06-3134 (SFD)4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00003134
Property Address: 8180'0 EAGLE CLAW DR
APN: - 7" -i64-499 3? --^-a? '?`" 74q-$ ZO - OO1
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 2.18462
Applicant: Architect or Engineer:
r2�
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 Businessand Professionals Cods,.and my License is in full force and effect.
License Class: B License No.: 672285
Date: Contractor:
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 imissuance„also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant tothe'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 ($500).;
(_ 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, Business and. Professions Code: The
Contractors' State License Law does not apply town owner of property who buildsor improves thereon,
and who does the workhimself or herself through hisjor her own employees, provided that the
improvements are not intended or offered forrsale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will havethe burden of proving_ that he or she did not build or
improve for the purpose of sale.)..
I_ 1 1, asowner of theproperty,,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 am exempt under Sec.. , BY&P.C. forthis reason
Date: Owner:
. CONSTRUCTION LENDING AGENCY
I.hereby affirm under penalty of perjury that there is econstruction.lending agency for -the performance of the
work for which this permit is issued (Seo: 3097; Civ. Ci):
Lender's Name: _
Lender's Address:
LQPERMIT
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: 2/20/07
------------- --= --
-
--------------- -—
WORK 'S COMPENSATION DECLARATION
1 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 AMERICAN HOME Policy Number 124761'9
_ I certify.that, in the performanoe of the work for, which this penult is issued; I shell not employ any
person in any mennerso as to become subject to the workers' compensation laws of California,
and agree that, if l should become subject to the workers' compensation provisions of Section
3700 of theiebor Code„Ishall forthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND.CIVILFINES UP TO ONE HUNDRED THOUSAND
DOLLARS (9100,000). IN ADDIT_ ION 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 tneapplicant, each agrees to, and shall defend, Indemnify and hold harmless the City
of La Quinta, its officers, agentsiand 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 null and void if work is not commenced
.within 180 days from ..daterof"issuance'of such,permit, or cessation of work for 180 days will subject
permit to:canceiiation.
I certify that I have read this application and state that 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 county to enter upon the above-mentioned property for inspection purposes..
Date: Signature (Applicant or Agent):.
B
Application Number . . . . . 06-0000.3134
Permit
. . . BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
1056.0.0
Plan Check Fee
686.40
Issue.Date
. . .
9/14/06
Valuation . . . .
218462
Expiration
Date . .
8/.13/07
Qty Unit Charge
Per
Extension
BASE
FEE
639..5.0
119.00
3.5000
THOU BLDG
100,001-500,000
416.50
Permit
. . . MECHANICAL
Additional
desc .. .
Permit Fee
. . . .
83.50
Plan Check Fee
20.88
Issue Date
. . . .
9/14/66
Valuation . . . .
0
Expiration
Date
8/13/07
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
113:98
Plan Check Fee
28.50
Issue Date
9/14/06
Valuation
0 -
Expiration
Date . .
8/13/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
253.6.00
.0.350
ELEC
NEW RES - 1 OR 2 FAMILY
8'8.76
511.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
10.,22
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 160.50
Issue Date . . . . 9/14/06.
Expiration Date 8/13%07
Qty Unit Charge Per
Plan Check Fee . .
Valuation . . . .
BASE FEE,
15.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQrEDW
40.13
0
Extension
15.00
90.00
15.00
Application Number . . . . . 06-00003134
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 7.5000 EAPLB 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
8.00 .7500 EA PLB GAS PIPE >=5
6.00
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 . . . . 9/14/06 Valuation . . . .
0
Expiration Date 8/13/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
------------------------ ------- -.-------------------------- ------------<-
Special Notes and Comments
SFD -.LOT 38, PLAN 5500A, 2536 SF.
INCLUDES 149 SF. EXERCISE _ROOM. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH:. 2001 CBC, CMC,
CPC, 2004 GEC, 2005•ENERGY CODES
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
46.15
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
68.64
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES -.RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.0.0
STRONG MOTION (SMI) - RES
21.84
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.0.0
Fee summary Charged Paid Credited
Due.
---------------------------------------------------------
Permit. Fee Total 1428.98 1428.98 .00
.00
Plan Check Total 775.91 775.91 .00
.00
Other Fee Total. 3832.63 3832.63 .00
.00
Grand Total 6037.52 6037.52 .00
.00
WPERMrr
cj&ty�
P.O. BOX 1504 VOICE (760) 777-7012
78495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/28/06
Application Number: 06-00003.134 Owner:
Property Address`. 81790 EAGLE CLAW DR SHEA LA QUINTA
APN: 764-280-999-3'9 -300235- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 8525
Application valuation: 218462 D Q
Contractor:
Applicant: ��tect Ler� SHEA HOMES, INC:. SEP 14 2005
81260 AVENUE 62
LA 4UTNTA, CA 92253
-
(760)777-60.05 CITY A E QUINTA
Lic. No.:, 672285
FINANCE DEPT.
