07-0664 (SOTB)P.O. BOX 1504 �^' VOICE 760 777-7012
78-495 CALLE TAMPICO/� FAX (760)' 777-7011
LA QUINTA, CALIFORNIA 92253 ..BUILDING & SAFETY DEPARTMENT INSP C ONS (760) 777-7153
BUILDING PERMIT
-
jDate: 3/02/07
Application Number: .-._ .07700000664 Owner:. ^oo�
Property Address: 61765 TORO CANYON WY SHEA LA QUINTA O L
APN: 764-280-999-128 -300237- C/O JEFF MCQUE Q� /
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY C T 350
Property Zoning: MEDIUM-HIGH DENSITY RES SCOTTSDALE, AZ 8 t 5
Application valuation: 149689
Contractor:
Applicant: rchaect or Engineer' SHEA HOMES, INC. -
cbr �s� 81260 AVENUE 62
LA QUINTA, CA 92253
(760) 777-6005
Lic- No.:. 672285
- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
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 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
Lice Bib License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .
issued.
• Date tractor: I have and will maintain workers' compensatiori 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, 1 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 agiee that, if I ssshh-ouulllddl,)become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or �700 he Laborshforthiith co 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 1any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500): Date.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 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 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 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.1. - city and county ordinances and state taws relating tt 5b'Idilconstruct,on, and ereby authorize representatives
of t i o t' enter upon the above-mentioned prin pec 'on purpo s.
Lender's Name:pvt�\
e: � nature (Applicant or Agent Y _
� Lender's Address: �" � - '
LQPERMIT .. -
• "Application Number .
. . . . 07-00000664
Permit,
BUILDING PERMIT
Additional..desc
=
Permit Fee
814.50 Plan Check Fee ..P
529.43
'Issue Date
Valuation
149689
. Expiration Date
8/29/0.7
Qty Unit Charge.
Per
Extension
•
BASE FEE
•639.50
50'.00 3.5000
----------------------------------------------------------------------------
THOU BLDG•100,0.0.1=500,000
175.00
Permit . .
MECHANICAL
Additional desc .
Permit Fee'
9.0:00 Plan Check Fee
22.50
Issue Date . . . .
Valuation
0
Expiration Date
8/29/07
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
8/29/07
Qty -Unit Charge
Per
Extension
.
BASE FEE
.15.60
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 Date . . . .
Valuation
0
Expiration Date
8/29/07
- 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.
15.0,0
. LQPERMIT• - -
.
v Application Number 07-000006641
Permit PLUMBING _
• : w _-
_ Qty .-- Unit . Charge Per --
.,Extension
1.00 7.50'00 EA PLB-WATER HEATER/VENT,
7.50
`. X1.00 • 3.0000-EA PLB WATER INST/ALT/REP
1:009.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
• 5.00 .7500 EA PLB GAS PIPE >=5
3.75
J. 0'0 . .15 . 0000" EA PLB GAS METER.
15.00
---
Permit. ... . . . GRADING-PERMIT
Additional esc .
Permit. Fee 15.00 Plan -Check Fee
:00.
Issue Date Valuation
0
Expiration Date 8/29/07 .-
a Qty, Unit Charge Per r
Extension
BASE FEE
15.00
" i----------=------------------------------=------------
-------- - - - - -- .
Special Notes and Comments
SFD.- LOT 128, Plan 4210C. 1636 S.F.
w/Casita (255sf), MBR Box Bay ("26sf),
Ext Garage (83sf)' & Ext Patio (177.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
----
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 AT N `--FRES
- -,; : _ = = • - - TRANS PORT IO
. 1930:00 -
Fee summary Charged Paid. Credited
Due
-----------------------------------------------.----------
Permit Fee Total 1149.15-" .00 .00
1149.15
Plan Check Total 609.34 - :AO .00
609.34
Other Fee Total 4562.90 .00 .00
4562.90
- Grand Total 632.1.39 .0.0 .00
6321.39_
LQPERMIT ., -