HomeMy WebLinkAbout04-4543 (SFD)`P.O. BOX'41504
78-4951•CALLE TAMPICO
SLA ';QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number . . . 04=0.0.0.04.543 Date 5/25/04
Property Address . . . . . . 60523 WHITE SAGE DR
APN: 764-270-999-74 -300231-
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES
Application valuation . . . . 164982
Owner
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE AZ 85.258
Contractor
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA CA 92253
(760) 777-6005
WCC: NTL UNION INS
WC: 7165833
08/01/04
CSLB: 672285
06/30/05
CCC: B
------ Structure Information
PLAN 5505B W/MBR 22SF & EXT
PATIO 315 SF -----
Construction TypeTYPE
V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CCNG <=1.0
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
30.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
456.00
PATIO SQ FTG
536.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
FIRST FLOOR SQ FTG
1843.00
Permit . . . . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
867.00 Plan Check Fee
563.55
Issue Date
Valuation
164982
Qty Unit Charge
Per
Extension
BASE FEE
639.50
65.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
227.50
Permit . . . . . .
GRADING PERMIT
Additional desc
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
Applicant's Mailing Address:
BUILDING & SAFETY DEPARTMENT
543 1
VOICE (760) 777-7012
FAX (760) 777-701 I
INSPECTIONS (760) 777-7153
Date:
chitect or Engin r:
Architect or En Ineer's A ress:
3�( IC-P1J
. No. ` ce Zja y6 (
BUILDING PERMIT DECLARATIONS
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 i0 full force and effect.
/license Class
1 L5 -"'-License No.
� Date' to I 1 Ami
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 or she is licensed pursuant to the provisions of the Contractors' 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 for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 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 or improves thereon, and who does the work
himself or herself or 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.).
U I, 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. , BA P.C. for this reason
Date Owner
WORKERS' 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.
have and will maintain workers' compensalt'LOA4insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
� j�s.eUXico� ' c01Tensatio ' urance carrier and policy number a
�rtier _ '�L R 1J K .Policy Number I�C� . ,
_ I certify that, in the performance 6f�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 3700 of the Labor Code, I shall
_
forthwith comply with those provisions.
/Date `�- lV cant
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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I herebyaffirm under CONSTRUCTION LENDING AGENCY
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
IMPORTANT APPLICANT ACKNOWLEDGEMENT
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 request and 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, indemnity 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 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 above information is I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon above-mentioned property for inspection purposes.
ate `� / Signature
(Applicant or Agent).
Lj
Application Number . . . . . 04-00004543
Page 2
Date 5/25/04
Qty
Unit Charge.
Per
Extension
--------------------------------------7-------------------------------------
BASE FEE
15.00
Permit .
. . . . .
ELEC-NEW
RESIDENTIAL
Additional
desc
Permit Fee
. . . .
88.63 Plan Check Fee
22.16
Issue Date
Valuation . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1843.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
64.51
456.00
----------------------------------------------------------------------------
.0200
ELEC GARAGE OR NON-RESIDENTIAL
9.12
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
129.00
Plan Check Fee
32.25
Issue Date
Valuation . . . .
0.
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
10.00
6.0000
EA
PLB FIXTURE
60.00
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
3.00
1.00
9.0000
EA
PLB LAWN SPRINKLER SYSTEM
9.00
6.00
.7500
EA
PLB GAS PIPE >=5
4.50
1.00
----------------------------------------------------------------------------
15.0000
EA
PLB GAS METER
15.00
Permit .
. . . . .
MECHANICAL
Additional
desc
Permit Fee
. . . .
66.50 Plan Check Fee
16.63
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1.00
9.0000
EA
MECH FURNACE <=100K
9.00
1.00
16.5000
EA
MECH B/C >3-15HP/>100K-500KBTU
16.50
3.00
6.5000
EA
MECH VENT FAN
19.50
1.00
----------------------------------------------------------------------------
6.5000
EA
MECH EXHAUST HOOD
6.50
Special Notes
and Comments
SFD - PLAN
5505B LOT
74 1843SF
W/MBR
Page 3
Application Number
. . . . .
04-00004543 Date
5/25/04
----------------------------------------------------------------------------
Special Notes and
Comments
22SF & EXT. PATIO
315SF. PERMIT
DOES NOT
INCLUDE BLOCK WALL,
POOL OR DRIVEWAY
APPROACH.
--------------------------------------------
Other Fees . . .
. . . . . .
