07-0863 (SFD)(eoit�v
P.O. BOX 1504 ^'
78-495 CALLE TAMPICO
LA-QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT' ,
. Application Number: 0.7=000000863 Owner:
'Property Address:.61721-TORO �CANYON WY: SHEA. LA QUINTA
APN: 764-280-999-126 -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: 149689 r---
� Contractor:
Applicant: r/A chitect or Engineer. SHEA HOMES., INC.
�+. 81260 AVENUE 62'
LA QUINTA, CA •92253
(760) 777-6005
Lic. No.: 672285
or
19
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/07
' 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: -
Section 7 001 f Division 3 of the Bus• ess and Professionals Code, and my License is in full force and effect. -
Sc
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
n C s: License No.: -'672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate: ntractor: -
issued.
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 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
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
and agree that, if I sho become sub'ea arketrhSO.0' ompensation provisions of Section
3706 of the La Co shall rth th provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
'
b
- any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
: A ant:
I, as owner of the property, ti 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: FAILU 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 theburdenof 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, indemnify and hold harmless the City
of La Ouinta, 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
ct. I agree to comply with all
I certify that I have read this application and state that the above informatio�a"s;.,bi
work for which this permit is issued (Sec. 3097, Civ. C.): '
city and county ordinances and state laws relating to buildin constructi authorize representatives
of this c my to nter upon the above-mentioned pr o inspe on u
Lender's Name:
-
.
D 114_1g re (Applicant or AgeQt
Lender's 'Address:
-
LQPERMIT -
,
Application Number
07-0000.0863
' Permit
BUILDING PERMIT
Additional desc .' .
Permit Fee
814.50 Plan Check Fee
529.43 .
Issue Date . . . .
Valuation . .
149689
Expiration Date
9/18/07
Qty Unit Charge
Per
Extension
BASE FEE"
639.50
50.00 3.5000
THOU .BLDG 1001001-500,000
-------------------------------
175.00
Permit
MECHANICAL
Additional desc .
Permit Fee
90.00 Plan Check "Fee
22.50.
Issue Date"
Valuation . . . .
0
Expiration Date
9/18/07
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
5.00 6.5000
EA MECH VENT FAN .'
32.50.
1.00 6.5000
EA -MECH•EXHAUST HOOD
6.50
Permit . ...
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
83.40 Plan Check Fee
20.85 .
Issue Date . . . .
Valuation . . .
0
Expiration Date :
9/18/07...
Qty Unit Charge
Per
Extension
BASE FEE.
15.00
1636.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
.57.26
557.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.14
_ Permit
PLUMBING '.
Additional desc
Permit Fee
146.25 'Plan Check Fee
36:56
Issue Dane
Valuation
0
Expiration Date :
9/18/07. }
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
LQPERMIT
-
LQPERMIT
Application Number 07-00000863
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
5.00 .7500 EA PLB GAS PIPE >=5
3.75 "
1..00 15.0,000 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 9/18/0:7
Qty Unit Charge Per
'Extension
BASE FEE
15.00•
Special Notes and Comments
SFD -.LOT 126, Plan 42.10A. 1636 S.F.,
w/Casita (255sf.),.MBR Box Bay (26sf),
Ext Garage (83sf) k. Ext Patio .(177sf) .
Permit does not include block.wall,
pool or driveway approach. 2001.CBC,
CMC, CPC, 2004 CEC," 2005 ENERGY CODES
-
-- -- - -- --. . ART IN'PUBLIC PLACES -RES
Other Fees-.. . . .
20.00
DIF COMMUNITY CENTERS -RES
74:00
-DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
52.94 ,
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
14.•96
DIF STREET .MAINT FAC -RES
67".00
DIF TRANSPORTATION"- RES-
1930.00
Fee summary. Charged Paid Credited
Due
Permit Fee Total 1149.15 00 .00
1149.15 _
Plan Check Total 609.34 .00 .00
609.34 .
Other Fee Total 4562.90 .00 00
4562.90
Grand Total 6321.39 .00 .00
6321.39
LQPERMIT