10-1166 (SFD)P:O. BOX.1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
_ BUILDING PERMIT.
_ . Date: 11/03/10
Application Number: 10=00001166 1 Owner:
-Property Address: 61230 TALEA DR SHEA LA QUINTA.
APN: 764-280-004-33 35996 60800 TRILOGY PARKWAY
Application description: DWELLING -,SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 180549
Contractor: .
Applicant: Architect or Engineer: SHEA HOMES, INC.
I ' 60800 TRILOGY PARKWAY
P\1� LA QUINTA, CA 92253 D �t
.(760)777-6032
Lic. No.. 672285
r«' 12090
-
CITY OF LA QUINTA_
' - - - - - _ - - - _ _ •- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - --- --- - - - _ - - - - - f, NAM, -J Lr 1.. _ - - - -
.LICENSED CONTRACTOR'S DECLARATION- - WORKER'S COMPENSATION
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: -
Section 7000) 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 -
Licen a Cla : is nse No.: 672285. for by Section 3700 -of the Labor Code, for the performance of the work for which this permit is
L . issued.
It�Date: Contractor: 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 WA266DO66115030
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 the Contractor's State d 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 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 by - - - -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - D - �gPN�ant:
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 WARNING: FAILURE TO SECURE W RS' 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
(_ 1 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 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,
I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnity 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. - -
Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the - I 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 co my rdinances and state laws relating to building construction, and hereby authorize representatives .
%• of tha Cou y t nt ' upon the above-mentioned pro erty for jnspection purposes.
Lender's Name: _ - / r '
te: 1 ature (Applicant or Agen
Lender's Address:
LQPERMIT .`\
Application Number
10-00001166
" Permit . . .
BUILDING PERMIT
Additional desc-
_
_ - ;Permit Fee
923-.00
Plan Check Fee
149:98
' Issue Date
Valuation
180549*
..Expiration Date
.5/02/11
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
81.00. 3.5000
THOU. BLDG -100,001-500,000
283.50
Permit
MECHANICAL
Additional desc,,.`
Permit Fee
110.50
Plan Check 'Fee
6.90;,•
Issue Date
Valuation
S 0
Expiration Date
5/02/11
--Qty ..Unit,Charge
Per
Extension "
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE.<=100K
1.8.00
,1.00 9.0000
EA MECH
B/C <=3HP/100k BTU
9.0.0
t 1.00 16.5000
EA' MECH
B/C >3-15HP/>100K-500KBTU
16.50
6.00 6.5000
EA MECH
VENT.FAN
39.00
-2.00_ 6.5000
EA MECH
EXHAUST HOOD
13.00 3
Permit . . .
ELEC-NEW RESIDENTIAL
-� Additional desc .
•6.17
Permit Fee
98.76
Plan -Check Fee
Issue Date
Valuation. ,
0
Expiration Date
5/02/11
Qty. Unit Charge
.Per
Extension
'
BASE
FEE
15.00-
5.002028.00
2028.00.0350
ELEC
NEW RES -.1 OR.2 FAMILY
-70.98 '
639.00 .0200,
ELEC
GARAGE OR NON-RESIDENTIAL
12.78' ;
Y Permit . . .{
PLUMBING
•:-
-
Additional desc
Permit Fee
147.75
Plan Check7Fee
9.23'.
Issue -Date
Valuation.
0
.Expiration Date
5/02/11
Qty Unit Charge
Per
f-
Extension
. ..
BASE
FEE
15.00 ;
13.00 6-.0000
'EA 'PLB FIXTURE
78.00. "
". LQPERMIT -
'
Application Number
. . . . 10-00001166
Permit . . . . . .
PLUMBING
. Qty Unit_ Charge
.Per1. __
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
.7.00 .7500
EA PLB GAS PIPE >=51
5•.25
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
5/02/11
Qty Unit Charge
Per
Extension
BASE FEE
15.00
Special.Notes and Comments
SFD - LOT 33, PLAN 4515C,
2028 SF.-
F.°INCLUDES
'INCLUDES-255
255 SF. DETACHED CASITA,24 SF
BAY @ NOOK & 103 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)
8.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
15.00'
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
STRONG MOTION_ (SMI) - RES
18..05
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
Due.
•Permit Fee Total
1295.01 .00 .00
1295.01
Plan Check Total
172.28 .00 .00
172.28.•
LQPERMIT