06-3706 (AR)1
=_
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: t` Q,67z bQ 0Q3706_
Property Address: 8'1790 EAGLE LAW DR
APN: 764-280-,999-39 -300235-
Application description; ADDITION - RESIDENTIAL.
Property Zoning: MEDIUM HIGH DENSITY RES,
Application valuation: 5091
Applicant:. Architect orcoy
Engineer:
N, p
BUILDING &,SAFETYD.EPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm under penalty of perjury that] am licensed under provisions of Ctiapter9 (commencing with
Section 7000) of:Divis)on 3'of the Business and Professionals Code, anis my Licensees in ful)foroe and effect.
Licens_e'C_ sass: B License No::. 67-2285
ate: Z ontractor:
OWNER -BUILDER DECLARATION
I hereby,afflnn under penahy-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 pursuaptto the provisions;of the Contractor'sState
License Law (Chapter 9 (commencing with Sectlon7000) 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 then five hundred dollars (6500).:
(_ ) 1, ea owner of the property, or my employees with wages as their sole compensation, will do the work, and 10
the structure is not intended or offered for sale (Sec. 70", Business and Professions Code: The
Contractors' State License. Law does novapplyto 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 art 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 not build or -
Improve for the purpose of sale.).
I _) I, as.owner of the property, am;sxclustvely 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 am exempt under Sec. , 8.&P,C.,forthis 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
Owner:
SHEA LA QUINTA.
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258 rD
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(76'0)777-6005
Lic_ No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/18/06
Lr-L�
OCT 2 5 2006
CITY OF LA QUINTA
------------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain s cert(ficate 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
.
X 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;
Cartier AMERICAN HOME Policy Number 1247619
_ I csrtify that, in the performance:oAhe work for which.this permit; is Issued, I, shall not employ any
.person in-any'manner so as to become;sutiject,to the workers' compensation laws of California_,
and agree that; if.l:should become subject to the,workers' compensation provisions of Section
3700 of the o C I shall forth comply with those provisions.
a1 9
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCOVERAGE; IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (6100,000)• IN ADDITION TO THE,COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is,hereby madeto.the Director of Building and Zaloty for permit subject to the
conditions and restrictions set -forth on this application.
1. Each person upon whose behalf.tnis application Is made, each person at.whose request and for'
whose benefit work Is performed under or, pursuant to any permit issued as wresult of this application,
the owner, and the applicant;: each agressto, and shall defend, indemnify and hold harmless the City
of:La Ouinta, its officers, agents and empioyees.forany.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 issuance of -such permit, or cessation of'work for 180 days will subject
psrmitto. cancellation.
I certify that I have road this application and statethet the above Information is correct. I agree to comply with all
city and county ordinances and state laws relating to building, construction, and hereby authorize representatives
;of this /c9my 1enterupon the _ ve-mentioned pro forInspection�rpos`es. u
ipal'__ si iii (Applicant or Ag L — --
Application Number . . . . . . •06-00003706
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . .
81.00 Plan Check Fee
52.65
Issue"Date . . .
Valuation . . .
. 50.91
Expiration Date
4/16/07
Qty Unit Charge
Per
Extension
BASE FEE
45.00
4.00 9.0000
THOU BLDG 2,001-25,000
36.00
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . .
.17.2.1 Plan .Check Fee
4.30.•
Issue Date . . .
Valuation
0
Expiration Date
4/16/07
Qty Unit Charge
Per
Extension
BASE FEE
]5.00
63.00 .0350
ELEC NEW .RES = 1 OR 2 FAMILY
2.-21
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
24.00 Plan Check Fee..
6.00
Issue Date . . .
Valuation ..
0
Expiration Date
4/16/07
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
1.00 9.0000
EA- ME CH APPL REP/ALT/ADD
9.00
-------------------------------------------------
Special Notes and Comments
63, sq. ft. bay window
addition -October
18, 2006 1:3.8:28 PM jjohnson
-------------------------------
-----------------.-.----------------------------
Other Fees . ...
. . . ENERGY REVIEW FEE
5.21
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
- -- - -- - - - ----- - - - --- ---
Due
-- - - - - - .
Permit Fee Total
122.21 .'00 .00
122.21
Plan C_heck.Total
62.95 .00 .00
62.95
Other Fee Total•
5.77 .00 .00
5.77
Grand Total
190.93 .00 .00
190.93
LQPERMrr
Bin #
,pato City of La Quinta
Req'd
Permit 9
/}, Building & Safety Division
�J
PERMIT FEES
P.O. Box 1504,78-495 Calle Tampico
Plan,Sets
1 n La Quinta, CA 92253- (760) 7774012
ly
Building Permit Application and. Tracking Sheet
Project Address: t 1� VC \ i C 1�
1
Owner's Name:, Shea Homes
A. P. Number:
Address: 60-800 Trilogy Parkway
Legal Description: Trilogy @ La Quinta
city, ST, zip: La Quinta, CA. 92253
Reviewed, ready forcorrections
contractor: Shea Homes
Telephone: 760-777-6032
Truss Calcs.
Address: 60-800 Trilogy Parkway
Project Description: Lot j$
city, sT, zip: La. Quinta, CA 92253
(YI
Telephone: 760-777-6032
T ,.
Plans picked.up
State Lic. # : 640934
City Lic. #:
Arch., Engr., Designer:
Address:
Plans resubmitted
City, :ST, Zip:
Mechanical
Telephone_
r
-
Construction Type Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
2°d Review, ready for correctlns/issue
Electrical
Name of Contact Person: Gabbie Nieto
Sq. Ft.:
# Stories:
# Units:
Telephone #-of Contact Person:
Estimated Value of Project:
8PP1lCA�:00 NOTWBRE BEIONiBI>:IdE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan,Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready forcorrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cates.
Plans picked.up
Construction
Flood plain, plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for correctlns/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing.
Grant Deed
Plana picked up
S.M3.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue.
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of:permitissue
School Fees
Total Permit Fees