04-4570 (SFD)4
C,
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Y
BUILDING & SAFETY DEPARTMENT
P.O. (760).777-7012
.. -• w BOX116'04 1'504
M.OF _�� 7°8-495 CALLE TAMPICO , FAX (760) 777-7011
t LA,QUINTA', CALIFORNIA 92253 INSPECTION REQUESTS (760) .777-7153
BUILDING PERMIT
Application Number LOA 0.0004570 Date 5/25/04
Property; Address 60480 LACE LEAF CT
APN: 764-270-999-122 -300231-
Application description DWELLING - SINGLE FAMILY DETACHED'
Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation 202829
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY_CENTER 350
SCOTTSDALE AZ 85258
Contractor,
Y
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
Qty Unit Charge Per
Extension
WCC: NTL UNION
INS
WC: 7165833
08/01/04
CSLB: 672285
06/30/05
CCC: B
--------------------------
Structure Information -------------------------
Construction Type . .
. . .. TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
F1ood.Zone . .. . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
478.00
SQ FTG
178.00
_.PATIO
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
2365.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee
1000.00 Plan Check Fee
650.00
Issue Date . . . .
Valuation . . .
. 202829
Qty Unit Charge
Per
Extension
BASE FEE
639.50
103.00 3.5000
THOU BLDG 100,001-500,000
360.50
----------------------------------------------7-----------------------------
Permit . . .
MECHANICAL
Additional desc
Permit Fee
68.00 Plan Check Fee
17.00
Issue Date . . . .
Valuation . . .
. 0
Qty Unit Charge Per
Extension
7
P.O. BOX 1504 4 4 '�C���
VOICE (760) 777-701:
78-495 CALLS CALIFORNIA FAX (760) 777-7011
LA QUINTA, 1fORN92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Date: (o / -04
c 't r Engineer: n .
Architect or Engineer's Address:
Luc. No.: r `ccr—
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Csde, and my Licensesfull force and effect. /% ^ - (,� —
�icense Class_ L.. License No. k r ?7 5
�111y
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 fora 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.
I have and will maintain w rkers' compensation'nsurence, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
)Ljss: eers' c e tion i nce caWi nrpy�MS�
artier 'n VLn� j1wPolicy Number `rte
_ 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 uld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
fo
rthwith comply with those provisions.
Date t , ppl� icant�
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
T
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 dayml 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 colrectAgree to comply with all city and county ordinances and state laws relating to building
construction. and hereby authorize representatives of this county I entupon thea ntioned property for inspection purposes.
Date`I `�� Signature (Applicant or Agen
rk
V
Page
2
Application Number
.
. .
. . 04-00004570 Date
5/25/04
Qty • Unit
Charge
Per
Extension
BASE FEE
15.00
2.00
9.0000
EA
MECH FURNACE <=100K
18.00
1.00
9.0000
EA
MECH B/C <=3HP/100K BTU
9.00
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
107.34
Plan Check Fee
26.84
Issue Date
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
2365.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
82.78
478.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.56
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
141.00
Plan Check Fee
35.25
Issue Date`
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
12.00
6.0000
EA
PLB FIXTURE
72.00
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 - LOT 122,
PLAN 5515B/191
SF.
Fee -summary Charged
Permit Fee Total 1331.34
Plan Check Total 729.09
Other Fee Total 2490.00
Grand Total 4550.43
11
Paid Credited Due
---------- ---------- ----------
.00 .00 1331.34
.00 .00 729.09
.00 .00 2490.00
.00 .00 4550.43
Page
3
Application Number.
----------------------------------------------------------------------------
. . . . . 04-00004570 Date
5/25/04
Special Notes and Comments
EXERCISE ROOM/ 26 SF
BOX BAYS @ BOTH MBR
& NOOK. PERMIT DOES
NOT INCLUDE BLOCK
WALLS, POOL, SPA OR
DRIVEWAY APPROACH
----------------------- ----------------------------------------------------
Other Fees . . . ...
. . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
65.00
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
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee -summary Charged
Permit Fee Total 1331.34
Plan Check Total 729.09
Other Fee Total 2490.00
Grand Total 4550.43
11
Paid Credited Due
---------- ---------- ----------
.00 .00 1331.34
.00 .00 729.09
.00 .00 2490.00
.00 .00 4550.43
PREPARED 3/16/11,
10:17:48
INSPECTION HISTORY REPORT
PAGE 1
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PROGRAM BP521L
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0/00/00
THRU •0/00/00
CITY OF LA QUINTA-
..
----------------------------------------------------------------'-----------------------------------------------------.---------------
APPLICATION
PROPERTY ADDRESS
APN
Alternate ID
,
STRUCTR
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
04 00004570
60480 LACE LEAF CT
764-270-999-122
-300231-
000 000
B001
00
BUILDING
PERMIT
120
0001 FOOTINGS
7/01/04
APPROVED•
GH '
000 000
B001
00
BUILDING
PERMIT
125
0001 SLAB
7/01/04
APPROVED',
GH
000 000
B001
00
BUILDING
PERMIT
- 135
0001 ROOF NAIL
8/16/04
APPROVED
GH
000 000
B001
00
BUILDING
PERMIT
140
0001 OKAY TO WRAP
8/23/04
APPROVED
GH
000 000
B001
00
BUILDING
PERMIT
145
0001 FRAMING
8/23/04
APPROVED
GH
000 000
B001
00
BUILDING
PERMIT
150
0001 INSULATION
8/24/04
APPROVED.
GH
000 000
B001
00
BUILDING
PERMIT'
160
0001 DRYWALL'NAIL
9/07/04
APPROVED
GH
000 000
B001'00
BUILDING
PERMIT
155
0001 LATH -
9/17/04
APPROVED
GH
000 000
B001
00
BUILDING
PERMIT
900
0001 COMMUNITY DEVELOPMENT
FIN 10/22/04
APPROVED
ST
000 000
B001
00
BUILDING'PERMIT
910
0001 PUBLIC WORKS FINAL
10/22/04
APPROVED
ST
000 000
B001
00
BUILDING
PERMIT
199
0001 FINAL
10/22/04
APPROVED
ST .'
000 000.
E01
00
ELEC-NEW
RESIDENTIAL
310
0001 ROUGH ELECTRICAL
8/23/04
APPROVED
GH
000 000
E01
00
ELEC-NEW
RESIDENTIAL
399
0001 ELECTRICAL FINAL.
10/22/04
APPROVED
ST
' 000 000•
GP
00
GRADING PERMIT
197
0001 GRADING FINAL
10/22/04
APPROVED
ST -
000 000
M01
00
MECHANICAL
405
0001 ROUGH MECHANICAL
8/23/04
APPROVED
GH
000 000
M01
00
MECHANICAL
499
0001 MECHANICAL FINAL
10/22/04
APPROVED
ST '
000 000
P01
00
PLUMBING
200
0001 UNDERGROUND PLUMBING
6/21/04
APPROVED -
GH
000 000
P01
00
PLUMBING
210
0001 SEWER CONNECTION
6/21/04
APPROVED
GH
000 000
P01
00
PLUMBING
230
0001 ROUGH PLUMBING
8/23/04
APPROVED
GH
000.000
P01
00
PLUMBING
235
0001 GAS LINE / GAS TEST
9/20/04
APPROVED
GH '
000 000
P01
00
PLUMBING
.299
0001 PLUMBING FINAL
10/22/04
APPROVED
ST