06-2773 (SFD)` T
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00002773 Owner:
Property Address: 61379 TOPAZ DR SHEA LA QUINTA
APN: 764-280-99 -11 -300237- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 163330
Contractor:
Applicant: KrChitect or Engineer: SHEA HOMES, INC.
CO 81260 AVENUE 62
LA QUINTA, CA 92253
�-C (760) 777-6005
Lic. No.: 672285
-woe
IJ
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/24/06
AUG 0 4 2006
v�
---------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Aa
of Division 3 of the 'ness and Pr fe'sionals Code, and my License is in full force and effect.
0 i icense No.: 672285
onuacto .
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 (Sec. 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 1, 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.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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.l.
1 _ 1 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.).
Lender's Name:
Lender's Address:
LQPERMIT
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 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
YlI 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 1247619
_ I certify that, in the perfo nance of the work for which this permit is issued, I shall not employ any
��70
n in any manner become subject to the worke compensation laws of California,
gree that, if I e me subj t to the woP�Cers' c m ensation provisions of Section
�1lV�I r the ` r Cod , I _ 1 forthwi corn y with thospr visions.
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 ($100,000). 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 issuanc of such permit, or cessation of work for 180 days will subject
pet6ve
o cancellation.
I certify t at I head this application ant
h he above information is correct agree to comply with all
city d c untyances andstate laws rbuil ng cons uctio}y a d hereby thorize representatives
ofth yr upon the above-menr p for inspon p r osee: gnature (Applicant ol:
Application Number 06-00002773
Permit
. . . . .
BUILDING PERMIT
Additional
desc .
Permit Fee863.50
Plan Check Fee
561.28
Issue Date
. . .' .
Valuation . . . .
163330
Expiration
Date
1/20/07
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
64.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
224.00
Permit
. .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
83.50
Plan Check Fee
20.88
Issue Date
Valuation . . . .
0
Expiration
Date
1/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA MECH
FURNACE <=100K
18.00
2.00
9.0000
EA MECH
B/C <=3HP/100K BTU
18.00
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
. . . .
•89.82
Plan Check Fee
22.46
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
•1/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1805.00
.0350
ELEC
NEW.RES - 1 OR 2 FAMILY
63.18
582.00
---------------------------------------------------------------=------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.64
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
147.00
Plan Check Fee
36.75
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
1/20/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
13.00
6.0000
EA PLB FIXTURE
78.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERNIIT
Application Number . . . . . 06-00002773
Permit . .. . . . . PLUMBING
Qty
Unit Charge
Per
BASE FEE
Extension
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
Issue Date . . . .
Expiration Date . . 1/20/07
Plan Check Fee .
Valuation . . .
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - Lot 111,1805 SF.Plan 4510C Casita
(249sf), MBR Box Bay (26sf),
Ext Garage
(83sf)'& Ext Patio (120sf).
Permit does
not include block wall, pool
or
driveway approach.2001 CBC,
CMC, CPC,
2004 CEC, 2005 ENERGY CODES
---------------------------------
Other Fees . . . . . . . .
-----------------------------
. ART IN PUBLIC PLAICES -RES
--------------
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
56.13
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
16.33
DIF STREET MAINT FAC -RES
61.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERAIIT
Charged Paid
1198.82 .00
641.37 .00
3788.46 .00
5628.65 .00
Credited Due
.00 1198.82
.00 641.37
.00 3788.46
.00 5628.65