07-678 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUIN'TA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
07-00000678
81960 EAGLE CLAW DR
764-280-999-22 -300235-
DWELLING - SINGLE FAMILY DETACHED
MEDIUM HIGH DENSITY RES
23.9845
rchiCeaLftct or Engineer:
fi
Y t.
t-, 26L401
LICENSED CONTRACTOR'S DECLARATION
I hereby effirm,under penalty of perjury that I arn.licensed under provisions of Chapter 9.(oommencing'with
Section 7 00) of Division 3 of the Busing and Professionals Code, and my License is'in full force and effect.
Lice I License,No:: 672285
ate: tractor:
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'file.a signed statement that he.orsheds licensed pursuant to,the provisions of the Contractor's:Stats
License Law (Chapter 9 (commencing with Section 7000) of Division 3 o the Business and. Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031:6 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).:.
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10
the structure is not intended or offered for sate (Ssc: 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
oneyear of completion, the owner -builder will have the burden of proving'that.he or she didnot build or
improve for the purpose of sale.).
l _) 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 contractor(s) licensed
pursuant to the Contractors' State License'Law.).
(_) I am exempt under Sec. , B.&P.C. forthi&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. 9097, Civ., C.).
Lender's Name.
Lender's Address:
LQPERMIT
Owner:
SHEA LA QUI
C/O JEFF MC
8800 N GAIE
SCOTTSDALE,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3%05/07
Contractor:
SHEA HOMES, I
81260 AVENUE
LA QUINTA, CA
(760)777-6005
LiC. No.: 672
-------------------
WORKER'S COMPENSATION'DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have -and will maintain a• certificateof 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 insurence,,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 12471519
I 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,
and.agree that, if. I should become subject to the'workers' compensation provisions of Section
``700Zthebon half comp) ith those provisions.
:
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 16100,0001. 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 made to the Director of Building and Safety for a permit.subjectto the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to anypermit 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 Quinta, its officers; agents. and employees for any act or omission related to the work being
performed under or following issuance of this. permit.
2: Any permltissued 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 above information, is correct; I agree to comply with all
city andc ntyordinances and state laws relating construction, and hereby authorize representatives
of tit to ter u n t above-mentioned ro rinse do urIses.
e c pature (Applicantor All • V
Application Number . . . . . .07-00000678
Structure Information SFT) PLAN 6420B W/CASITA, MBR&NOOKBOX BAY -----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . .
. . . DWELLG/LODGING/LONG <=10
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
615.00
PATIO SQ FTG
323.00
NUMBER OF UNITS
1.00
18T FLOOR SQUARE FOOTAGE
2781.00
Permit . . .
BUILDING .PERMIT
-Additional desc . .
Permit Fee . .
1129.50 Plan Check'Fee
734.18
Issue Date . . . .
Valuation . .
. . 239845
Expiration Date . .
9/01/07
Qty Unit Charge
Per
Extension
BASE FEE
639..50
140.00 3.500.0
THOU BLDG 100,001-500,000
4.90.00
Permit
MECHANICAL
Additional desc . .
Permit Fee . . . .
83.50 Plan Check Fee
20.88
Issue Date . . . .
Valuation
0
Expiration Date . .
9/01/07
Qty Unit Charge
PerExtension
BASE FEE
15.00
2.0.0 .9.0000
EA MECH FURNACE <=100K
18.00
2.00 9.0000
EA MECH B/C <=3HP/100K BTU
18.00
4.00 6.5000
EA MECH VENT FAN
26..00
1.00 6.500.0
EA MECH EXHAUST HOOD
6.50
Permit . . . ELEC-NEW RESIDENTIAL.
Additional desc . .
Permit Fee 124.64 Plan Check Fee .
Issue. Date . . . . Valuation
Expiration Date . . 9/01/07
Qty Unit Charge Per
BASE FEE
2781.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL
LQPxUnT
31.16
0
Extension
15.00
97.34
12.30
Application Number . . . . 07-00000678
Permit . . .
PLUMBING
Additional desc .
Permit Fee
177.00 Plan Check Fee
44.25
Issue Date . . .
Valuation
0
Expiration.Date . :
9/01/07
Qty Unit Charge
Per
Extension"
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
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
6.00 .7500
EA PLB GAS PIPE >=5
4..50
1..00 15.0000
EA PLB GAS METER
15..0.0
Permit
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
- Valuation . . .
. 0
Expiration Date. . .
9/01/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
- - --------------------------------------------------
Special Notes and Comments
SFD - Plan 6420C Lot
22 w/casita (255
sgft), Box Bay@ MBR (26
sgft) & Bay
Nook(23 sqft), 2781 S.F.
Permit does not
include block wall, pool or driveway
approach.2001 CBC, CMC, CPC, 2004 CEC,
20.05 ENERGY CODES
Other Fees . . . . .
-- ----------------------------------
. . . . ART IN PUBLIC PLACES -RES
99.61
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
73.42
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
23.98
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
LQrEtmrr
Application Number- . . . . . 07-00000678
Fee summary Charged Paid Credited Due
Permit Fee Total 1529.64 .00 .00 15129.64
Plan Check Total 830.47 .00 .00 830.47
Other Fee Total 4672.01 .00 .00 4672.01
Grand Total 7032.12 .00 .0.0 7032.12
LQrsRMff
Certificate of Occupancy
T,af 4 XP QN&M
Building & 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: 81-960 Eagle Claw Drive
Use classification: Single Family Dwelling
Occupancy Group:R-3
Tom Hartung
Building Official
Type of Construction: VB
Building Permit No: 07-678
Land Use Zone: RL.
Owner of Building: Shea La Quinta LLC
Address: 8800.N Gainey Center 350
City, ST, ZIP: Scottsdale, AZ 85258
By: Kirk Kirkland
Date: 04/04/2007