06-2833 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002833
Property Address:
61392 TOPAZ DR
APN:
764-280-999-151 -300237,-
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
187153
T44t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Applicant:rchjtectoSr Engineer:
te~ Gins ��
�C 2� 14
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby airm under penalty of perj that I am licensed under provisions of Chapter 9 (commencing with
Section 70 0) of _,
ision 3 of the u ' ss -and Profes ionals Code, and my License is in full force and effect.
Lice s• B ig License No.: 672285
ate: ractor
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that .l 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).:
(_) 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
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.).
(_ 1 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.).
( 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: Pf
LQPER111IT
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005 '1
Lic. No.: 672285 J
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)777-7153
AUG 0 4 2006.
Date: 7/27/06
L� ______
WORKER'S COMPENS AT9 1�
1 hereby affirm under penalty of perjury one of the following-clec
_ 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.
VI 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 performance of the work for which this permit is issued, I shall not employ any
person in any mann so as to become s%qectthtowthe wAgrkers' compensation laws of California,
and agree that, if I s uldbe me subjeerke}$'compensation provisions of Section
3700 of the L�b�o h I fortll*itply with oke provisions.
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 isherebymade 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 ownei, 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 issuance of s It permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify tha I havd�l read this application and state t the bov informatio is correct. I ogre comply with all
city and conty or(linances and state laws rel in to buildi g cion truction, d hereby author representatives
of this(E�y y tq, ter upon the_bove-mentione propert for iris ction pu oses.
(Applicant or
Application Number . . . . 06-00002833
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
947.50
Plan Check.Fee
615.88
Issue Date
.c .
Valuation
187153,
Expiration
Date..
1/23/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
88.00
---------------------------------,--------------------------------------------
.3.5000
THOU BLDG'100,001-500,000
.308.00
Permit
MECHANICAL
Additional
desc .
Permit Fee
59.00
Plan Check Fee
14.75
Issue Date
. . .
Valuation
0
Expiration
Date
1/23/07
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
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
. . . .
100.51
Plan Check Fee
25.13
Issue Date
. . . .
Valuation . . . .
0 -
Expiration
Date
1/23/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2170.00
..0350
ELEC
NEW RES - 1 OR 2 FAMILY
75.95
478.00
-----------------------------------
.0200
ELEC
-----------------------------------------
GARAGE OR NON-RESIDENTIAL
9.56
Permit
PLUMBING
Additional
desc .
Permit Fee
. . . .
141.00
Plan Check Fee
27.38
Issue Date
. . . .
Valuation
0
Expiration
Date
1/23/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
12.00
6.0000
EA PLB FIXTURE
72.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number .
. . . . 06-00002833 .
Permit. . . . . . .
PLUMBING
Qty Unit Charge
Per
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 Plan Check Fee
.00
Issue Date
Valuation `.
0
Expiration Date
1/23/07
Qty• "Unit Charge
Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD - Plan 5515B Lot
151, 2171 S.F.
w/MBR Box Bay
(26sf) & Kitchen Bay
(23sf). Permit does
not include block wall,
pool or
driveway approach. 2001
CBC, CMC, CPC,
2004 CEC, 2005 ENERGY
CODES
Other Fees . .
. . ART IN PUBLIC"PLACES-RES
20.00
DIF COMMUNITY CENTERS =RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
61.59
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
18.70
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION'- RES
1666.00'
Fee summary Charged Paid Credited
----------------- ------ - --- ---------- ---------- ----------
Due
Permit Fee Total
1263.01 .00 .00
1263.01
Plan Check Total
683.14 .00 .00
683.14
Other Fee Total
3796.29 .00 .00
3796.29
Grand Total
5742.44 .00 .00
5742.44
LQPERMIT