06-1154 (SFD)r•
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
M
BUILDING & ,QRWY DEPARTMENT
Application Number: 06-00001154
Property Address: 81825 EAGLE CLAW DR
APN: 764-280-999-118 -300235-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 237751
Applicant:rchitect or'E�ngi�neer:
(� v
01
VOL911�
LICENSED CONTRACTOR'S DECLARATION
I hereby affix -under penalty of perjurythat am lice nder provisions of;Chapter 9 (commencing with
Sectio 7000 0 Division,3 of the and Pr s Codei nd my License is in full force_ and effect.
Li 672 85
ntr
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, after, 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 pursuant to the provisions;tif-the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of'Division 3 of the Business and Professions Code) or
that1w or she;is exempt therefrom and.the basis for the alleged exemption. Any violation of Section 7031:5by
any applicant for permit subjects the applicant to a civil penalty oUnot 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, Business and 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 or she'did not build or
improve for the purpose of:sale.).
1 _) I, as owner of the property,;am.exclusively contracting with licensed contractors to construct the project (Seo.
7044, Business and Professions Code: The Contractors' State License Lew 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.).
l =) I am exempt under. Sec. , B.&P.C: for this reason _
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 hereby affirm under penalty of perjury thatthere is a constructionlending agency for the performance of the
work for which this permit'is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
L.QPE1l
N. Owner:
SHEA LA.QUINTA
O JEFF MCQUEEN
8 N GAINEY CENTER 350
<9 CO DALE, AZ 85258
actor:
EA 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: 3/21/06
------------------
WORKER'S COMPENSATION DECLARATION
I 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' compensationinsurance, 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 N 1247619
I certify that, in.tFGe perfor - -the won r which this permit is issued, I shall not employ any
person in any manner -so s to come act tothe workers' c ation laws of California,
agree, that, if Lshouf beco I wo_ rs compensation provisions of Section
Of the La hall orthw' omply with those provisions.
Qate! A nt:
/WARNING: FAILURE TO SECURE WORKERS' 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
cenditions:and restrictions set forth on this application.
1. Each person upon whose behalf this application,is,mads, 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 Ouints, 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 result of this application. becomes null and'v dif work is pat commenced
within 180 days from date-of9asuance of such per it, or cessetio of work for 180 days will subject
per t -to cancellation.
1 perti that 11 a read. this application . and . state that the above rmation is sect. I agree to comply with all
E ounty Cas and state laws relating to�bui 'on, a ere Xauthorize representatives
of n�y t e uponthe above mentioned prope for n po
urs:IApplicant or Agent):
Application Number . . . . . •06-00001154
Structure Information
Construction Type . . . . TYPE V - NON RATED
Occupancy Type . . . . . .DWELLG/LODGING/CONG <=10
Flood Zone . . . . . NON=AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 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
Additional desc .
Permit Fee . . . .
Issue nate .
Expiration.Date . .
BUILDING PERMIT
'1122.50
9/17/0.6
Plan Check Fee 72.9.63
Valuation 237751
Qty Unit Charge Per Extension
BASE FEE 639.50
138.00 3.5000 THOU BLDG 1.00,001-500,00.0 483._00
Permit . . . MECHANICAL
Additional desc . .
Permit Fee 9.9.50 Plan Check Fee 24.88
Issue Date . . . . Valuation . . . . 0
Expiration Date 9/17/06
Qty
Unit Charge
Per
Extension
BASE'FEE
15.00
1.00
9.00.00
EA
MECH:
FURNACE.<=100K
9.00
1.00
11.000.0
EA
MECH
FURNACE >100K
11.00
1.00
9.0000
EA
MECH
B'/C <=3HP/100K BTU
9.00
1.00
16.5000
EA
MECH
B/C >3-.15HP/>100K-50OKB7U
16.50
5.00
6.5000
EA
MECH
VENT FAN
32.50
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit . . .. ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 123.87 Plan Check Fee .
Issue Date . . . . Valuation . . .
Expiration. Date . . 9/17/06
Qty Unit Charge Per
BASE FEE
30.97
0
Extension
15.00
Application Number . . . . . 06-00001154
Permit . . . . . . ELEC-NEW'RESIDENTIAL
Qty Unit charge Per
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
Additional desc . .
Permit Fee . . . . 177.00 Plan Check Fee
44.25
Issue Date . . . Valuation . . . .
0
Expiration Date . . 9/17/06
Qty Unit Charge. Per
Extension.
BASE FEE
15.00
18.00 6.0.0.00 EA PLB'FIXTURE
108..00
1.00 15.00.00 EA PLB BUILDING SEWER
15.00
1.00 7.5000 EA PLB WATER HEATER/VENT
7.5.0
1.00 3.6000 EA PLB WATER INST/ALT/REP
3.00
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 . . . GRADING PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
.0.0
Issue Date Valuation . . . .
0
Expiration Date 9/17/06
Qty Unit Charge Per
Extension
BASE.FEE
15.00
----------------
-------------------------°--------------------------------------------
Special Notes and Comments
Special
- -
SFD - LOT 118, PLAN 6505C, 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, 2.004
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
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
LQPERMIT
Application Number
. . . . .
06-00001154
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
829.73
.00
.00
829 .73
Other Fee Total
3960.06
.00
.00
3960.06
Grand Total
6327.66
.00
.00
6327.66