06-3210 (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:
06-.00003210
81920 EAGLE CLAW'DR
764-280-999-26 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
145707
T-vy 4 4 QuAm
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 880.0 N GAINEY CENTER
SCOTTSDALE,.AZ 85258
rch`ISte or Engineer:
C n
Contractor:
SHEA HOMES, INC.
812.6.0 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
350
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/01/06
D
SEP 14 200&
CITY OF LA QUINTA
FINANCE DEPT
" LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby _affirm under penalty of perjury that I. am licensed, under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one,of the following .declarations:
Section 000) 9f Division'3 of the Bu 'ossa and Professionals Code, and my License,is in full force and effect.
I have and will maintain a certificate of consent to.self4nsure for workers' compensation, as provided
Li LicenseNo.: 672285
_
for by Section 3700 of the Labor Code, for the performance of the work for:. which, this. permit is
n.
ate: ontracto O1Ll
issued.
I have and will maintain workers' compensation insurance, as required by Sectiom3700 of the Labor
Code, for theperformanowof the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
carrier AMERICAN HOME Policy Number 1247619
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued; I shall not employ any
construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the, applicant for the
person in any mannih so as to become subj!c1t the workers' compensation laws of California,
permit to file a aignedstatenient that he orshe.is licensed pursuant to the provisions,of. the Contractor's State
License Law (Chapter 9.(commencing with Section 7000) of Division 3 of the,Busness and Professions Code) or
and agree tit oma ubject to tit orkers' compensation provisions of Section
,1 , I37p0 of th Labor C hall t i ;'tit con ith;hose provisions:
thathe or she is exempt therefrom and"the basis for the alleged exemption. Any violation of Section 1031.5 by
any applicantfora permit.subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 1, as owner of the property; or'my employees withwages 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 or improves 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, the owner -builder will have the burden of proving that.he or she did not build or
improve for the purpose of -sale.).
(_ l I, as owner of theproperty, am exclusively.contracting with licensed contracorsto.construc-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 projeCts:with'e contractors) licensed
pursuant to the Contractors' State License LawJ.
I—) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of•perjurythat 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: 'l
Lender's„Address: Is) kK
LQPERMIT
WARNING: FAILORE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL
SUBJECT AN EMPLOYT
ERO CRIMINAL PENALTIES. AND CIVIL FINES UP TO ONE''HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION.TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE„ INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application'is hereby matte 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 this application,
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 act or omission related to the work being
performed under orfollowing 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, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this -application and state that the abovelinformatioh'iscorrect. I agree to comply with all
ate^laws reletin Ing onstr cion, and eby authorize representatives
bove-men nedP e ,fo pact n Pur%R�pplicent or
Application Number . . . . . 06-00003210
------ •Structure Information PLAN 42.10A W/CASITA MBR BOX BAY -----
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . DWELLG/LODGING/CONE <=10
Other struct info . . . . . CODE EDITION 2001
# BEDROOMS 4.0.0
FIRE SPRINKLERS NO
GARAGE SQ FTG474.0,0
PATIO SQ FTG 318.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1636.00
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 800.50
Is-ue Date . . .
Expiration Date . . 2/28/07
Plait Check Fee . . 520.33
Valuatian . . . . 145707
Qty Unit
Charge
Per
Extension
BASE
FEE
639..50
46.00
-----------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
161.00
Permit
MECHANICAL
Additional desc
Permit Fee . .
. .
83.5:0
Plan Check Fee
2,0.88
Issue Date . .
. .
Valuation . . .
. 0
Expiration Date
2/28/01
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/10.6K BTU
1.8.00
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
Additional desc
Permit Fee . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
1636.00 .03'50
474.00 .0200
LQPEmrr
ELEC-NEW RESIDENTIAL
81.74 Plan Check Fee . .
Valuation . . . .
2/2:8/07
20.44
0
Per Extension
BASE FEE 15.00
ELEC NEW RES - 1 OR 2 FAMILY 57.26
ELEC GARAGE OR NON-RESIDENTIAL 9.4:8
Application Number 06-00003210
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
146.25 Plan Check Fee
36.56
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/28/07
Qty. Unit Charge
Per .
Extension.
BASE_ FEE
15.00•
13.00 6.0000
EA PLB FIXTURE
78.00
1.00 15.0000
EA PLB BUILDING SEWER
15.0.0
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 BYSTEM
9.00
5.00 .7500
EA PLB GAS PIPE >=5
3.75
1.00 15.0000
----------------------------------------------------------------------------------
EA PLB 3AS METER
15.00
Permit . . .
GRADING PERMIT
Additional desc . .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
.0
Expiration Date . .
2,/28/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
--------------------------- ------
- ----------------------
Special Notes and Comments
Spe
-------------
SFD -,LOT 26, Pian 4210C,
1636 SF.,
INCLUDES CASITA (255
SF) & MBR, :BOX
BAY (26.SF).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
.00
DIF COMMUNITY CENTERS -RES'
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
52.03
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
14.57
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
liW7:4ank
Application Number
. . . . .
06-00003210
Fee summary
Charged
Paid
Credited
Due
-----------
------------------
Permit Fee Total
---------
1126.99
--
.00
----------
.00
1126.99
Plan Check Total
5-98..21
.00
.00
598.21
Other Fee Total
3762-.60
.00
.00
3762.60
Grand Total
54.87.80
.00.
.00
5487.80
LQPERMff
Certificate of Occupancy
may' 4 4 Q"
Buildings & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 81-920 Eagle Claw Drive
Use classification: single Family Dwellings Building Permit No: 06-3210
Occupancy Group:R-3 Type of Construction: VB Land Use Zone: RL
Tom Hartung
Building Official
Owner of Building: Shea La Quinta LLC
Address: 8800 N Gainey Center 350
City, ST, ZIP: Scottsdale, AZ 85258
By: Kirk Kirkland
Date: 09/14/2006
PLACE.