05-2952 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDIN-WRERMIT
Application Number: 05-00002952 Q
Property Address: 60946 DESERT ROSE DR D
APN: 764-270-999-188 -300233- AUG 1
Application description: DWELLING - SINGLE FAMILY DET D Lu
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 215369 e6�y (�F LA(JUIV4
FSNANeI�
Applicant: /Architect or Engineer:
1't5A cons�
1i owkk4.
LICENSED CONTRACTOR'S DECLARATION
I 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 Code, and my License is in full force and effect.
License Class: B License No.: 672285
ate: 1drt
ontractor: �+ '�'+'+
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 (5500).:
(_) 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.).
(_) 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.).
Lender's Name:
Lender's Address:
LQPER IIT
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
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/18/05
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 6436568
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 subject to the workers' compensation provisions of Section
3700 of the Labor Code,
I shall fo hwith comply with those provisions.
ate: 0� plicant( / 1�
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 pull 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 infor tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building construc , and hereby authorize representatives
of this county to enter upon the above-mentioned Mprofons ecti p oses.
btaSi ure (Applicant or Agen`
Application Number . . . . . 05-00002952
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
1045.50
Plan Check Fee
679.58
Issue Date
. . . .
Valuation . . . .
215369
Expiration
Date
1/14/06.
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
116.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
406.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
83.50
Plan Check Fee
20.88
Issue Date
. . . .
Valuation
0
Expiration
Date
1/14/06
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
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
114.24
Plan Check Fee
28.56
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
1/14/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2477.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
86.70
627.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
12.54
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . .
171.00
Plan Check Fee
42.75
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
1/14/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
17.0.0
6.0000
EA PLB FIXTURE
102.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number . . . . . 05-00002952
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
Extension
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
Expiration Date
1/14/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - Plan 5210C Lot .188
w/Casita
(266sf), MBR Box Bay
(22sf), Kit Nook
•Bay (26sf) & Ext Garage
(109sf). Permit
does not include block
wall, pool or
driveway approach.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
38.42
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
67.96
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/REG - RES
502.00
STRONG MOTION (SMI) - RES
21.53
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
1429.24 .00
771.77 .00
2532.91 .00
4733.92 .00
Credited Due
.00 1429.24
.00 771.77
.00 2532.91
.00 4733.92
Certificate of Occu anc
0 o a Y
TA 4
c OF g y p Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying ° that, at the time of issuance, this structure was in compliance with the
provisions of the Building . Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 60-946 DESERT ROSE DRIVE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-2952
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: SHEA LA QUINTA Address: 8800 N GAINEY CENTER DR. #350
City, ST, ZIP: SCOTTSDALE AZ, 85258
..� By: KIRK KIRKLAND
Ile -
Date: JULY 24, 2009
Building Official
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