06-2834 (SFD)P'O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00002834.
61436 TOPAZ DR
764-280-999-149 -300237-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
186889
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
X
ct or En ineer:
up ��
LICENSED CONTRACTOR'S DECLARATION
I hereby ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 000) of Division 3 of the Bu'ness and Pr fa sionals Cade, and my License is in full force and effect.
Lice a I" ss: Lic rise No.: 672285
Date. ntra
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.).
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
Contractor: D
SHEA HOMES, INC.
81260 AVENUE 62
LA QiTTNTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/28/06
AUG p '12006
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.
4'1 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
1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so s to becos ject to the worker compensation laws of California,
a d agree that, if I shout ec�'me�
ubjec tota workers' co pensationprovisions of Section
3 00 of the Labor Code, s hwit omp with those isions.
te: A licant:
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 issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify at I h ve read this application and state that t e above inf"ne
orrect. 1 agree to comply with all
city ounty ordinances and state laws relating to bu ding onstrhereby thorize representatives
oft ' o my t e er upo he above-mentioned prope r nspes.
Dater ,� �gnature (Applicant or Age tl:
Application Number .
. . . 06-00002834.
------ Structure Information
SFD PLAN 5505 W/CASITA MBR GAR &
PAT EXT_
ConstructionType
TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Other struct info . .
. . . CODE EDITION .2001
# BEDROOMS
4..00
FIRE SPRINKLERS NO
GARAGE SQ FTG
539.00
PATIO SQ FTG
536.-00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2094.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
944.00 Plan Check Fee
613.60
Issue Date . . . .
Valuation
186889
Expiration Date
1/24/07
Qty Unit Charge
Per
Extension
BASE FEE
63'9.50
87.00 3.5000
---------------------------------------------
THOU BLDG 100,001-500,000.
--------------------
304.50
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
83.50 Plan Check Fee
20.88
Issue Date
Valuation . . . .
0
Expiration Date
1/24/07.
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 . . . .
99.07. Plan Check Fee
24.77
Issue Date . . . .
Valuation . . . .
0
Expiration Date
1/24/07
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
2094.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
73.29
539.00 .0200
•ELEC GARAGE OR NON-RESIDENTIAL
10.78
LQPERMIT
Application Number . . . . . 06-00002834
----------------------------------------------------------------------------
Permit . . . .PLUMBING
Additional desc .
Permit Fee . . . . 133.50 Plan Check Fee
33.38
Issue Date . . . . Valuation
0
Expiration Date 1/24/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
14.00 6.0000 EA PLB FIXTURE.
84.00
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
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . . .
0
Expiration Date 1/24/07
Qty Unit Charge Per'
Extension
BASE FEE
2
15.00
---------------------------------------- ---------- -----------------
Special Notes and Comments
=-------
SFD - Plan 5505C, 2094 SF; Lot 149
w/casita (247
sqft),,,MBR box bay (26 sqft), ext garage
(83 sqft), ext patio (315 sqft), 2094
SF. 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
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
61.36
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..
18.68
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
LQPERAIIT
�a
Application Number
. . . .
06-00002834
Fee summary
Charged
Paid
Credited
Due
-
Permit Fee Total
1275.07
----------
.00
.00
----
1275.07
'Plan Check Total
692.63
.00
.00
692.63
Other Fee Total
3776:04
.00
.00
3716.04
Grand Total
5743.74
.00
.00
5743.74
LQPERMIT