07-0603 (SFD)i'
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-0000.0603
81900 EAGLE CLAW DR
764-280-999-28 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
170639
1J1, I�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/26/07
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
<rchitect, or Engineer:
21AJ
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby, affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profess' nals Code; eM my License is in full force^and effect.
Licen 'cense No.: 672285
/Gate' '� actor:
/ OWNER -BUILDER DECLARATION
I her affirm under penalty of perjurythatI am exempt from theContractor'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,
permitto file;a signed statement.that he or she is licensed pursuaM:to the provisions of the Contraetor's_Stete
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 for a permit subjects.the applicant to a civil penalty of not more than five hundred dollars (9500)
1 _) I, 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, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds orimproves 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 of completion theowner-builder will have the burden of proving that he or she, not build or
improve for the purpose of saleJ:
(_ 1 I,.as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business andtProfessions Code:, The Contractors' State License,Lew,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.).
I—) Uam exempt under Sec. ,.8.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty ofperjury 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:
LQPERmrr
Contractor: D d
SHEA.HOMES, INC.
81260 AVENUE 62
LA .QUINTA, CA 9 MAR 1 t200
(760)777-6005Lie. No.: 67228CIYYQFLA
-------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consentto.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 carrier and policy number are:
Carrier AMERICAN HOME Policy Number 1247619
I certify that, in the performence,of'the work for which this permit is issued, I shall not employ any
person in any manner so aslto become subjecrto.the workers' compensation laws of Califomia,
and agree that, H I-sh Idbecome subject to thew kers' compensation provisions of Section
(� 700 bon hal' o it `comply h ose provisions.
e: scant• t�
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 (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.for a permit subject to the
conditions and restrictions set forth on this application..
1.. Each person upon whose behalf this application is made, each, person at whose requestand:for
whose benefit work is performed under or pursuant to any permit issued as a result of thisspplication,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of. La Quints, its officers„ agents and employees for any actor omission related to the work; being
performer) 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 180 days from date of issuance of such permit, orcessation!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 correct. I agree:to comply with all
city and county ordinances and state laws relating t onstruction, and.hereby h representatives
of taunt to enter upon the above•mentioned cpa ripean,p <a. ' I
�
e: ture (Applicant or Age
Application Number . . . . . 07-00000603
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=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
117.00
NUMBER OF UNITS
1.00
------------------------------------------------------------------------------
1ST FLOOR SQUARE -FOOTAGE
1943.00
Permit . . .
BUI_LDING PERMIT
Additional desc . .
Permit Fee . . . .
888.00 Plan Check Fee
577.20
Issue Date . . . .
Valuation . .
170639
Expiration,Date . .
8/25/07
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 Date . . . .
Valuation . . . .
0
Expiration Date . .
8/25/07
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 . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
94.53 Plan Check Fee
23.63.
Issue Date . . . .
Valuation
0
Expiration Date
8/25/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1943.0.0 .03.50
ELEC NEW RES - 1 OR 2 FAMILY
68.01
576.00. .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
Application Number . . . . . 07-00000603
Permit . . . PLUMBING
Additional desc .
Permit Fee 152.25 Plan Check Fee
35:81
Issue Date . . .' Valuation . . .
. 0
Expiration Date 8/25/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
14.00 6.0000 EA PLB FIXTURE
84.00
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
3.0.0
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.0.0
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 8/25/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 28, PLAN 4520B, 1943 SF/ 255
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
----------------------------------------------------------------------------
Oth_er Fees . . . . . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
99.5.00
ENERGY REVIEW FEE
57.72
DIF FIRE PROTECTION -RES
14.0.00
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
1930.00
LQPEUnT
Application Number
. . . . .
07-00000603
Fee summary
Charged
Paid
Credited
Due.
-----------------
Permit Fee Total
----------
1220.28
.00
---------
.00
1220.28
Plan Check Total
65.4.27
.00
.00
654.27
Other Fee Total
4549.78
.00
.0.0
4549.78
Grand Total
LQPERMrr
6424.33
.00
.00
6424.:33