06-3166 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:,
Property Zoning:
Application valuation:
Applicant::
0,6-00003166
81866 EAGLE CLAW DR
764-280-999-32 -3:00235-
DWELLING - SINGLE FAMILY
MEDIUM. HIGH DENSITY RES
. 12770,2
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER
SCOTTSDALE4 AZ 8,525
rchitect oc Engineer:
C_�► 1e%
LCti 2l_e �U
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm underpenaltyof perjury that I am,licensed under provisions of Chapter (commencing with
Section 7 OOl of ivision 3 of the.Busi ss and P7ofessionalsCode and my, License is:in full force:and effect.
Lice ass License No : 6,72285
a teatentractor:
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. 703.1.5, Business and Profeesions Code: Any or county that requireva.permirto.
construct, alter, improve, demolish, or repair any structure,, prior to its issuance, also yequires-the applicant for -the:
permit to file a signed statement that he or she is licensed pursuant to the,provisions of the;Contracior's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 'Business and Professione,Cgde)•or
thst;he or she is exemprtherefrom.and the basisfor the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit:subjects the applicant toe civil penalty of not more than five.hundred dollars ($500).:
(=J f, as owner of the property, or my employees'with wages as their,sole compensation, will do;the work, and
the-:structureiis not intended oroffered"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 notintended.or offered for'sale. If, however, the building or improvementis sold within
one year'of completion, thelowner builder will have the burden of proving'thet he.or she did.not build or
improve for the purpose of sale.).
1 _ 1 I, as owner 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:therson; and who contracts for the projecmwith a. COntractor(s) licensed
pursuant to the Contractors.' State Licenser Law.).
1 _ 1 I am exempt under Sec. , B:&P.C. for this reason
Deter
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: _ -1
Lender's. Address: f�
LQZL.l Ili"
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253'
(760,)777-6005
Li'c: No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/30/06
R
8p Q �
F
EP 14 2005
CITY OF LA QUINTA
FINANCE DEPT.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty. of,0erjury-ona.of the following declarations:
—
I. and will maintaina certificate of consent to self4nsure 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-I have and will maintain workers' compensation insurance, as'requirsd'by Sectfow37o0 of the Labor
Code, for,the performance okhe work for which this permit is issued. Myworkers' compensation
insurance carrier and policy number are:
Carrier, AME&IGAN HOME Policy Number 1247619
I certifythat, in the performance of the work for which this�na-
mit is issued, I -shall not employ
a�rson ,- any mannerso as to become subject to the w. compensation laws of Calrfornia,
d;pteethatsi1 shdAld c me subjrcCV the workersmpensation provisibrwof Section
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
DOLLARS0100,000).. 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
conditions and restrictions;sw forth,on this application:
1. Each person upon whose behalf this ,epplicationis,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!Quinta, its officers, agents and empleyess.for-anyact or omission related to the work being,
performed under or following issuance of this permit.
2. Any permit issued as &'result of thisapplication becomes null and void if. Work is not commenced
within 180 days: from date df -issuance. of'such permit, or cessation of work for 180 days will subject
permit to cancellation. t
I certify tPat l hve read this application and
city my rdinances-and.state'lawsn
Oft i y e r upon above -mens
ate: /1 g ture iApplicant or
o complywith all
representatives
; -,
LQPERM r
Application Number . . . . . 06-00003166
Structure Information SFD 421.0A W/BOX BAY, EXT GAR, EXT PAT
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . .
. . DWELLG/LODGING/LONG <=1.0
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
- 557.00
PATIO SQ FTG
3.91.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
1381.00
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
737.50 Plan Check Fee
479.38
Issue Date . . .
Valuation
127702
Expiration Date
2/26107
Qty Unit Charge
Per
Extension
BASE FEE
639.50
28.00 3.:_5000
---------------------------------------------------------------------------------
THOU BLDG 100,001-500,000
98.00
Permit
MECHANICAL
Additional desc .
Permit Fee
65.50 Plan Check Fee
16.38
Issue Date
Valuation . .
. . 0
Expiration Date :
2/26/01
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/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 .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date, . .
Qty Unit Charge
1381.00 .0350
557.00 .02.00
.ELEC-NEW RESIDENTIAL
74.48 Plan Check.Fee . . 18.62
Valuation . . . . 0
2/26/07
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
Extension
15.00
48.34 .
11.14
Application Number . . . . . 06-00003166
Permit
. . . PLUMBING
Additional desc .
.Permit Fee .
. . . 122.25 Plan Check Fee
30.56
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
3.60
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 .
. . . -15.0.0 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 32,
Plan 4210C, (1381.
s ft)
w7box bay (26
sqft), ext. garage (.83
sqft) & patio
ext. (177 sqft) Permit
does not include block wall, pool or
driveway approach.
2.00.1 CBC, CMG,
CPC, .2004 CEC, 2.005
ENERGY CODES
Other Fees .
. . . . . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS --RES
74.00
DIF CIVIC CENTER - RES
480.0.0
ENERGY REVIEW FEE
47.94
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
12.77
LQPEW&T
Application Number . . . . . 06-06003166
-
----------------_-------------
Other Fees .
------
. . . . . .
---------
DIF.STREET
----------------- -------:-
MAINT FAC -RES
6.7.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
----------------
Charged
----------
Paid
-----------
Credited
----
Due
Permit Fee Total
1.014.73
.00
----------
.00
1014.73
Plan Check Total
544.94
.60
.00
544.94
Other Fee Total
3756.71
.00
.00
3756.71
Grand Total
5316..38
.00
.00
5316.38
LQff