07-1476 (SFD)a T
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00001476
61400 FIRE BARREL DR
764-280-999-12 -300235-
DWELLING - SINGLE FAMILY
MEDIUM-HIGH DENSITY RES
166943
rchitect or Er
VASN C0
(L.c.sL. u
T4ht 4 4 0"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 in full force and effect.
Licens CCIasssss: B License No.: 672285
Da { ntractor
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 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 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 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.).
1 _ 1 1 am exempt under Sec. , B.&P.C. for this 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. 3097, Civ. C.).
Lender's Name:
Lender's Address:
T
LQPERAIIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor:
SHEA HOMES, INC.
81260 AVENUE 62
LA QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/17/07
WORKER'S COMPENSATION DECLARATION
1 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' 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 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
3700 of the L bor�Cod shall fort`hw`ith ccoomplly with those provisions.
ate. plicant:., �` i E- v
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.
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 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, 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 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 correct. I agree to comply with all
city and county ordinances and state laws relating 1.9.building construction, and hereby authorize representatives
of fbw4ounty tp enter upon theabove-mentioneWDropertylor ipspecsorldWrposes.
(Applicant or
Application Number . . . . . 07-00001476
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 539.00
PATIO SQ FTG 537.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1847.00
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 856.50
Issue Date . . .
Expiration Date . . 111/13/07
Plan Check Fee 556.73
Valuation . . . . 161587
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
62.00
------------------------------------------------------7---------------------
3.5000
THOU
BLDG
100,001-500,000
217.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
86.50
Plan Check Fee
21.63
Issue Date
. . . .
Valuation
0
Expiration
Date
11/13/07
Qty
Unit .Charge
Per
Extension
BASE
FEE
15.00
1.00
9.0000
EA
MECH
FURNACE <=100K
9.00
1.00
11.0000
EA
MECH
FURNACE >100K
11.00
1.00
9.0000
EA
MECH
B/C <=3HP/100K BTU
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
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
LQPERA1ff
ELEC-NEW RESIDENTIAL
81.19 Plan Check Fee .
Valuation . . . .
11/13/07
Per
BASE FEE
3.76
0
Extension
15.00
Application Number . . . . . 07-00001476
Permit . . . . . . ELEC-NEW RESIDENTIAL.
Qty Unit Charge .Per Extension
1847.00 .0300 ELEC NEW RES - MULTI FAMILY 55.41
539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78
----------------------------------------------------------------------------
Permit .
Additional desc
Permit Fee
Issue Date
Expiration Date
. .. PLUMBING
120.00 Plan Check Fee 16.50
Valuation 0
11/13/07
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
6.00
.7500 EA PLB GAS PIPE >=5
4.50
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 11/13/07
Qty
Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT
12,PLAN 5505B, 1847 sf
26 SF BOX
BAY
@ MBR, 83
SF. GAR. EXT.,315 SF PATIO
EXT. PERMIT
DOES NOT INCLUDE BLOCK WALL,
POOL, SPA
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
995.00
ENERGY REVIEW FEE
55.67
DIF FIRE PROTECTION -RES.,
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
LQPERAIIT
LQPERMIT
07-00001476
------------------------7--------------------
DIF PARK MAINT FAC - RES 22.00
DIF PARKS/REC - RES 892.00
STRONG MOTION (SMI) - RES 16.15
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1930.00
Paid Credited Due
.19 .00 .00 1159.19
.62 .00 .00 598.62
.82 .00 .00 4546.82
.63 .00 .00 6304.63
PREPARED 3/16/11,
8:25:43
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM
BP521L
- 0/.00/00
THRU 0/00/00•
CITY OF
LA QUINTA
---------------------=-------------------------
APPLICATION
PROPERTY ADDRESS
-------------------------------------------------------------------------------------
APN
Alternate ID
STRUCTR
-------------7----------------------------------------------------------------------------------------------------------------------
PERMIT
INSPECTION
RESULT DATE/STATUS
INSPECTOR
07 00.001476
61400 FIRE BARREL DR
764-280-999-12
-300235-
000
000
B001
00
BUILDING PERMIT
120
0001
FOOTINGS
.7/02/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT
125
0001
SLAB
.7/02/07
APPROVED
EM
000
000
.B001
00
BUILDING PERMIT
135
0001
ROOF NAIL
8/01/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT
140
0001
OKAY.TO WRAP
8/08/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT
145
0001
FRAMING
8/15/07
APPROVED
KK
000
000
B001
00
BUILDING PERMIT
150
0001
INSULATION -
8/17/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT
155
0001
LATH
8/20/07
APPROVED
.EM
000
000
B001
00
BUILDING PERMIT
160
0001
DRYWALL NAIL
8/20/07
APPROVED
EM
000
000
B001
00
BUILDING PERMIT
199
OOOI'FINAL
10/17/07
APPROVED
EM
000
000
E01
00
ELEC-NEW RESIDENTIAL
315
0001
TEMP USE OF.PERMANENT
POW 9/24/07
APPROVED
EM
000
000
E01
00
ELEC-NEW RESIDENTIAL
399
OOOI
ELECTRICAL FINAL
10/17/07
APPROVED
EM
000-000
GP
00
GRADING PERMIT
197
0001
GRADING FINAL
10/17/07
APPROVED
EM '
.000
000
MO1
00
MECHANICAL
499
0001
MECHANICAL FINAL
10/17/07
APPROVED
EM
000
000
PO1
00
PLUMBING
210
0001
SEWER' CONNECTION
6/26/07
APPROVED
EM
000
000
PO1
OO.PLUMBING
200
OOO1-UNDERGROUND
PLUMBING
6/26/07
APPROVED
EM '
000
000
PO1
-00-PLUMBING
235
0001
GAS LINE / GAS TEST
9/11/07
APPROVED
EM. -
000
000
PO1'
00
PLUMBING
299
0001
PLUMBING FINAL
10/17/07
APPROVED
EM -