06-3168 (SFD)I - 4.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 922-53
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
.0,6-0000.3168
81890 EAGLE CLAW DR
764.-280-999-29 _300235
DWELLING - S_INGLE FAMILY
MEDIUM HIGH.DENSITY.RES
159387"
Ti,&t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE; AZ 85258
4rchit,,tor Engineer:
C_U
----------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of.perjury-that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division,3'of the Business and Professionals Code, and my License Is in full force and effect.
Li;Te lass:_ El License No.: '672285
ate: Il_Jl ontrector:
OWNER -BUILDER DECLARATION
I hereby affirmtinderpenalty of perjury that I am exempt from theContractor!s State License Law for the
following, reason (Sec. 70.31.5, Businessand, Professions Code: Any city or that requires a-permitto
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the,
permit to:file..a.signed;stetementthat he or she.is.licansed pursuant:tothe provisions of the'Contraetorls State
License 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 for the alleged exemption. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five. hundred dollars ($500).:
(_) I, as owner of the,property, or my employees with wages as their sole>compensation, will do the work, and
the structure is not,intanded or offered for sale (Sec. 7044, Business and Professions Coder The
Contractors' State License Law does not apply to an owner of property who builds or improvesrthereon,
d:
anwho does the work himself or her through his or her own employees, provided that the
improvements are noUintended 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 thathe or she did not build or
improve for the purpose of sale.).
1 _ 1 I, as owner of the property; am exclusively contracting with licensed contractors to construct.Yhe project (Sec.
7044, Business and Professions Code: The Contractors' State license Law does not appy 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�Ucanse Lew.)
('_ 1 I am exempt under Sec. B.&P.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:
Lender's Address:
LQPERMIT
Contractor:
SHEA HOMES, INC.
8.1260 AVENUE 62
LA QUINTA, CA 92253
(760,)777-6005
Lic..No•.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7.153
Date: 8./30/06
SEP 14 2005
CITY
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penatty,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' 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,carrierand policy numbevare:
Carrier AMERICAN HOME' Policy Number 1247619
1. certHythat in the performance of the work for which thiepermit is issued, I shall not employ any
person in any manner..so as to become subject to the workers' compensation laws of California,
and agree that,>f Id.become subjec[to the orkers' compensation provisions of Section
170 of th od ;'I sh4 Ifo with comp) rth those provisions.
ate: I pli ho
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 (810 6,000). IN ADDITION TO THE COST OP 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 set forth on this application.
1,. Each person upon whose behalf this'applicationis made, each,person at whose,request and for
whose benefit work is performed under or pursuant to.any permit issued asa result of this application,
the owner, and the applicant, each agrees to; and shall defend, indemnify.and hold harmlesstheChy
of La Duints, its officers, agentsand 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 void if work is not commenced
within 18G days from date cif.issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read" this.application and state that the above information is car - . I agree;to comply with all
�.t
y inances,and.s[ate lewsrelati din con ruction, end herb authorize representatives
' er pot above mention props o Ins ctio r
re:re (Applicant or Ag
Application Number . . . . 06-00003168
Permit
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . .
8.49.50 Plan Check Fee
552.18
Issue Date
. . .
Valuation . . . .
159.387
Expiration
Date . .
2/26/'07
Qty Unit Charge
Per
Extension
BASE FEE
639.5.0
60.00
3.5000
THOU BLDG 100,001-500,000
210.00.
PermitMECHANICAL
Addtional*desc..
.
Fee
65.50 Plan Check Fee
16.38
_Permit
Issue Date
. . . .
Valuation
0
Expiration
Date .
2/26/07
Qty Unit Charge
Per
Extension
BASE FEE
15.60
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
6.5000
EA MECH EXHAUST HOOD
6.50
- -
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
89.84 Plan Check Fee
22.46
Issue Date
. . .
Valuation . .
0
Expiration
Date
2/26/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1773.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
62.06
6.39.00
-----------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
12.78
Permit PLUMBING
Additional desc .
Permit_ Fee 120.00
Issue Date . . . .
Expiration Date . . 2/26/07
Pian Check Fee .
Valuation
Qty Unit Charge Per
BASE FEE.
10.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMff
30.60
0
Extension
15.00
60.00
15.00
Application Number . . . . . 06-00003.168
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3:0000 EA ..PLB WATER INST/ALT/R,EP
3.0.0
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
.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 29, PLAN 4515C, 1773 SF.
WITH 4' GARAGE EXT. (103SF) & BOX BAY
MORNING ROOM (24 SR.). PERMIT
DOES NOT INCLUDE ;POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
-------------------------- _------------ ---------------------------------------
Other Fees . . . . . . ART IN PUBLIC PLACES -RES
20..0.0
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC .CENTER - RES
480.00
ENERGY REVIEW FEE
55.22
DIF FIRE PROTECTION -RES.
140_.00
GRADING PLAN. CHECK FEE
.00.
DIF LIBRARIES - RES
355.0:0
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
15.93
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
-
Due
-------- ----------
Permit Fee Total 1139.84 .00 .00
1139.84
Plan Check Total 621.02 .0'0 .00
621.02.
Other Fee Total 3787.15 .00 .00
3787.15
Grand Total 5548.01 .00 .00
5548.01
LQrEwMrr