04-5008 (SFD)P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
V INSPECTION RE-QUUESTS (760) 777-7153
MIT i��'�'�I�,�� .
1�uti�T �� lq �1D"L`�YA
Din
Application Number 04-00005008__ Date 6/21/04
Property Address . . 60610 DESERT ROSE DR
APN: 764-270-999-2 -300233-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . MEDIUM HIGH DENSITY RES
Application valuation . . . . 213557
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85258
Contractor
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
Flood Zone.
NON -AO FLOOD ZONE
Other struct•info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
755.00
PATIO SQ -.FTG
.376.00
-NUMBER 'bF UNITS
1.00
FIRST FLOOR SQ FTG
2398.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
1038.50 Plan Check Fee
675.03
Issue Date
Valuation . . .
. 213557
Qty Unit Charge
Per
Extension
BASE FEE
639.50
114.00 3.5000
THOU BLDG 100,001-500,000
399.00
--------------------------------------------------------`--------------------
Permit . . . . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
65.50 Plan Check Fee
16.38
Issue Date . . . .
Valuation
0
Qty Unit Charge .Per
Extension
P.O. BOX 1504• �� VOICE (760) 777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 TINSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT , n
Application Number: 04"_5-009 Date: 6-,? g -O �-C
Applicant:Vt Eng yew
Applicant's Mailing Address:A.
��II ��}C'v
or Engineer's Address:
Lic. No.: I aL 1"�_ (e(i�s i
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisi sI Cha Chapter 9_ (cq�menciog with Section 7000) of Division 3 of the Business and Professionals
Code, and my License full force and effect.
,ticense Cl ss' ` ! ice nse No\YY✓✓
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 for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, 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. , B.& P.C. for this reason
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 thisEpensactjiq�surance
it is issued.
I h��v�� a w' maintain wompensation insuran
_ I certify that, in the performance of the work for which is 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall
D foorrth,,Att comply with thos i s.
Date "fr `�' plicant
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
Lenders Address
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 bei performed under or following issuance of this permit.
2. Any permit issued as a result of this application become null and void if coo not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to can Ilation.
I certify that I have read this application and state that the above info tion is correct agree to comply with all city and county ordinances and state laws relating to building
Const , and h eby authorize representatives of this count err u n the e- entioned property for inspection purposes.
to Signature (Applicant or Agen
I
Page
2
Application Number
04-00005008
Date
6/21/04
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE <=100K
9.00
1.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
9.00
4.00
6.5000
EA
MECH
VENT FAN
26.00
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . .
. . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee .
. . .
114.03
Plan Check Fee
28.51
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
-Per
Extension
BASE
FEE
15.00
2398.00
.0350
ELEC
NEW RES - 1 OR2 FAMILY
83.93
755.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
15.10
----------------------------------------------------------------------------
Permit . . .
. . .
PLUMBING
Additional desc
Permit Fee .
. . .
153.00
Plan Check Fee
38.25
Issue Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
14.00
6.0000
EA
PLB
FIXTURE
84.00
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 2, PLAN
65050.
PERMIT
DOES NOT
i
Page 3
Application Number
. . . . .
04-00005008
Date
6/21/.04
-----------------------
Special Notes and,Comments
------------
----
-----------------------
--------------
INCLUDE BLOCK WALLS,
POOL, SPA
OR
DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . .
. . .. . . .
ART
IN PUBLIC PLACES -RES
33.89
DIF
COMMUNITY CENTERS -RES
97.00
DIF
CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
67.50
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
STRONG MOTION (SMI) - RES
21.35
DIF
STREET MAINT FAC -RES
15.00
DIF
TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
•----------
Due
Permit Fee Total
1386.03
----------
----------
.00 .00
1386.03
Plan Check Total
758.17
.00 .00
758.17
Other Fee Total
2527.74
..00 .00
2527.74
Grand Total
4671.94
.00 .00
4671.94