06-3167 (SFD)P.O. BOX 1504
79-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application Valuation:
Applicam
06-00003167
81870 EAGLE. CLAW DR
764-280-999-31 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
170639
T4ht 4 4 Qulk&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE,, AZ 852,58
<chit_ or Engineer:
i9neer: ' \
lIJ�D0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith
Section 7000) o 'Division 3 of the Buei ess and Pr fesstonals Code; and my License is in full force and effect.
Li icense No.: 672285
Date ontractor•
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 its_issuance..also requires!the applicant for the
permit to filea signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
Ucense'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.forthe alleged exemption.. An_y'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 (8500).:
1', 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, Businesstand, Professions Code: The
Contractors' State, License Lew does not apply to an owner of property who builds orimproyes thereon,
and who does the work himself or herself through'his or her own employees, provided that the
improvements are not intended or offered forsake. ff, however, the building or improvement is sold within
one year of completion, the.owner-builder will have the burden of proving that h&or she did not build or
improve for the purpose of sale:).
1 _ 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt' under Sec. , S.BP.C. for this reason
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: a
Lender's Address: 1 -
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-701.1
INSPECTIONS (760) 777-7153
Date: 8/30/06
Contractor:
SHEA HOMES,, INC.:
81260 AVENUE 62 t — a—
LA,QUINTA, CA 92253
PFSEP
('760)777-6005 Lic. No.,: 672285 14 2005
CITY OF LA QUINTA
----------- --- _-= --=- --- -- --eE9EPT.
WORKERIS'COMPENSATION D _
I hereby affirm under penalty of perjury o",pf the following declarations:
I have and will maintain a certificate of consent to self-insurefor 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 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 1247619
I certify that, in the performance of the work.for which thiE'rovisions. t is issued, I shall -not employ any
personin any manner so as to become subject to the wcompensation laws of California,
andkree deet, if I sho d mesubject to the workepensation provisions of Section
�37,CJp_of'ttbrflXaabor 11 fortlNvithNomDly with
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
conditions and restriction&setforth on this application.
1. Each personupon whose behalf this application. made, each person at whose request: aridfor
whose benefit work•Js performed under or pursuant tarany permit issued ases 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 employees for any act •oromission related to the work being
performed under or following issuance of this permit.
Z Any permit Issuedras a result of this application _becomes null and void if work is not commenced
within 180 days -from date of issuance oftsuch permit, or cessation of work for 180 days will subject
pe itto cancellation.
1 certify tat I'h ve read this application and state that t abovinfor tion 'eorrect. #111to comply withal)
2a"-g3pita-r-e'
ces•and statelaws relating to rust n, and reby arepresentatives
ofupon the above-mentioned pro orin pecti rpo
IApplicent or Agent'
Application Number 06-00003167
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
576..00
PATIO SQ FTG
177.00
NUMBER OF UNITS
1.00
---------------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1943.00
Permit . . .
BUILDING PERMIT
Additional desc..
Permit Fee . . . .
88.8.00 Plan Check Fee
577.20
Issue Date
Valuation
17063.9
Expiration Date
2/2.6/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
71.00 3.5000
THOU BLDG 100,001-500,000
248.50
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . .
70.50 Plan Check Fee
17.63
Issue DateValuation
0
Expiration Date:.
2/26/07
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
2.00 6.5000
EA MECH VENT FAN
13.00'
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . .
Additional desc .
.Permit Fee .
Issue Date . . . .
Expiration Date .
Qty Unit Charge
1943.0.0 .0350
576.00 .0200
LQMRMff
ELEC-NEW RESIDENTIAL
94.5.3 Plan Check Fee .
Valuation . . . .
2./26/07
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
23.63
0
Extension
15.00
68.01
11.52
Application Number . . . . . 06-00003167
Permit . . . PLUMBING
Additional desc .
Permit_ Fee . . . . 152.25 Plan Check_ Fee
35.81
Issue Date . . . . Valuation
0
Expiration Date .2/26:/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
14.00 6.0000 EA PLB FIXTURE
8.4.00
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
i.0-0 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
15.0-0
. . GRADING PERMIT
•.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 - LO.T 31., PLAN 4520C, 1943 SF/ 2:55
SF CASITA,BOX BAY @ MBR -26 SF 4' GARAGE
EXT '- 88 SF.PERMIT DOES NOT INCLUDE
BLOCK WALLS,POOL, SPA OR DRIVEWAY
APPROACH. 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
480.0.0
ENERGY REVIEW FEE
57.72
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
17.06
DIF STREET MAINT FAC. -RES
67.00
DIF TRANSPORTATION - RES
1666.00
LQPERMFf
Application Number
. . . . .
06-00003167
Fee summary .
Charged
-----------
Paid
-
Credited
---------- -
Due
-----------------
Permit Fee Total
1220.2.8
.00
.00
122.0.28
Plan Check Total.
654.27
.00
00
654.27
Other Fee Total
3770.78
.00
.00
3770.78
Grand Total
5645.33
.00
.00
5645.33
LQPERMrr