07-1060 (SFD)ceooity,, 4
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: 4/05/07
Application Number: �07-00001060" Owner:
Property Address: 61654 TORO CANYON WY. - SHEA LA QUINTA
APN: 764-280-999-87 -3.00237- 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: 142817 n
Contractor:
Applicant:Aect or En ineer: SHEA HOMES, INC.
81260 AVENUE 62 APR 2 6 2007
LA QUINTA, CA 92253
YL J (760)777-6005
LiC No::.672285 CITY OF LALIUINTA
FINANCE DEPT
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION - -
I 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:
Sec 'on 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
se Class: B LicenseNo.: 672285
LAleR�0
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
(�-�I'(,`j�issued.
bnt,. or: �y , ' " "'—
I 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 AMERICAN HOME Policy Number 1247619
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 tobecomesubject-to the workers' compensation laws of California,
• permit to file asigned statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I s�a��uld become su ct to th or'kers' compensation provisions of Section
• License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - •
3700 of the LagpiC v shall f hwit com chose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
V/
• any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (55001:
Date. Applicant:
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 WORKERS' 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 _ 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,
(_ 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
I certif
that I have read this application and state that the above information is correct. I agree to comply with all
'on,
work for which this permit is issued (Sec. 3097, Civ. C.). -
ty
county ordinances and state laws relating ilding con an hereby authorize representatives ,
'
o
y t r upo he above ti e y fo spec n pur s
Lender's Name:
-
Date: ignatura (Applicant or ,
Lender's Address: dip -
t '
LQPERMIT
LQPERMIT
Application Number .
. .07-00001060.
Structure'Information
-Construction-Type. . -.
.= .. . TYPE V - NON RATED
Occupancy Type . . .
.. DWELLG/LODGING/CONG <=10 .
Flood Zone . . .
NON -AO FLOOD ,ZONE
Other struct info'.
CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
562.00
PATIO SQ FTG
457.00
NUMBER OF UNITS
1.00
1ST FLOOR -SQUARE, FOOTAGE
1556.00
Permit:
BUILDING PERMIT
Additional desc .
Permit:Fee
790.00 Plan Check Fee
513.50
Issue Date
Valuation
142817,
Expiration Date
10/02/07
Qty Unit Charge
Per
Extension
BASE FEE
•639.50
43.00 3.5000
THOU BLDG..100.,001-500,000
150.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee. .
77.00' Plan Check Fee
19.25
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/02/07
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
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
80.70 Plan Check Fee
20.18
Issue Date
Valuation
0
Expiration Date
10/02/07
Qty Unit Charge
Per
Extension
BASE FEE
15'.00
1556.00 .0350,.
ELEC.NEW RES - 1 OR 2 FAMILY•
`54.46
56.2.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.24
LQPERMIT
Application Number .
. . . . 07-00001060
Permit
PLUMBING
-
Additional desc .
Permit Fee
•123.00 Plan Check Fee
30.75
Issue Date . . .
Valuation . .
. 0
Expiration Date
10/02/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9.00 6.0000
EA. PLB FIXTURE
54:00
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
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
10/02/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD = LOT 87 PLAN 4510A,
1556 SF. (26
SF BOX BAY @MBR, 83 SF
GAR. EXT. 120 SF
- PATIO EXT" PERMIT DOES
NOT INCLUDE BLOCK
WALLS,- POOL, SPA 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
CIVIC CENTER -- RES_
995:00
ENERGY REVIEW FEE
51.35
DIF FIRE PROTECTION -RES
140.0.0
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
14.28 "
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION-- RES
1930.00
- LQPERMTT
- _
.
Application Number
07-00001060
Fee summary
Charged
-----------
Paid
-------------
Credited
Due,
--
Perm it
Permit Fee Total
1085.70
-------.---
.00
.00
1085.70
Plan Check Total
583.68
.00
.00
583.68
Other Fee Total
4540.63
00
.00
4540.63
.Grand .Total
6210.01
00
.0.0„
6210.01
- LQPERMIT -
.