.
1.00 15.0000 EA PLB GA&:METER
15.00
.
Permit . . .-.GRADING PERMIT
Aaditional desc .
Permit Feel . . 15.00 Plan:.•Check-Fee
.00
Issue Date:." Valuation:
0
Expiratioii Date 12/_17/107
Qty Unit Charge ; --Per,-
'Extension
4
'BASE --FEE,
-
15:00_ .
- -. --- - - - - - - - ------------ - - -
Special No es.and Comments-
- -- -- -- -.
'
SFD :�:. LOT,'.105 •_ PLAN 5515B, -2174 SF_;.,
`&. 26'
-INCLUDES.. SF
BOX BAY :@ .NOOK PERMIT. DOEST
• NO. INCLUDE
BLOCK'WALL•POOL, :SPA OR DRIVEWAY
APPROAdH. 2001'"-CB.Cs= .CMC, CP.C, 2"004, CEC,
x-------------
__�__2005_ENERGY-CODES
---------------------------------------------O7.
ther- Fees ... . . . ART IN PUBLIC PLACES -RES
.•00
DIF COMMUNITY CENTERS -RES.
74.00
DIF CIVIC ,CENTER ;-. RES
995•.--.00
..ENERGY REVIEW,.eFEE
60.22
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
00
-
DIF LIBRARIES -:*RES'
355.00.
DIF PARK MAINT FAC - RES
22.00
LQPERMIT
Application Number . . . . . 07-00001807
----------------------------------------------------------------------------
Other Fees . . . . . . DIF PARKS/REC - RES - 892.00
STRONG MOTION (SMI) - RES 18.73
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1930.00
Fee summary Charged Paid
Permit Fee Total 1257.15. .00
Plan Check Total 662.13 .00
Other Fee Total 4553.95 .00
Grand Total 6473.23 .00
LQPERMIT
Credited Due
.00 1257.15
.00 662.13
.00 4553.95
.00 6473.23