-------------------------------
ART IN PUBLIC FLACES-RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER -RES
366.00
ENERGY REVIEW FEE
56.36
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
16.49
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
1166.13
------------------------------
.00 .00
1166.13
Plan Check Total
634.59
.00 .00
634.59
Other Fee Total
2477.85
.00 .00
2477.85
Grand Total
4278.57
.00 .00
4278.57
Coachella Valley Unified School District
P.O. Box 847, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name: Trilogy
Owner's Name: Shea La Quinta, LLC
This Box For District Use Only
DEVELOPER FEES PAID
AREA
AMOUNT
LEVEL ONE AMOUNT
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMJND. AMOUNT:
DATE
RFCFTPT-
CHFf K #.
INITIALS
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Address: White Sage Drive, Lace Leaf Court La Quinta, CA
Project Description: _17 SFD
APN: 764-270-999
Tract #:
Type of Development: Residential XX
30023, Ph .B
Commercial
Total Square Feet of Building Area: 36,490 sq.ft.
Date May 26, 2004
Phone No. 777-6032
Lot #'s:
74-77,111-123
Industrial
Certification of Applicant/Owners: The person signing certifies that the above ipformation is correct and makes this statement
under penalty of perjury and further represents that he/she is authorized tvign on bebAf of the owner/developer.
Dated: May 20, 2004
***********************************************************************
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code
Project Agreement Existing
Note:
Number of Sq.Ft. 36,490
Amount per Sq.Ft. 0.36
Amount Collected $ 13,136.40
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
r�
w '
Certificate issued by: Elvira Mattson, Office Technician Signature:
Not Subject to Fee
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1,1997, requires that this District provide (1) a written notice to
the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of
these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall
serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of
any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether
payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This
Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School
District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project
that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
1/16/03 T
Zb"�
MV:c/mydocs/devfees/certificate of compliance form tables.doc
Post -it® Fax Note 7671 Date 5_ 4, pages
To From
Co./Dept. Co.
QUM&
Phone # Phone # 7 _1 2 �l b
Fax # -7Z -I 6 0 :ZFax # f
BUILDING & SAFETY DEPARTMENT
760-777-7012
BUILDING PERMIT FEE SUMMARY .�Z�_.�i"s,� _ . -Q�, ,dA`tt size
61
k-- JAAA,,,L,aA-z4L I D 5/25
---P PILO S/26
Date: May 26, 2004
Owner: Shea La Quinta, LLC Builder: Shea La Quinta, LLC
60-311 Trilogy Parkway 60-311 Trilogy Parkway
La Quinta, Ca 92253 La Quinta, Ca 92253
Proiect: 17 SFD's alb Triloav T 30023 Ph. 6B. lots 74-77. 111-123
Lot
Plan
Sq. Ft.
Address
Assessor's Parcel Number
Permit #
Fees
Note
74
5505B
1,843
60-523 White Sage Drive
764-270-999-74-300231
04-4543
$4,278.57
75
5515C
2,148
60-507 White Sae Drive
764-270-999-75-300231
04-4545
4,435.54
76
6420C
2,732
60-485 White Sage Drive
764-270-999-76-300231
04-4504
4,970.31
77
6430C
2,769
60-463 White Sage Drive
764-270-999-77-300231
04-4510
4,985.71
111
4510B
1,556
60-518 White Sage Drive
764-270-999-111-300231
04-4557
4,140.01
112
4520A
1,685
60-494 White Sage Drive
764-270-999-112-300231
04-4568
4,323.60
123
4520E
1,940
60-458 Lace Leaf Court
764-270-999-123-300231
04-4569
4,302.35
122
5515B
2,365
60-480 Lace Leaf Court
764-270-999-122-300231
04-4570
4,550.43
121
5515C
2,412
60-502 Lace Leaf Court
764-270-999-121-300231
04-4571
4,638.40
120
5505A
1,843
60-546 Lace Leaf Court
764-270-999-120-300231
04-4572
4,305.93
119
5515E
2,339
60-568 Lace Leaf Court
764-270-999-119-300231
04-4547
4,555.49
118
5515C
2,148
60-590 Lace Leaf Court
764-270-999-118-300231
04-4549
4,428.66
117
5515B
2,434
60-612 Lace Leaf Court
764-270-999-117-300231
04-4548
4,609.44
116
6420A
2,755
60-629 Lace Leaf Court
764-270-999-116-300231
04-4574
4,983.27
115
5505A
1,847
60-607 Lace Leaf Court
764-270-999-115-300231
04-4579
4,234.63
114
5515C
2,144
60-585 Lace Leaf Court
764-270-999-114-300231
04-4550
4,422.45
113
4510B
1,530
60-519 Lace Leaf Court
764-270-999-113-300231
04-4577
4,106.24
TOTAL AREA:
36,490
TOTAL PERMIT FEES:
$76,271.03
F uenotes i5io reauction to plan cnecK tees due to multiple issuance of same plan type.