06-3211 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuatiori:
Applicant:
06-00003211
81930 EAGLE CLAW DR
764-280-999-25 -300235-
DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
125348
4 4 Qum&
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 77777153
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER '350
SCOTTSDALE, AZ 85258
rchitect or Engineer-
LICENSED CONTRACTOR'S DECLARATION
I:hereby affirmunder penalty of perjury that..) am licensed under provisions of Chapter 9 (commencing with
Section.7000) of Division 3 of Si a Business and Professionals Code, and my Licenswis in full force and effect.
Licen e1 ss: License No..: 672285
ate: � ontractor. ��
OWNER -BUILDER DECLARATION
IIhereby affirm under penalty of perjury that I,am exemptfrom the Contractor's,State License1aw for the
following reason (Sec_ 7D31.5, Business and Professions Code: Any city or county that requires,s permit to
construct, alter, improve, demolish, or repair'any4truetur% prior to its issuance, also requires the applicant forthe
permit to file a signed statement that he or she is licensed pursuant to.the provisions of the Contractor's 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
anyapplicant,for,a permit subjects the applicant -to a civil penalty -of not morethanfive hundred dollars 1$500).:
(_ 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
ContrectoW'State License Law does not apply to ah,ownerof 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.).
1 _ 1 I, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' StateiLicense Law does notapplyto 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 Lew.).
(_ 1 I am exempt under Sec: B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDIN¢ AGENCY
I hereby affirm�underpenalty of perjury that.ihere.is a. construction lendingagency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMPf
Date: 9/0.1/06
pContractor: u
SHEA HOMES, INC.n
81260 AVENUE 62 SEP 1 4 2QOS
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285 CITY OF LA QUINTA
WORKER1s COMPENSATION DECLARATION
I hereby -affirm under penalty 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.
1�4ave 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°end poljcy.numberare:
Carrier AMERICAN HOME Policy Number 1247619
1 certify that, in the performance of the work,for which this permit is issued, I shall`not employ any
person in any manner so as to become subject to the workers'compensation laws of California,
5RE
ee that, I hould become subject tope workers' compensation'provisions of Section
II�t bot sfy�l fOlRtwith co with those provisions.
ate: WARNING: FAIO 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.OFTHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
APPLICANT, ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director ot,Building and Safety for a permit.subject to the
conditions and restrictions am forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit workis performed under or pursuant to any permit: issuedas 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 actor omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a resuh.of this application becomes null and void H work isnot commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
_permit to cancellation.
1 certify that I.have read this. application and state th the above information is c rest. I agree to comply with all
city "and ounty ordinanoesandstate laws relati - ildi- conal- , ' n, and = by.authorize represeritatives
of tit' 11yy 1It /lerVR�ery-Ton th ve-mentio d pro r i ction rp
pe .
/ `' s ture (Applicant or A
.P 1
Application Number . . . . 06-00003211
Permit
. . .
BUILDING PERMIT
Additional
desc .
.Permit Fee
730.50 Plan Check Fee
474.83
Issue Date
. . .
Valuation . . . .
125348
Expiration
Date
2/28/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
26.00
3.5000
THOU BLDG 100,001-500,000
91.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
65.50 Plan Check Fee
16..38
Issue Date
Valuation_ . . . .
0
Expiration
Date
2/28/07
Qty Unit .Charge
Per
Extension
BASE FEE.
15.00
1.00
9.000.0
EA MECH FURNACE <=LOOK
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
. . . .
7.4.48 Plan Check Fee
18.62
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
2/28/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1381.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
48.34
557.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
11.14
Permit
. .
PLUMBING
Additional
desc . .
Permit Fee
. . . .
122.2.5 Plan Check Fee
3.0.56
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
2/28/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9.100
6.0000
EA PLB FIXTURE
54..00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
LWERMIT
Application Number
. . . . 06-00003211
Permit . . . . . .
PLUMBING.
Qty Unit Charge.
Per
Extension
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0060
EA PLB WATER INST/ALT/REP
3.00
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 . . . .
15.00 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
SFD - Lot 25, 1381 SF
Plan 4210C w/MBR:
Box Bay
(26sf) Ext Garage (83sf). Permit does
not include block wall, pool or
driveway approach. 20.0.1 CBC, CMC, CPC,
2004 CEC', 200.5 ENERGY
CODES
------------------_-----------------------------------------------------------
Other Fees . . .
. . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES_
4.80.00
ENERGY REVIEW FEE
47.48
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,.53
DIF STREET MAINT FAC -RES
67.60
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due
Permit Fee Total
1007.73 .0.0 .00
1007.73
Plan Check Total
540.39 .00 .00
540.39
Other Fee Total
3776.01 .00 .00
3776.01
Grand Total
5324.13 .00 .00
5324.13
LQPEPNUT