09-0477 (SFD)S.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
09-00000477
81319 JASMINE CT
764-280-999-36 -300236-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
141190
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
Architect or Engineer:
P Ila,
LICENSED CONTRACTOR'S DECLARATION
I hereby a 'rm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70 0) f Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Licen �Ucense 672285
te: �' C ractor:
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 IChapter 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.:
1—) 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 _ 1 1, 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.).
1 _ 1 I 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: 1—
LQPERMIT
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/09
WORKER'S 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.
I have and will maintain workers' rnmpansation ins! prance, 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 WC1894819
_ I 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,
and agree that, if I should become ubja�t to the workers' compe tion provisions of Section
370 of the Labor Co e, I she � fo th� comply ith ase ro is ons.
WARNING: FAILURPTO SECURE WR RS' 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 as 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 read this application and state that the above information is co�eect . I agree to c ply with all
city and oun ordinances and state laws relating to building co truction, and he au orize re r entatives
of this co my o en r upon the above-mentioned pro y far in pec an putpose
� �.
a i ature (Applicant or Agent):
Application Number . . . . . 09-00000477
LQPERMIT
I
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2007 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
.479.00
PATIO SQ FTG
457.00
NUMBER OF UNITS
1.00
------------------------------------
1ST FLOOR SQUARE FOOTAGE
----------------------------------------
1556.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee. . . . .
786.50 Plan Check Fee
511.23
Issue Date . . . .
Valuation . . . .
141190
Expiration Date
11/10/09
Qty Unit -Charge
Per
Extension
BASE FEE
639.50
42.00 3.5000
-------------------------------------=--------------------------------------
THOU BLDG 100,001-500,000
147.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
77.00 Plan Check Fee
19.25
Issue Date
Valuation . . . .
0
Expiration Date
11/10/09
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
3.00 6.5000
EA MECH VENT FAN
19.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
79.04 Plan Check Fee-.
20.18
Issue Date . . . .
Valuation . . .
0
Expiration Date
11/10/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1556.00 .0350
ELEC NEW RES -'1 OR 2 FAMILY
54.46
479.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
9.58
LQPERMIT
I
Application Number . . . . . 09-00000477
Permit . . .
Additional desc .
Permit Fee.
Issue Date . . . .
Expiration Date . .
PLUMBING
123.00
11/10/09
Plan Check Fee . . 30.75
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
9.00
6.0000
EA
PLB
FIXTURE
54.00
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 . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
GRADING PERMIT
15.00
11/10/09
Plan Check Fee
Valuation . .
�I
F
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee . . . . 22.50- Plan Check Fee 5.63
Issue Date . . . . Valuation 142817
.Expiration Date . . 11/10/09
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 Nots and Comments
SFD - LOT(36 PLAN 4510A, 1556 SF (26 SF
BOX BAY QMBR,120 SF PATIO EXT.,
PHOTOVOLTAIC SYSTEM (1.2A-3KW). PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL, SPA
OR DRIVEWAY APPROACH, 2007 CBC, CMC,
CPC, 2004 CEC, 2007 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00
LQPERMIT
Application Number
. . . . .
09-00000477
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
BLDG STDS ADMIN (SB1473)
6.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
51.12
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
14.28
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
-----------------
Charged
---- - -----
Paid Credited
---------- ---------- ----------
Due
Permit Fee Total
1103.04
I
.00 .00
1103.04
Plan Check Total
587.04
.00 .00
587.04
Other Fee Total
4546.40
.00 .00
4546.40
Grand Total
6236.48
.00 .00
6236.48
LQPERMIT