07-1709 (SFD)r P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tdy/ 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/12/07
Application Number: 07-00001709 Owner:
Property Address: 81790 LA PAZ CT SHEA LA QUINTA
APN: 764-280-999-96 -300237- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH ,DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 240673
a
Contractor:
Applicant: chitect or Engineer SHEA HOMES, INC..
5 rrch5 81260 AVENUE 62 U^/
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
Np
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 701 of ivision 3 of the Bu iness and Professionals Code, and my License is in full force and effect.
Li ense CI s: B 0License No.: 672285 `
i
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 (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).:
(_) 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 (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 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:
LQPERMIT
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.
have and will maintain workers' compensation insurance, as required by Section 3706 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 AMERICAN HOME I Policy Number 1247619
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 ecome su ect to the wo rs' compensation provisions of Section
_ f X3700 of the La o R s all {ol�thv�i[h comply se provisions.
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 issuanc f such permit, or cessation of wor r 180 days will subject
permit to cancellation. -
I certify that I have read this application and state th he above i rmation correct I ree to comply with all
city anLu my or finances and state laws relatin cans coon, a d here orize representatives
of is to
ter upon the
above-mention d prop rty insp ion pur es.
ate: ture (Applicant or A e
LQPERMIT
• Application Number .
. . . . 07-00001709
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC
# BEDROOMS
4.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
719.00
PATIO SQ FTG
214.00
NUMBER OF UNITS
1.00
-----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2769.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1133.00• Plan Check Fee
736.45
Issue Date . . . .
Valuation
240673
Expiration Date . .
12/09/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
141.00 3.5000
----------=-----------------------------------------------------------------
THOU BLDG 100,001-500,000
493.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
90.00 Plan Check Fee
22.50
Issue Date . . . .
--Valuation
0
Expiration Date
12/09/07
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 . . . .
126.30 Plan Check Fee
31.58
Issue Date
Valuation
0
Expiration Date
.12/09/07
Qty Unit Charge
Per -
- Extension
BASE FEE
.15:00
2769.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
96.92
719.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
14.38
LQPERMIT
LQPERMIT
• Application Number . . . . . 07-00001709 .
------------•-----------------------------------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 171.00 Plan Check Fee
39.75
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/09/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
17.00 6.0000 EA PLB FIXTURE
102.00
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 PiR 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
Expiration Date 12/09/07
Qty Unit Charge Per
Extension
BASE FEE
15.00 ,
--------------------------------- -------------------------------------------
Special Notes and Comments
SFD - LOT 96 PLAN 6430C 2769 SF. PERMIT
DOES NOT INCLUDE-
'
BLOCK WALLS, POOL, SPA OR DRIVEWAY
APPROACH. 2001 CBC, CMC; CPC, 2004 CEC,
2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . ART IN PUBLIC PLACES -RES
105.27
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
73.65
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
24.21
_
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
Due
LQPERMIT
• Application Number
. . . . .
07-00001709
---------------------------
Permit Fee Total
1535.30
--------------------
.00
.00
----------
1535.30
Plan Check Total
830.28
.00
.00
830.28
Other Fee Total
4678.13
.00
.00
4678.13
Grand Total
7043.71
.00
.00
7043.71
LQPER IIT
-