06-3133 (SFD) (2)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,it(t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:. 06-00003133
Property Address: 81800 EAGLE CLAW DR
APN: 764-280-999-38 -300235-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
.Application valuation: 166943
Applicant: grchitec't or En i
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm rider penelty�of perjury that I am licensed. under provisions of Chapter 9 (commencing with
Section 000) f Division 3 of the Busi ass and Profs-'onals Code,, and my License is in full force;and effect.
U j Li nse No.: 672285
ate: tractorx-I:
OWNER -BUILDER DECLARATION
1 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 permftto
construct,alter„improve, demolish, or repair any. stricture, 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 taw (Chapter -.9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempttherefrom and the basis:for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects theapPiicant to a civil,penalty of not more than five hundred dollars (9500).:
(._ 1 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 Lewdoes not apply to an owner ofr property who builds or improves thereon,
and who does thwwork' 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 _ 1 I; as owner of the property, am exclusively contracting with licensed contractors to construct thwproject (Sec.
7044, Business and. Professions Code: Thetontractors' State _License Law does notaPPly 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 em exempt under Sec: , B:BP.C: for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm.under penalty of perjury thatthere is a -construction lending agency for the performance of the
work for which this'perm.it is issued (Sec. 3097; Civ: CE).
Lender's Name:
Lender's Address:
Pr—
iLQPERMLT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/28/06
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER
3
SCOTTSDALE, AZ 85258NFIyjNA
Contractor:14
�UOJ
SHEA HOMES, INC.8.1260
AVENUE 62LA.QUINTA,
CA 9225
LA
QUINTA
(760)777-6005CE
DEPT.
Lie. No.: 672285
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty, of perjury one of the following declarations:
_ I haveand 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.
1 have and will maintain workers' compensation insurance, as required by Section MO of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insuranoe,carrier and policy numberare:
Carrier AMERICAN HOME. - • Policy Number. 1247619
_ I certify that, in the performance of the work for which this Permit: is issued, I shall not employ any
person in any manner o a5 to beCOme subject to the wo�kS'ompensation laws Of California,
a agree that;; if1 omeauJeotao the won ” ensation provisions of Section
3of he bo Cad , II forth ith ply with tviaions.
ate: � V - plicanti �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT ANEMPLOY.ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE:HUNDRED THOUSAND
DOLLARS 0100,0001. 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 orpursuant to any permit issued as's result of this application,
the owner, and the -applicant, each agrees to, and shall defend, indemnify and hold 'harmlesmthe City
of La Quints, imofficers, agents and employees for any act or omission related to the work being
performed
nd
uer or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void H 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.
logrtify at 1 have read this application and a that he a ova informatio correct:. I -agree to comply with all
city and ounty o inances and. state laws rel ildin construction en hereby authorize representatives
Of tt ritt to r u o the above -menti y f ins on
ate—: 1I I gn re (Applic gem)' L
Application Number . . . . . 06-00003133
LQPEmff
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type .
. . . DWtLLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info
CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG
539.00
PATIO SQ FTG
537.00
NUMBER OF UNITS
1.00
„
1ST FLOOR SQUARE FOOTAGE
1847.00
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . .
856.50 Plan Check,Fee
55'6.73
Issue Date . . .
Valuc_tion
161587
Expiration Date . .
2/24/07
Qty Unit Charge
Per
Extension
BASE FEE
639..50
62.00 3.5000
THOU BLDG 100,001-500,000
217.00
Permit
MECHANICAL
Additional desc . .
Permit Fee . . . .
86.50 Plan Check Fee
21.63
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/24/07
Qty Unit Charge
Per
Extension
BASE FEE
1.5.00.
1.0.0 9.0000
EA MECH FURNACE <=100K
9.00
i-00 11.0000
EA MECH FURNACE >.100K
11.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
1.00 .16..5000
EA M,ECH,B/C >3-15HP/>100K-500KBTU
16.50
3.00 6.5000
EA MECH VENT FAN
19.50
1.0.0 6.5000
--------------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
81.19 Plan Check .Fee
3.76
Issue Date . . . .
Valuation.
0
Expiration.Date - .
2/24/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPEmff
Application Number . . . . . 06-0000.3133
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1.847.00
.0300
ELEC NEW RES - MULTI FAMILY
55.41
539.00
--------------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
10.78
Permit
. . .
PLUMBING
Additional
desc . .
EXT. PERMIT DOES NOT INCLUDE BLOCK WALL,
Permit Fee
. . . .
120.00 Plan Check Fee
16.5.0
Issue Date
. . .
Valuation . . . .
0
Expiration
Date . .
2/24/07
------
.00
Qty Unit Charge
Per
Extension
DIF CIVIC CENTER.- RES
BASE FEE
15.00
10.00
6.0000
EA PLB FIXTURE
60.0.0
1.00
15.0.000
EA PSB 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
6.00
.7500
EA PLB GAS PIPE >=5
4.50
1.00
15.00.00
EA PLB GAS METER
15.0'0
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15..00
Issue Date
Expiration Date 2/24/07
.Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit
Charge Per
Extension
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT 39,
PLAN 5505A, 1847 sf
26 SF BOX BAY
0 MBR, 83 SF.
GAR. EXT.,315 SF PATIO
EXT. PERMIT DOES NOT INCLUDE BLOCK WALL,
POOL, SPA OR DRIVEWAY APPROACH.2001
CBC, CMC, CPC,
2004 CEC, 2005 ENERGY
CODES
O.ther Fees .
------------ -
. . . . . . . . ART IN PUBLIC PLACES -RES
------
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER.- RES
4.80.00
ENERGY REVIEW FEE
55.67
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
..00
DIF LIBRARIES - RES
355.00
LQPERMIT
Application Number . . . . . 06-0000313.3
--------------------------------------------------------------------------------
Other Fees_ . . .
. . . . . .
DIF PARK MAINT FAC
- RES
22.0.0
DI -F PARKS/REC - RES
892.00
STRONG MOTION (SMI•)
- RES
16.15
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION
- RES
1666.00
Fee summary
Charged
Paid Credited
Due
-----------
Permit Fee Total
----------
1159.1-9
--------- -- -----------
.00
----------
.00
1159.19
Plan Check Total
598.62
.00
.00
598.62
Other Fee Total
3761.82
.00
.00
3767.82
Grand Total
5525.63
.00
..00
5525.63
LQMRMTT