10-1145 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA.QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT,'
Application Number: r 10-0,0.001145 ^Owner:
Property Address: 61060 TALEA DR SHEA LA .QUINTA
APN: 764-280-004-4. -35996 - 60800 TRILOGY PARKWAY
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 174086 -
Contractor: D
Applicant: Architect or Engineer: SHEA HOMES, INC.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
r,cr 012W
Date: 11/03/10
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
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 th t I h ve read this application and state that the above information is correct. I agree to comply with all
city c unty ordinances and state laws relating to building construction, and hereby authorize representatives
of is n o enter upon eabove-mentioned p erty for inspection purposes.
r
e: ignature (Applicant or Agent .
60800 TRILOGY PARKWA 1 t.,-•� ,
LA QUINTA, CA 92253
1
(j`--
(760) 777-6032 CITY OF LA QUINTA
FINA!4CEOEI `
Liq. No.: 672285
-------------------------- --------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with'
I hereby affirm under penalty of perjury one of the following declarations: -
Sec
on 7 0) f Division 3 of the Business and Professionals C e, 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
' Lice
s C s :
a No.: 672285 r
et
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
at
ontractor:
�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
• OWNER78UILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier LIBERTY MU'T'UAL Policy Number , WA266DO66115030
following reason (Sec. 7,031.5; 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 subject to the workers' compensation laws of California,
+a permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
at,f 1 should become 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
Labor Code, I sha forthwith com ly with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
�ifd
any applicant for a permit subjects the applicant to a civil penalty of not morethan five hundred dollars ($500).:"
ate:ant:
(_) I, as owner of the property,�or my employees with wages as their sole compensation, -will do the work, and
11-
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: 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 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 or she did not build or,
- -
improve for the purpose of sale.). -
- APPLICANT ACKNOWLEDGEMENT _
(_) I, 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, Business 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 a contractor(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 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
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
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 th t I h ve read this application and state that the above information is correct. I agree to comply with all
city c unty ordinances and state laws relating to building construction, and hereby authorize representatives
of is n o enter upon eabove-mentioned p erty for inspection purposes.
r
e: ignature (Applicant or Agent .
LQPERINIT
Application Number .
. . . 10-.00001145
Permit
BUILDING PERMIT
Additional desc .
Permit Fee -.
902.00;- Plan Check Fee".. `."
146.57":
Issue Date
Valuation . . . .
174086
Expiration Date
4/30/11
Qty Unit.Charge
Per '
Extension -
BASE FEE
639.50
75-00 3.5000
THOU BLDG 100,001-500,.000
-------------------------
262..50
Permit . . .
MECHANICAL
Additional desc .
-Permit Fee
82.00 Plan Check -Fee
6:09
Issue Date . . . .
Valuation.
0 .
'Expiration Date
4/30/11.
Qty- Unit Charge
'Per
Extension
BASE,FEE
15•.00
1.00 9.0000
EA MECH FURNACE <=100K
9.0,0
1.00 9:0000
EA MECH B/C <=3HP/100K BTU
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 . . . .
95.54 Plan Check Fee
5.97
Issue Date . . . .
Valuation."
0
`Expiration Date
4/30/11
Qty. Unit Charge
Per
Extension
BASE FEE
15.00 "
1972.00 .0350
ELEC NEW RES - 1 OR 2•FAMILY
69.02
576.00 1.0200
ELEC GARAGE OR NON-RESIDENTIAL'
11.52
Permit . . .
PLUMBING
Additional desc .
Permit Fee, . . .
153.00 Plan Check Fee
9.56
Issue Date . . . .
Valuation . .
0
Expiration Date
4/30/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
14.00. 6:0000
EA PLB FIXTURE
84.00
LQPERINIT
LQPERMIT
Application Number 10-00001145
Permit . . . . . .. PLUMBING
Qty Unit Charge, Per
Extension
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
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 Plan Check Fee
-.00
Issue Date Valuation
0
Expiration Date. 4/30/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
--------------------
Special Notes and Comments
SFD - LOT 4, PLAN 4520B, 197.2 SF.
INCLUDES 255 SF. CASITA. 26 SF.
BOX BAY @ MBR & 88 SF...GARAGE EXTENSION.
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS OR DRIVEWAY APPROACH".75%.REDUCTION
TO PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE.,
2007/2008 CODES. 2010 PLAN UPDATE.
------------------------------ --------------------------------------------
Other Fees . . . . . BLDG STDS ADMIN (SB1473).
7.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
14.66
DIF FIRE_.PROTECTION-RES
140.00
GRADING PLAN.CHECK FEE
.00
DIF LIBRARIES -' RES
355.00
MULTI -SPECIES (MSHCP) FEE
1284.00
_ DIF.PARK.MAINT FAC -.RES-
_ 22.00
DIF PARKS/REC - RES
.892.00
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged. Paid Credited
Due
Permit Fee Total 1247.54 .00 .00
1247.54
Plan Check Total 168.19 .00 .00.
168.19
Other Fee Total 5780.66 .00 .00
5780.66