07-0896 (SFD)Y
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*P.O. BOX 1504 TAiyl 4 t ^� 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: ' 3/26/07
Application Number: 07-• r00. 000896 - Owner:
Property Address: 61750 TORO CANYON WY SHEA LA QUINTA • '
«. APN;.- 764-280-999'-83• -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 D .
Application valuation: 150034 Lrt�
+ � _ Contractor:• � ' • APR
7
Applicant: , rchitect or Engineer: _ SHEA HOMES, INC. 1 ZOO/
ht C DPL3 81260 AVENUE`62 w
CITMQ
LA QUINTA, CA 92253 FLAQUINTA
�L FINANCE DEPT
(760)777-6005
. e LiC.•NCi•.:.672285
LICENSED CONTRACTOR'S DECLARATION + WORKER'S COMPENSATION DECLARATION _
I heieby 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 70 01 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 '
., L.icen �e la B - License No.: 672285 - 'for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
---`�•-`�I(—1 a issued. ;
ate: - ntractor: {r Y "� • I have and will maintain worker -s' 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 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 and agree that, if I should become subject the workers': compensation provisions of Sectiori"
License Law (Chapter 9 (commencing with.Section 7000) of Division 3 of the Business and Professions Code) or 00 of thsfO�thwijh ly with 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 (5500).: te: pplica -
(_ ) I, as owner of the p(operty, 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 herselfthroughhis 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
(_ I- 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 contractods) 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 _ ) 'I am exempt under Sec. , B.&P.C. for this reason'theowner , 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 omissiomrelated 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.
1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and eby authorize representatives
of i �unt t enter upon the above -mention y for i p ioQ purpoUg
Lender's Name: 1` � _
ate: Si ature (Applicant or Ag
Lender's Address:
LQPERMIT x -
Application.Number
07-00000896
Structure Information
Construction Type-,.
TYPE V - NON RATED
Occupancy.Type
DWELLG/LODGING/LONG <=10
Flood Zone
NON -AO FLOOD ZONE.
Other struct-info . .
CODE EDITION
2001.
# BEDROOMS
3.00
"
FIRE'SPRINKLERS
NO .
GARAGE SQ FTG
576.00
PATIO SQ FTG'
17.7.00
NUMBER OF UNITS
10.00
1ST FLOOR SQUARE FOOTAGE
1688.00
Permit
BUILDING PERMIT
Additional desc . .
•. Permit -,Fee
818.00. Plan Check Fee
`531:70
Issue Date . . . .
Valuation . .
. 150034
Expiration Date
9/22/07.
Qty Unit Charge
Per
Extension
BASE FEE
639.50
51.00 3.5000
THOU BLDG 100,001-500,000
.178.501,
Permit. MECHANICAL
Additional desc .
Permit Fee
64.00 Plan Check Fee
16.00
Issue Date
Valuation . .
0
Expiration Date'.
9/22/07
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
--:1.00 6.5000
EA MECH VENT FAN
6.50•
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . ..
ELEC-NEW RESIDENTIAL"
Additional desc .
Permit Fee
85.60 Plan Check Fee
21.40
Issue Date
Valuation . . .
. 0
- 'Expiration Date
9/22/07 .
Qty `Unit Charge
Per
"Extension '•.
BASE FEE
15.00
1688.00 .0350
ELEC NEW RES - 1 OR 2 -FAMILY
59.08
LQPERMTT
Application Number . . . . . 07-00000896'
Permit ELEC-NEW RESIDENTIAL.
Qty .Unit Charge Per
Extension '..
576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
11.52
Permit PLUMBING
Additional desc .
Permit Fee 128.25 Plan Check Fee
32.06
Issue Date" Valuation
.0
Expiration Date 9/22/07 .
Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 6.0000 EA PLB FIXTURE'
.60:00
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
5.00 .7500 EA PLB GAS PIPE >=5
3.75
1.00 15.0000 EA PLB GAS METER
15.00
Permit GRADING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check' Fee
.00
-IssueDate . . . . Valuation
0
Expiration Date 9./22/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
•--------------------------------- ------ --- ------------------- ---------------.------
Special Notes and Comments
SFD - LOT•83,, Plan -4520C 1688'SF/ .
BOX BAY @ MASTER.(26SF) & 4' EXT. GARAGE
(88SF).PERMIT DOES -'NOT INCLUDE POOL,
SPA, BLOCK WALLS 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
995.00
ENERGY REVIEW FEE
53.17
DIF FIRE PROTECTION -RES
140.00
GRADING,PLAN CHECK FEE
0-0
•"DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
LQPERMTT -
Application Number
07-0000089.6
-------------.-----------
Other Fees
-----------
---------------------------
DIF PARKS/REC - RES
--------------
892.00
•STRONG MOTION .(SMI)-- RES
- 15.00
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION -'RES
1930.00.
Fee summary.
Charged
Paid Credited...
Due
Permit Fee Total
1110.85
.00 .00'
1110.85
Plan Check Total.
601.16
.00 .00
601.16
Other Fee Total'
4543.17
.00 00
4543.17 .
Grand Total
625;5.18"
00 00
6255.18
LQPERMIT -
-