------------------------ -------------------- ------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 (commencing with
Section 7 ) ofDivision 3,ofthe -•Business -and Profeslionals Code,and my License is in full force and effect.
can III B License No.: 672285
Date tractor:
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,.aher,.improve, demolish, or epair-any structure, prior to its issuance, also requires the applicanffor the
permit to idea signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 toga civil penalty of not more than five hundreddollars (9500).:
(_ 1 I,,,as owner of the property, or my ernployees:with wages as their sole compensation, will do the work, and
the�strueture isnot_ intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License L ow 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 "Is. If, however, the building orimprovement 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.).
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 am exempt under Sec: , Bc&P.C. for this reason
Dater
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
WORKER'S COMPENSATION'DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to aeN-insure for workers' compensation, asprovided
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 of1he work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier .AMERICAN HOME Policy Number 1247619
I -certify that, in the performance of the workfor which this permit is issued, I shall not employ any
pe son m any nner so as to become subj to the workers' compensation laws of California,
a agree th h ld be subject io workers' compensation provisions.of Section
t b e, I, y- all f hwith with those provisions..
te: Ii
t a
WARNING: FAILURET CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS.(9100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3705'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.
t. Each person upon whose behalf this application'is'made, each person at whose request and for
whose benefit work is performed under or pursuant, toany 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 related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a'resuit 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
permit to cancellation.
I certify wit' have ead this application end state th- the ve i(��formation is rect. I agree to comply with all
city and my ord antes and state.laws relating t i conctlpn, a eby authorize representatives
.1 61. to gfyppn the above-mentioned rty f ins 1ioJr�pun
e: Si J tura (Applicant or Ag
Application Number . . . . . 06-00003134
Permit
. . .
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
1056.00
Plan Check•Fee
68.6.40
Issue Date
. . .
Valuation . . .
. 218462
Expiration
Date . .
2/24/07
Qty Unit Charge.
Per
Extension
BASE
FEE
639.50
119.00
3.5000
THOU BLDG
100,001-500,000
416.50
Permit
. . . MECHANICAL
Additional
des_a . .
Permit Fee
. . . .
83.50
Plan. Check Fee
20.88
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date . .
2/24/0.7
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
'EA MECH
FURNACE <=100K
18.0'0
2,00
9.0.000
EA MECH
B/C <=3HP/100K BTU
18.0.0
4.00
6.5000
EA MECH
VENT FAN_
26.00
1.00
6.5.000
EA MECH
E)dMUST HOOD
6.50
Permit ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . . 113.98 Plan Check Fee .
Issue Date . . . . Valuation . . . .
Expiration Date 2/24/07
28.50
0
Qty Unit Charge Per Extension
BASE FEE 15.00
2536.00 .0350 ELEC NEW RES - 1. OR 2 FAMILY 88.76
511.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.22
Permit PLUMBING
Additional desC . .
Permit_ Fee . . 160..50 Plan Check Fee .
Issue Date . . . . Valuation
Expiration Date . . 2/24/07
Qty Unit Charge Per -
BASE FEE
15.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA FSB BUILDING SEWER
40.13
0
Extension
15..00
90.00
15.. 00
Application Number . . . 06-00003134
Permit . . . PLUMBING
Qty
Unit Charge
Per
BASE FEE
15.00
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
8.00
.7500
EA
PLB
GAS PIPE •>=5
6.00
1.00
15.0000
EA
PLB
GAS METER
15.00
Permit . . . GRADING PERMIT.
Additional desc .
Permit Fee . . . . 15.00
Issue Date . . .
Expiration Date . . 2/24/07
Plan Check Fee .00
Valuation . . . . 0
Qty Unit Chc-.--ge Per
E: -ensign
BASE FEE
15.00
-----------------------------
Special Notes and Comments
--------------------------
--------------
SFD - LOT 38, PLAN 5500A, 2536
SF.
INCLUDES 149 SF. EXERCISE ROOM.
PERMIT
DOES NOT INCLUDE POOL,, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 2001 CBC,
CMC.,
CPC, 2004`CEC., 2005 ENERGY CODES
Other Fees . . . . . . . .
ART IN PUBLIC PLACES -RES
46.15
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES`
480.00
ENERGY REVIEW FEE
68.64
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIFPARKS/REC - RES
892..00
STRONG MOTION (SMI) - RES
21.84
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged
--------------------
Paid • Credited
Due
----------
Permit Fee Total 1428.98
------------------------------
.00 .00
1428.98.
Plan Check Total 775.91
.00 .00
775.91
Other- Fee Total 3832.63
.00 .00
3832.63
Grand Total 6.037.52
.00 .00
6037.52
LQPE MIT