08-1328 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
• �W
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/06/08
Application Number:
08-00001328
Owner:
Property Address:
81463 JOSHUA TREE CT
SHEA LA QUINTA
APN:
764-280-999-142 -300236-
C/O JEFF MCQUEEN
Application description:
REMODEL - RESIDENTIAL
8800 N GAINEY CENTER 350
Property Zoning:
MEDIUM HIGH DENSITY RES
SCOTTSDALE, AZ 85258
'
i
Application valuation:
16141
D
Contractor:
AUGG i 2 2003
Applicant:
Architect or Engineer:
SHEA HOMES, INC.
) I
60800 TRILOGY PARKWAY
LA QUINTA, CA 92253 CITY OF LA QUINTA
to (760)777-6005 FINANCE DEPT.
Lic. No.: 672285
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury tthat I am licensed under provisions of Chapter 9 (commencing with
Section 0001 of Division 3 of the Bpsss and Profe ion Is Code, and my License is in full force and effect.
Lic�ns—e ass: IS (q ii /` `\ ne se No.: 672285
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 155001.:
(_ I 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 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.).
( I 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
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' 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 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 !forlthit
bject to the workers' compensation laws of California,
a.'l1d agree that, if I should becoto the workers' compensation provisions of Section
`3p0 f he Labor Cod , I shallcomp with those provisions.
ate: �/—I�t11� scant: '
WARNING: FAI URE TO SECURE WOR S' 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 certV that I have read this application and state that the above infor tion is correct. I agree to comply with all
c n count ordinances and state laws relating to building constru i n, and hereby authorize representatives
o i ou y me Z
above-mentioned pro y for inspec o urposes.
at . Applicant or Agent):
Application Number . . . . . 08-00001328
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
180.00
Plan Check Fee
117.00
Issue Date . . . .
Valuation . . .
. 16141-
6141Expiration
ExpirationDate . .
2/02/09
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
15.00 9.0000
------------------------ ---------------------------------------------------
THOU BLDG
2,001-25,000
135.00
Permit . . .
SOLAR PERMIT
Additional desc . .
Permit Fee . . . .
22.50
Plan Check Fee
5.63
Issue Date.
Valuation . . .
. 16141
Expiration Date
2/02/09
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
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Special Notes and Comments
REVISION WHILE UNDER
CONSTRUCTION
-
INSTALL PHOTOVOLTAIC
SYSTEM 1.3C
- 3KW.
PLAN 4615C.
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Other Fees . . . . .
. . ENERGY REVIEW FEE
11.70
Fee summary Charged
---------------------------
----------
Paid Credited
--------------------
Due
Permit Fee Total
202.50
.00 .00
20'2.50
Plan Check Total
122.63
.00 .00
122.63
.Other Fee Total
11.70
.00 .00
11.70
Grand Total
336.83
.00 .00
336.83
LQPERMIT