06-3163 (SFD)� *4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:+
Application description:
Property Zoning:
Application valuation:
.Applicant:
,}w
06-00003163
8185,0 EAGLE.CLAW DR
764-280-999-33 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
123721
I
T4ht 4 4 0"
BUILDING &• SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8.800 N GA2NEY CENTER 350
SCOTTSDALE, AZ 85258
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm u r penalty of perjury that] am licensed under provisions'of Chapter 9' (commencing with '.
Section 7 1 of vision:3 of and Pro onals Code, and my Licenswis in full force and effect.
qI _ B _ Li No.: 672285
Dater rector:
OWNER -BUILDER, DECLARATION
I hereby affirm under penalty of perjurythat.l am exempt from the Contractors 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'sny'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 of the Contractor's' State
License Law (Chapter 9 (commencing with Section. 7000) of Division 3 of the Business°and Professions C.ode)'or
that he: or she is exempt therefrom andthe basis for the alleged:exemption. Any violation of Section 7031.6'by
any applicant for ;a permit subjects the:applicant to a,civil penalty of not more than five hundred dollars (8500).:
(_) I; as owner of the property, or employees with wagesas 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 Lew does not apply to an owner of property who builds or improves thereon,
and who does the work himself orherself through his or her own employees, provided thafthe
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 (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.).
U— 1 I am exempt under Sec. , B.&P.C::for thisreason
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:
LQP16RART
Contractor:
SHEA HOMES, INC.
81260 AVENUE, 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/06
SEP 14 2006
CITY OF LA QU
------------------
WORKER'S COMPENSATION DECLARATION
I herebyaffirmunder penalty of penury one of the following,deolarations:
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 Lperformance of the work for which this permit is
issue&
k i have and will maintain workers'compensation insurance, as required by Section 3700 of the Labor
Cade, for the performance of the work, for which this psrmit�is issued. My workers' compensation
insurance carrier and policy number are:
Carrier AMERICAN HOME Policy Number 1247619
_ 1 certify that, In the perfo nce'of.the work for which�this permifis issued, I shall not employ any
person imany.manner s s fo:beco a -D ecta0 theNers' compensation laws of°California,
and eQqrreethat, 'd ' o me ,$(Q^�j _ o the worcompensationpro4isiorisof Section
370t7ilbf thi Le r Code, I forlM1il ith c ply wtse provisions.
WARNING: FAILAE TO SECURE 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 3706 OF THE LABOR CODE, INTEREST, AND. ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and. Safety fora permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made; each .person.atwhose request and for
whose benefit work is'performed under or pursuant to any permitissued as a result of this -application,
the owner,,and the applicant, each:agrees.to,and shall defend,indemnify and hold harmlesstheCity
of. Le 0uinte, its -officers, agents,and employees for any act or omission related to the work being
performed under or following issuanceof this permit:
'2. Any permit, issued as a. result of this application becomesi null and void If work'bs noCcommenced
within 180 days from date of issuance of such permit, or cessation of work f r 180 days will subject.
permit to cancellation..
I certify that.l h ve read this applicationandstate,that t info r ation i rrect I to comply with all
city my rdinanoes a ate laws relati d' g co ru n, and rob th rrxe representatives
of a ter upo above -mento property io purpos
ate: gnature (Applicant or Age
Application Number . . . . . 06-000031b,3
----:-- Structure Information PLAN 4210A W/26 SF BOX
-----
Construction Type . .
. . . TYPE V_- NON RATED
Occupancy Type . .
. . . DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION 200.1
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
474.00,
PATIO SQ FTG
2.14.00
NUMBER.OF.UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
1381.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit_ Fee . . . .
723_.5.0 Plan Check Fee
117.57
Issue Date . . . .
Valuation_ . . . .
122721
Expiration Date
2/26/07
Qty Unit Charge
Per
Extension
BASE FEE
63:9.50
24.00 3.5000
THOU BLDG 1.00,001-500,000
84.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
65.50 Plan Check Fee
4.11
Issue Date
Valuation . .
0
Expiration Date
2/26/07
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
1.00 9.000.0.EA
MECH FURNACE <=100K
9.0.0
1.00 9.0000
EA NECH 4/C <=3HP/100K BTU
9.00
4.00 6.5000
'EA MECH VENT FAN
26.00
1.,00 6.5.000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
- Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee
72.82 Plan Check Fee
4.55
Issue Date . . . .
Valuation . . . .
0
Expiration Date :
2/26/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
138.1.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
48.34
474.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
9.48
LQPERWT
Application Number . . . . . 06-000.03163
----------------------------------------------------------------------------
Permit . . .. PLUMBING
Additional desc . .
Permit Fee . . . . 122.25 Plan Check Fee
7.64
Issue Date . . . . Valuation . . . .
0
Expiration Date . . 2/26/07
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/REP
3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
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 2/26/`07
Qty Unit_ Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD Lot A Plan 4210A (13B1 SF) w/MBR
Box Bay (26 sgft).PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH- 75% REDUCTION TO
PLAN CHECK FEES DUE'TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE. 2001 CBC,
CMC, CPC,
2004 CEC, 2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
11.76
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
LQPERMrr
Application Number
. . . . .
06-000.03163
-----------------_-_----
Other Fees .
--
. . . . . .
---
DIF STREET MAINT. FAC-RES
67.00
DIF TRANSPORTATION - RES
1666.00:
Fee summary
Charged
Paid Credited
Due
Permit'Fee Total
999.07
.00 .00
999.07
Plan Check Total
133.87
.00 .00
133.87
Other Fee Total
3720.13•
.00 .00
3720.13
Grand Total
4853.07
.00 .00
4853.07
LQPERMff