07-0586 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00000586
Property Address: 81790 EAGLE CLAW DR
APN: 764-280-999>39 -300235-
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1500
Applicant:
I hereby affirm under penalty of pr
Section 7000) of. Division 3 of the
Lice CI C8 C27 C29
Date
tractor:
Architect or Engineer:
00
--------------------------------
CENSED CONTRACTOR'S DECLARATION
licensed. under provisions of Chapter 9 (commencing with
;P
rofessionals Code, and my License is in full force -and effect.
License No.: 656128
DWNER-BUILDER
DECLARATION
Iherebyaffirm under penalty of pedury thaexempt from the Contractor's State License Law for the
following reason (Sec. 7031.6,; Business afessions,Code: Any city or county that requires a permit to
construct, alter, Improve, demolish,: or repair any Structure, prior to its issuances'also require&the applicant.for the
permit to file.a signed statement that he or she is:licensedpursuam to theprovlsions of the Contractor's State
License1aw (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 (8500)_
1 _) 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, Businswend 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 orshe did not build or
improve,for the purpose of sale.).
(_ 1 1, 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.).
(_ 1 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:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/22/07
Owner:
SHEA,LA'QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 852518
P.
Contractor:
TESERRA
P.O. BOX 1280
COACHELLA, CA 922
(760)398-92'22
Lit. No.: 656128
FEB 2 61007
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under -penalty of perjury oneof 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:performanos of thwwork for which this:permitis
issued.
I have and will maintain won ' compensation insurance, as required by Section 3700 of'the Labor
Code, for the performance - the work for which this permit is issued. My workers' compensation
insurance carrier and poli W umber are:
Carrier SKABRIGHT Policy Number BB1070510
_ I certify that, in the pul
o he.work for which this permit is issued, I'shall not employarry
person in any man oma subject to the workers' compensetion,laws of California,.
and agree that,'rf-1oma ubjectto the workers' compensation provisions of Section
37o0 of the Lafall f hwith comply with those provisions.
WARNING: FAILURE TO SECURE WORIQERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND:CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (8100,000). 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 Quints, its officers, agents and employees for -any act or omission relatedto the Work being
.performed under or following issuance this per t
2. Any permit issued as a result of this application mes null and void if work is not commenced
within 180 days from date of issuance of such mit, or cessation of work fov180 days will subject
pe rm it to cancellation.
I certify that I have read this application end state that bo i rmation is correct. I agree to comply with all
city and. county ordinayt�s andstate laws relating to it dtstr ion, and hereby authorize representatives
of thin,�gyn)1�_tofanty/ypa8,ifteabove-mentioned pronerty, 1."Ippection purposes.
(Applicant or Agent):
i. T1 0 _
Application Number . . 07-00000586
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
35.00 Plan Check
Fee
2.2.75
Issue Date . . .
Valuation
. . .
. 1500
Expiration Date . .
8/21/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
10.00 2.0000
HND BLDG 501-2,000
20.00
PermitPLUMBING
Addi.tionaldesc . ..
Permit Pee . . . .
18.00 Plan Check
Fee
4.50
Issue Date . . . .
Valuation
0
Expiration Date . .
8/21/07
Qty Unit Charge
Per.
Extension.
BASE FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
-----------------------------------------------------------
Special Notes and Comments
---------------------
FIREPIT PER APPROVED
PLAN (AGAL496).
-------------------------------------------------------------------------------
Other Fees . . .
. . . . ENERGY REVIEW FEE
2.28
STRONG MOTION (SMT)
- RES
.50
Fee summary Charged Paid Credited
- ----------
Due
Permit Fee Total
----------
53.00 .00
----------
.00
53.00
Plan Check Total
27.25 .00
.0.0
27.25
Other Fee Total
2.7-8 .00
.00
2.78
Grand Total
83.03 .00
.00
83.03
.LQPERMr
Bin #
Submittal
City of. La Quinta
Building u Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Peimit #
G
J
Project Address.+r-7cl
Owner's Names
A. P. Number:
Address:
LegaMescription:
City, ST, Zip:
Contractor: 5� -� Telephone:
Address: o Y—l2 Project Description:
City, ST, Zip:��G t✓ lr lay-
CA ��3 �P Z A. E„s,(, i-
Telephone -
Reviewed; ready for corrections Plan Check Deposit
State Lid. #
Arch., Engr., Designer:
rauc.-9:
Address:
City, ST, Zip:
Telephone:
State Lia #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repan Demo
Name of Contact Person: l c-�t) Sq. Ft:
#Stories:
#Units:
Telephone # of Contact Person: Estimated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd -
Rec'd
TRACKING. PERMIT FEES
Plan Sets
Plan Check submitted item. Amount
Structural Calcs.
Reviewed; ready for corrections Plan Check Deposit
Truss Cales.
Called Contart Person Plan Check Balance
Energy Calcs.
Plans picked up Construction
Flood plain plan.
Plans resubmitted Mechanical
Grading, plan
V Review, ready for correctionsfrssue Electrical
Subcontactor List
Called ContactTerson Plumbing G- PO (— OJJ(W
Grant Deed
Plans picked up S.M.L.
MOA. Approval
Plans. resubmitted
IN
Priding
'`''Review, ready for correctionslissue er Impact Fee
Called CotitactPe
Planning Approval
.Pub. Wks. Appr
Date of permit. ucl'yQ. 1(
qP
School Fees
A pow EV I
ring CONS, RUG
Total Per it Fees
DATE � r
u
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