07-0862 (SFD)P.O. BOX 1504
44
u�l'ftiGv.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
- . BUILDING PERMIT
Application Number: 07,-00000862Owner:
Property Address: 61743 TORO CANYON WY SHEA LA QUINTA
APN: 764-280-999-127..-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
t Contractor: D
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/22/07
Applicant: rchitect or Engineer: SHEA HOMES, INC- U
_C
81260 AVENUE 62 APR 12 2007 U
,� � ,Z�•LA QUINTA, CA 92253
u^ 46 J (760)777-600.5
Lic. No.: 672285 C{�OF�QUINTA
FINANCE DEPT•
LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
1 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 000) of Division 3 of the Bu 'Hess and Professio els 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
Li ns lass: � Li ense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
` issued.
ate: V rector:( 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 o as t0 becomsubtth'
t 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 nd agree that, if I sh becomEub!it orkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the: Labor shall f m those provisions.
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).: te: licant,
(_ 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 _ WARNING: FAILURE TO SECUR OF,
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 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
. 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
within 180 days from date of issuance of suc ermit, or cessation of work for 180 days will subject
"permit to cancellation.
A4Wad this application and state that the a einformation i «ecf. I r e to comply with all
nces and state laws relating to b 'in ucti and h eby au o ze representatives
r upon he above-mentioned pr erty f r in ctio rposei nature (Applicant or Agent
Application Number •.
. . . •07-00000862
Permit ... .
BUILDING PERMIT
--.Additional-desc
Permit Fee
863.50
Plan Check-Fee
561.28
Issue-Date
Valuation
163330
Expiration Date
9'/18/07
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
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
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_.
.9/18/07.
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
Y Additional desc
Permit 'Fee . .
147.00
Plan.Check Fee-.
36.15
-Issue Date . . . .
Valuation
0"
Expiration Date'`.
9/18/07
Qty Unit Charge
Per
RExtension
BASE
FEE
15.00• . .
13.00. 6.0000.
EA PLB
FIXTURE
78.00
1.00 •15.0000
EP, PLB BUILDING SEWER
15.00
. LQPERMIT ...
.. -
Application Number 07-00000862
- Permit . . . PLUMBING
::'Qty Unit Char e ,, Per .._
g
. Extension
1.00 7.5000 EA PLB.WATER,HEATER/VENT
7.50
1.00, 3.0000 EA PLB WATER ZNST/ALT/REP
3.00
9.9000 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 ; 9/18/07.
. .
= Qty Unit Charge 'Per
Extension
.:BASE 'FEE
15.00
-----Special Notes and -Comment's.
- SFD - Lot 127,1805 SF.Plan-4510B.Casita
(24'9sf), 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, 2.005,ENERGY-CODES
-----------------------
Other Fees ART IN PUBLIC PLACES -RES -
20.00•
DIF COMMUNITY CENTERS -RES
74.0.0
_ DIF CIVIC,CENTER = RES
995..00
ENERGY REVIEW FEE
56..13'
DIF FIRE.PROTECTION-RES:
140,00,
...GRADING PLAN CHECK :FEE',
• - 00'
DIF LIBRARIES 17 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
67.00
DIF TRANSPORTATION ' -'-RES ."
1930 . 00- :
Fee summary Charged Paid .Credited_
----------------
Due
Permit Fee Total 1198.82 .00 .00
1198.82
Plan*Check,Total 641.37 .00 .00
641.37'
Other Fee Total• 4567.46 00 00
4567.46
Grand. Total 6407.6:5 00 .00
6'407.65,
LQPERMIT