09-0689 (SFD),s'y
P.O. BOX 1504
`79-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: ?09-00000689 T
Property Address: -81307 -JASMINE CT
APN: 764-280-999-35 -300236-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 244158
Applicant:
Architect or Engineer:
pip
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p ry that I am licensed under provisions of Chapter 9 (commencing with
Section 7000)of Division 3 of t e Bu ' ess and Pro ssionals Code, and my License is in full force and effect.
License s: A, B Y ! License No.: 855368
at . ntractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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 ($5001.:
(_) 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 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.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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.).
1 ) 1 am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
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:
LQPERAIIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES
60800 TRILOGY PKWY
LA QUINTA, CA 92253
(760)777-6032 _
Lic. No.: f6?aa�5
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/07/09
WORKER'S COMPENSATION DECLARATION
1 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.
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
insurance carrier and policy number are:
Carrier NTL UNION INS Policy Number WC6987825
4z4ili e or ance of the work for - ich this permit is issued, I shall not employ any
a o s o become subject to he work ompensation laws of California,
, if I o d 0 subject t the orkers' om ensationprovisions of Section
bor od II rthwith c ply th visions.
r VV
.
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.
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 work 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 readthis application an t at above information is cor ct. a ee to comply with all
city a d county ordinances and st aws ting it mg onstruction nd here y th rize representatives
Of 's court y to enter upon t ove-menti rte o rt f imspection poses.
S' atur (Applicant or Agent
LQPERn4IT
Application Number .
. . 09-00000689
2
Permit . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee
1147.00
Plan Check Fee
186.38
Issue Date
Valuation . . . .
244158
Expiration Date .
2/03/10
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
145.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
507.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
108.00
Plan Check Fee
5.22
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/03/10
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3.00 9.0000
EA MECH
FURNACE <=100K _
27.00
3.00 9.0000
EA MECH
B/C.<=3HP/100K BTU
27.00
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
125.11
Plan Check Fee
7.82
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/03/10
Qty Unit Charge
Per
Extension
- BASE
FEE
15.00
2854.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
99.89
511.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
10.22
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
192.75
Plan Check Fee
10.09
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/03/10
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
19.00 6.0000
EA PLB FIXTURE
114.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERn4IT
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Application Number . . . . . 09-00000689
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
9.00 .7500 EA PLB GAS PIPE >=5
6.75
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 2/03/10
Qty Unit Charge Per
Extension
BASE FEE
--------------------------------------------------7-------------------------
15.00
Permit . . . SOLAR PERMIT
Additional desc . .
Permit Fee . . . . 22.50 Plan Check Fee
1.40
Issue Date Valuation . . . .
220402
Expiration Date 2/03/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 35, PLAN 5500A, 2854 SF., 149
SF EXERCISE RM, 255 SF DETACHED CASITA,
BOX BAY Q MBR(63 SF) & 4' GARAGE EXT.
(83 SF). PHOTO VOLTAIC SYSTEM
(1.7B&3KW). PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR -DRIVEWAY
APPROACH..2007 CODES. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
110.40
BLDG STDS ADMIN (SB1473)
10.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
18.64
DIF FIRE PROTECTION -RES
140.00
LQPERMIT
LQPERI%IIT
Application Number
. . . . .
09-00000689
----------------------------------------------------------------------------
Other Fees . . .
.
DIF
LIBRARIES - RES
355.00
DIF
PARK MAINT FAC - RES
22.00
DIF
PARKS/REC --RES
892.00
Y
STRONG MOTION (SMI) - RES
24.42
DIF
STREET MAINT FAC -RES
67.00
DIF
TRANSPORTATION.- RES
1930.00
Fee summary
-- - - - - - - - - - - - - - --
Charged
---- - - - - --
---
Paid Credited
- - - - - ------ - - - - ----
Due
-- - - ----
Permit Fee Total
1610.36
.00 .00
1610.36
Plan Check Total
210.91
.00 .00
.210.91
Other Fee Total
4638.46
.00 .00
'4638.46
Grand Total
6459.73
.00 .00
6459.73
t
LQPERI%IIT
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CertifIcate of Occupancy
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OF'T19� Building & Safety Department
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This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
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2007 California Building Code, certifying that, at the time of issuance, this structure was in
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compliance with the provisions of the Building Code and the various ordinances of the City
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regulating building construction and/or use.
BUILDING ADDRESS: 81-307 JASMINE COURT
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Use classification: SINGLE FAMILY DWELLING Building Permit No.: 09-0689
Occupancy Group: R3 Type of Construction: V -B Land Use Zone: RL
Sprinklers Installed: NO Sprinklers Required: NO Occupant Load: 14
Owner of Building: SHEA LA QUINTA
Address: 8800 N GAINEY CENTER DR #350
City, ST, ZIP: SCOTTSDALE, AZ 85258
S
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!�6 By: KIRK KIRKLAND
Building Official Date: FEBRUARY 22, 2010
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POST IN A CONSPICUOUS PLACE
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