06-3153 (SFD)A&
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00003153
81830 EAGLE CLAW DR
76.4-280-999-35 -3'00235,-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
]:23721
Tity/ 4 4Qa&tw
BUILDING &'SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85252
/Fiitect or En ineer:
�'aY)
P�� 2Le�L5
LICENSED CONTRACTOR'S DECLARATION
Ihereby affirm under penalty of perjury that 1 am licensed under of Chapter 9 (commencing with
Section'? 00) f Division.,3 of the Business and Professionals Code, and my License is In full force and.effect.
Liven" __ icense No.: 672285,
ate:_ rector:
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: Anycity or county that requires a permit to
construct, alter; improve, -demolish, orrepair:any;stnicture, prior tolts issuance, also requires the•applicam for the
permit to file a.signed statement thathe or she is licensed pursuant'to the provisions of,the Contractor's State:
License Law (Chapter9 (commencing with Section 7o66y of Dniision 3 of the Business and Professions Code) or
:that he or.she is exempt therefrom and the basis for the,alteged exemption Any violation of Section 7031.5 by'
any applicant for a permit subjects "
the applicant to a civil penalty of not more.then fire hundred dollars 0500)
(_ 1 I; as owner of the. property: or my employees with wages as their sole compensation, willdo,the work, and
the structure is not.`Ttended or offered for sale (Sec. 7044, Business and Professions Cade: The
Contractors' State License Law does not apply to an ownerW 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 otcompletion, the. owner-buiider will _have the burden.of'proving that.he or she did not build or
improve for the purpose oUsale.).
1._ 1 I, 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-fo.an owner of
property^who.builds or improves thereon,•and who contracts for the projects with aconfrector(s) licensed
pursuarit to the Contractors' State License Lawn:
1 _) I am exempt"under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penattyof perjury that there is a;construction lending agency for the performance of the
Work for which this permit is. issued (Sec. 3097, Civ. C.).
LendeCs:Name:
Lender's Address:
LQPERMIT
Contractor:
.SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253:
(760,)777-6.005
Lic. No:. 672285
VOICE (760) 777-7012
FAX (760) 777-70.11
INSPECTIONS (760) 777-7153
Date: 8/29/06
SEP 14 2005
-------------------
WORKER'S COMPENSATION DECLARATION
OF LA
I hereby.afffrn undevpenalty of perjury one:of-the following declarations:
I'•have and4ill maintain a certificate of consent to satf4hsure,for:workers' compensationi.as provided
for by Section 3706 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 performanceof the 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 work forwhich this permit is issued, I shall not employ any,
person in any manner so as to become subject to the workers' compensation laws -of California,
nd agree that, .if ou become subject to tft workers' compensetion,provisions of Section
7 the r i she fo with -o4PTVwiih those provisions:
to :can _
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS'UNLAWFUL; AND SHALL
SUBJECT AMEMPLOYE3 TO CRIMINAL.PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMP.ENSATIONi DAMAGES AS PROVIDED FOR IN
SECTION.37b6OF'fHE.LABOR CODE,1INTEREST, AND ATTORNEY'S FEES.,
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Direetouof Building' and Safety for a permit subject to the
conditions and. restrictions,setforth on this application. -
1. Each person upon whose.behalf this applicatiomis made, each person at whose rsquest:and for,
Whose benefit "work is performed under -or pursuant to anypermk,issued as a result of this application,
the owner,and tfie applicant, each agreas'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 result of this application.becomes null and vold:if workis not commenced
within 180 day's from 4ate of issuance of such permitr or.pessation.of work for 180:dayslwill subject
permit to cancellation. ..
1, certify that I h ve read this application and. stat th the ove infortnat-ion is.core agree to comply with all
city and wdhty� rdinances anq pate laws relati - o In corretructior�f�andaiereb .au prize representatives
v
Application Number . . . . 06-00003153
------ Structure Information PLAN 4210A W/26 SF BOX
Construction Type . . . .TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LQDGING/CONG <=10
Other struct info . . . . . CODE EDITION 2001
# BEDROOMS 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 474.00
PATIO SQ FTG 214.00
NUMBER OF UNITS 1.00.
1ST FLOOR SQUARE FOOTAGE 1381.00
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . .
Expiration Date .
BUILDING PERMIT
72.3.50
2/25/07
Plan Check Fee 470.28
'valuation . . . . 123721
Qty Unit Charge Per Extension
BASE FEE 639.50
24.00 3.50.00 THOU BLDG 100,001-500,000 84:.00
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . . 65.50
Issue Date . . .
Expiration Date . . 2/25/07
Plan Check Fee . . 16.40
Valuation . . . 0
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0.0:00
EA
MECH
FURNACE <=10.OK
9.0.0
1.00
9.0000
EA
MECH
:B/C <=3HP/100K BTU
9.60
4.00
6.5000
EA
MECH
VENT FAN
26.0.0
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit
Additional desc .
Permit Fee
Issue Date . . . .
Expiration Date :
Qty Unit Charge
1381.00 .0350,
474.00 .0200
LQPERMrr
ELEC-NEW RESIDENTIAL
72.82 Plan Check Fee .
Valuation . . . .
2/25/'07
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
18.20
0
Extension'
15.00
48.34
9.48
Application Number .
. . . . 06-00003153
------------------------------------------------------------------------------------
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
122..25 Plan Check Fee
30.56
Issue.Date . . .
Valuation . . .
. 0
Expiration Date . .
2/25/07
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
9.00 6.0000
EA PLB FIXTURE
54.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/RE.P
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.010
5.00 .7500
EA PLB GAS PIPE >=5
3.75
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
Valuation . . .
. 0
Expiration Date
2/25/07
Qty Unit. Charge
Per
Extension
BASE FEE
15.0.0
- ------------------------ ---------------------------------------
Special Notes and Comments
SFD Lot 35 Plan 4210B
(1381 SF) w/MBR
Box Bay (26 sgft).PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH.2001 CBC, CMC, CPC,
20.04 CEC, 2-005 ENERGY
CODES
------------------------------------------------------------------------------
r Fees . . . .
. . . ART IN PUBLIC PLACES -RES
..00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
47.03
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
892.00
STRONG MOTION (SMI) - RES
12.37
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due
Application Number
. . . . .
06-00001153
Permit Fee Total
999.07
.00
.00
999.07
Plan Check Total
535.44
.00
.00
535..44
Other Fee Total
3755.40
.00
.00
3755.40
Grand Total
5289.91
.00
.00
5289.91
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