05-0570 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
Qty Unit Charge Per
BASE FEE
2.00 9.0000 EA MECH FURNACE <=100K
2.00 9.0000 EA _ MECH B/C <=3HP/100K BTU
4.00 6.5000 EA MECH VENT FAN
Extension
15.00
18.00
,18.00
26.00
BUILDING PERMIT
Application Number .
. . . .� 05.-00000570~
Date 2/14/05
Property Address . .
. . ... 60233 KATIE CIR
APN:
764-270-999-162 -300233-
Application description
DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
. . . . MEDIUM HIGH DENSITY RES AN
Application valuation . . . . 239845
Owner
------------------------
Contractor
a. 04 2005
-mQU
SHEA LA QUINTA
SHEA HOMES, INC
TA
C/O JEFF MCQUEEN
81260 AVENUE 621CIFINTY
FINANCE DEPT.
FINANCE
8800 N GAINEY CENTER
350 LA QUINTA
CA 92253
SCOTTSDALE
AZ 85258 (760) 777-6005-
WCC: NTL UNION INS
WC: 6436568
08/01/05
CSLB: 672285
06/30/05
CCC: B
------ Structure Information
SFD PLAN 6420B W/CASITA, MBR&NOOKBOX BAY -----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
615.00
PATIO SQ FTG
323.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2781.00
Permit
BUILDING PERMIT
Additional desc
Permit Fee . . . .
1129.50 Plan Check Fee
734.18
Issue Date . . . .
Valuation . .
. . 239845
Qty Unit Charge
Per
Extension
BASE FEE-
639.50
140.00 3.5000
THOU BLDG 100,001-500,000
490.00
Permit
----------------------
MECHANICAL
Additional desc
Permit Fee . . . .83.50
Plan Check Fee
20.88
Issue Date . . . ..
Valuation . .
. . 0
Qty Unit Charge Per
BASE FEE
2.00 9.0000 EA MECH FURNACE <=100K
2.00 9.0000 EA _ MECH B/C <=3HP/100K BTU
4.00 6.5000 EA MECH VENT FAN
Extension
15.00
18.00
,18.00
26.00
P.O. BOX 1504 •
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 05-5170 t c5
Applicant: Ar Mly9ine
)a%
Applicant's Mailing Address: hitect or Engineer's Address:
Ic. No.:
I he by affirm
ode, and my
License Class
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
provis ns of t�(�rtr<ren ig ng_with Section 7000) of Division 3 of the Business and Professionals
se No //))'�/��JJyy�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or 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).):
U 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within 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.).
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
,V ve a will maintain workers' insu ance, as re �bicn3 00ofthe Labor Code, for the performance of the work for which this permit is
ue M workers'com nsation rancec er
rner ohcy Number
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California nd ree that, /shId become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fo hwith comply with those pro4/ vi s.
l
pplicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 r`
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, 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.
2. Any permit issued as a result of this application becomes null and void if w rk is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above i orm ion is co L I agree to comply with all city and county ordinances and state laws relating to building
connstru tion, bafd ereby authorize representatives of this my nter upon th above-mentioned property for inspection purposes.
ate ' Sign pplicant or Age
1
Application Number
05-00000570
Page 2
Date 2/14/05
Qty
Unit Charge
Per
Extension
1.00
.6.5000
EA MECH EXHAUST HOOD
6.50
-----------------------------------------------------------------------------
Permit
. . . ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
124.64 Plan Check Fee
31.16
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
2781.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
97.34
615.00
---------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
12.30
Permit .
. . . . . PLUMBING
Additional
desc
Permit Fee
. . . .
177.00 Plan Check Fee
44.25
Issue Date
Valuation . . . .
0
Qty.
Unit Charge
Per
Extension
BASE FEE
15.00
18.00
6.0000
EA PLB FIXTURE
108.00
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
Qty
Unit Charge
Per
Extension
-----------------------------------------------.----------•--------------
BASE FEE
15.00
Special Notes
and Comments
SFD - Plan
6420B Lot 162
w/casita (255
sqf t ) MBR
( 2 6 sqf t ) &
Nook box bay ( 2 3
sgft). Permit does not
include block
wall, pool
or driveway
approach.
----------------------------------------------------------------------------
Other Fees
. . . . .
. . . . ART IN PUBLIC PLACES -RES
99.61
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
Page 3
Application Number . . . . . 05-00000570 Date 2/14/05
-=--------------------------------------------------------------------------
Other Fees . . . . . . . . . ENERGY REVIEW FEE 73.42
DIF FIRE PROTECTION -RES 97.00
GRADING PLAN CHECK FEE .00
DIF LIBRARIES - RES 225.00
DIF PARK MAINT FAC = RES 5.00
DIF PARKS/REC - RES 502.00
STRONG MOTION (SMI) - RES 23:98
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary I Charged
Permit Fee Total _1529.64
Plan Check Total 830.47
Other Fee Total 2602.01
Grand Total 4962.12
Paid Credited Due
---------- ---------- ----------
.00 .00 1529.64
.00 .00 830.47
.00 .00 2602.01
.00 .00 4962.12