06-3132 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00'003132
81780 EAGLE CLAW DR
764-280-999-40 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
237751
Ta�/ 4 4 0"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Crchitect' r E C
Contractor:
SHEA HOMES" INC.
8126.0 AVENUE 62
LA QUINTA, CA 92253it
(760)777-6005 i
Lic. No.: 672285 f
VOICE (760) 777-7012
FAX. (760) 777-70.11
INSPECTIONS (760) 777-7153
'05
LA QUINTA
Date: - 8,/28/06
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION. DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
1 hereby affirm under penalty of perjury, one of the following declarations:
Section 76 i of 0i ion 3 of the Susi °and Professio Is.Code, and my License is in full force.and effect.
_ 1 have and will maintain certificate of consent to self -insure for°workers' compensation, as provided
Lice Cle i nse No.: 672285
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Dater
o rector:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy numberrare:
I hereby affirm under penalty of perjury that -1 am exempt from the Contractor's State LicenseLaw for the
Carrier AMERICAN HOME Policy: Number 1247619.
following reason.(See. 7031.6; Business and Professions Code: Any city or.county-that raquires:a permit.to
_ I,certify.that, in the performance of the work for which this permit is issued, I shall not employ any
construct, after, improve, demolish, or repair any,structure,.prior to its issuance, also requires the applicantfor the
permit to file a signed statement that he or she is licensed pursuant to the.provisions of.the Contractor's State
p son.in any man o become subject to.the wo W compensation laws of California,
a agree that; if Icome subject to the worker _ m ion provisions of Section
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or
�e,shall
I of the La hwith com I ith t rovisions.
that:he or she is exempt. therefrom and the basis -for the alleged exemption. Any violation of'Section 7031.5 by
1
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars (9500)•:
ate:
VVV is
I; as owner"of the property; ormy employees with wages as their sole compensation; will do the work; and
the structure isnot intended or offered for sale (Sec. 7044, Business and. Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND•SHALL
Contractors" State License Law does not apply,wan owner, of. property who builds'or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES.AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work.himsetf or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION T.O THE COST'OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the,building or improvement is sold within
SECTION 370&OF THE LABOR CODE,JNTEREST, AND, ATTORNEY'S FEES.
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: Tha Contractors' State,License Law does not apply to an.owner of
property who builds orimproves thereon, and who'contracts for the projects with a contractor(s)'licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , B:&PiC. 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:
LQPERMfT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the. Director of.Building.and Safety for a' permit subject to the
conditions;and iestrictionsset forth on this application.
1. Each.person upon whose behalf this application is made, each personat whose request and for
whose benefit work is performed under' orpursuantto,anypermit 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 actor 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 isnot commenced
within 180 days from date,of`issuance of such permit, or cessation of work for 180 days will subject
permit to,cencellation.
I certif that,I h ve-read this`applicationaM state et the above information is correct. I`agree 4o comply with all
county rdinances-and-state Jews relating i i co ction, and hereby authorize representatives
�t ty enter up the above-mentioned � y' ir ins ion purposes..
Date:.�gnature:(Applicant o ): !
11
LQrERnr
Application Number . . . . 06-00003132
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 200`1 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG 755.00
PATIO SQ FTG 488.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 2679.00
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 1122.50
Issue.Date .
Expiration Date . . 2./24/07
Plan Check Fee-. . 729.63
Valuation . . . . 237751
Qty Unit Charge Per Extension.
BASE FEE 639.50
138:00 3.5.000 THOU BLDG 100,001-500,000 483.00
Permit . . MECHANICAL
Additional desc . .
Permit Fee . . . . 9.9.50
Issue Date . . . .
Expiration Date . . 2/24/07
Plan Check Fee . . 24,.88
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA
MECH FURNACE <=100K
9.00
1.00
11.0000
EA
MECH FURNACE >100K
11.00
1.00
9.0000
EA
MECH B/d <=3HP/100K BTU
9.00
1.00
.16.5000
EA
MECH B/C >3-15HP/>100K-500KBTU
16.50
5.00
6.5000
EA
M.ECH VENT FAN
32.50
1.00
6.5000
EA
MECH EXHAUST HOOD
6.50
Permit
Additional desc..
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
ELEC-NEW RESIDENTIAL
123.87 Plan Check Fee
Valuation . .
2/24/07
Per
BASE FEE
30.97
0
Extension
15.00
4
LQPERMff
Application Number . . . 06=00003132
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
Extension.
2679.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
93.77
755.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
15.10
Permit
PLUMBING
BAY @ MBR. PERMIT DOES NOT
INCLUDE
Additional
desc . .
APPROACH. 2001 CBC, CMC,
Permit Fee
1.77.00
Plan Check Fee
4.4._25
Issue Date
. . .
---
94.37
Valuation . . . .
0
Expiration.
Date . .
2/24/07
480.00
Qty Unit Charge
Per
Extension.
14.0.00
BASE
FEE
15.00
18.00
6.0.000
EA PLB
FIXTURE
108.00
1.00
15.0000
EA PLB
BUI-LDING SEWER
15:00
1.00
1.50:00
EA PLB
WATER HEATER/VENT
7.50
1.00
3.0.000
EA PLB
WATER INST/ALT/REP
3.0.0
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
Additional desc .
Permit Fee
Issue Date .
Expiration Date . .
GRADING PERMIT
15.00 Plan Check Fee . . .00
Valuation 0
2/24/07
Qty . Unit Charge Per
Extension
BASE FEE
15.,00
- ------------------------------------------------
Special Notes and Comments
---------------------------
SFD - LOT 40, PLAN 6505B,
2,679
SF.INCLUDES 255 SF CASITA,
26.SF BOX
BAY @ MBR. PERMIT DOES NOT
INCLUDE
BLOCK WALL,POOL,'SPA OR DRIVEWAY
APPROACH. 2001 CBC, CMC,
CPC, 2004
CEC, 2005' ENERGY CODES
- - --- - - ---------------------------------------------------
Other Fees . . . . . . .
. .. ART IN PUBLIC PLACES -RES
---
94.37
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER -.RES
480.00
ENERGY REVIEW FEE
145.92
DIF FIRE PROTECTION -RES
14.0.00
GRADING PLAN CHECK FEE
.,00
DIF LIBRARIES - RES
3.55.00
w a
Application Number
. . . . .
06-00003132
'
-----------------------------------------------------
Other Fees . . . .
. . . . .
----------------------
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG'MOTION (SMI) - RES
23.77
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
Charged-
Paid Credited
Due
--------
Permit Fee Total
----------
1537.87
---------- ---------- ----------
.00 .00
1537.87
Plan Check Total.
82:9.73
.00 .00
82.9.73
Other Fee Total
3960.06
.00 .00
3960.06
Grand Total
632.7..66
.00 .00
6327.66
LQPERMff