10-0310 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT_
Application Number: 10-00000310 ,
Property Address: 6110,0 . TALEA DR
APN: 764-280-004-2 -35996 -
Application description: DWELLING.- SINGLE FAMILY DETACHED
Property Zoning:- LOW DENSITY RESIDENTIAL
Application valuation: 152896
Owner:
.SHEA LA QUINTA
'C/O JEFF MCQUEEN
8800 N GAINEY CENTER 35C
SCOTTSDALE, AZ 85258'
Contractor•
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/28/10
Applicant: Architect or Engineer: SHEA HOMES, `INC. V v
60800 TRILOGY PARKWAY •' (jC
(760) 777-QUIN�A, CA 92253
6032 Af�aVrr�jTA`
- - Lic. No.: 672285
_ _ _ _ _ _------------ 77
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury that I aril licensed under provisions of Chapter 9. (commencing with l hereby affirm under penalty of perjury one of the following declarations:
Section 7Q00) 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
Lic'
ense C s: B cense No.: 672285 for, by Section 3700 of the Labor Code, for the performance of the work for which this permit is
(l.1Ln\ issued. -
Date ontractor: ` C.�il - _,KN.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 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 MUTUAL. Policy Number WA266D066115030
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 subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of th(�Contractor's State and agree that, if I 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} a?—pplic.n
00'of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit subjectsthe applicant to a civil penalty of not more than five hundred dollars ($500).: ate:t:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and ( /1 - -
.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 buildsor improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does thework 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.
- -
improvementsarenot 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
(_ 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, Business and Professions Code: The Contractors' State License Law does not apply to an 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
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 1 certify that 1 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 rdinances and state laws relating to building construction, and hereby authorize representatives
of.th' Bbun y to t�upon t above-mentioned property r' spec[io purposes. ,
Lender's Name:
ate: Si ature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number .
. . . . 10-00000310
Permit .'
BUILDING PERMIT
Additional desc.
Permit Fee . . . .
825.00
Plan Check Fee.
536.25
Issue Date . . .
Valuation . .
152896
Expiration' Date.:
4/25/11
_ Qty. Unit Charge
Per
Extension
BASE
FEE
639.50
`53.00 3.5000
THOU BLDG
100.,001-500,000•
185.50
• Permit MECHANICAL
- AdditionaL desc .
Permit Fee
75.50
Plan Check Fee
18.88 -
Issue Date
Valuation
0
Expiration Date
4/25/11
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
1.00 16.5000
EA MECH
B/C">3-15HP./>100K-500KBTU
16.50
3.00- ; 6.5000
EA MECH
VENT FAN.
�� 19..50
1.00 6.5000
EA MECH
EXHAUST HOOD
6.50
Permit . . .
ELEC=NEW RESIDENTIAL
" Additional desc
Permit Fee . . . .
86.62
Plan Check Fee
21._65
Issue Date . . .
Valuation
0
Expiration Date
4/25/11,
Qty Unit Charge
Per
Extension
BASE
FEE.
15.00
1717.00 .035.0
ELEC
NEW RES - 1 OR 2 FAMILY
60.10
576.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.52
Permit
PLUMBING
Additional desc ".
Permit Fee . . . .
129.00.
Plan Check"Fee .
-32.25
Issue Date
Valuation
0
Expiration Date
4/25/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
10:00 6:0000
,EA PLB FIXTURE
60.00
. LQPERMIT
.
- Application Number . :. .'. 10-00000310
'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
91.00
- 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 4/25/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes' and Comments
•SFD LOT 2, PLAN 4520B, 1717 SF. INCLUDES
26 SF. BOX BAY Q MBR & 88 SF. GARAGE
EXTENSION. PERMIT DOES NOT INCLUDE POOL,
SPA,'BLOCK WALLS OR DRIVEWAY APPROACH.
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
53.63
DIF FIRE PROTECTION-RES
140.00-,
GRADING PLAN _CHECK FEE
.00•
DIF LIBRARIES - RES
355.00
MULTI-SPECIES (MSHCP)'-FEE-
1284.00
A."
• DIF PARK MAINT FAC - RES
4
22.00
` DIF PARKS/REC -RES
892.00
STRONG MOTION (SMI) - RES
15.07 '
' - DIF_ STREET MAINT FAC.-RES.
67..00. - -.
r DIF TRANSPORTATION - RES
1930.00:.."
Fee summary Charged Paid Credited
----------------- ------------
Due „
Permit Fee Total 1131.12 .00 :00
1131.12
• Plan Check Total 609.03 00 .00
609.03
Other Fee Total 5834.70 .00 .00
5834.70
_
Grand Total - 7574.85 .00 .00
.7574.85