08-0018 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: s '.'08-00000018
Property Address: 81389 GOLDEN POPPY WY
APN: 764-280-999-108 -300236-
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 170639
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
VOICE (760) 777-7012
FAX (760) 7.77-7011
INSPECTIONS (760) 777-7153
Date: 1/03/08
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC.
81260 AVENUE 62 D
LA•QUINTA, CA 92253
(760)777-6005
Lic. No.: 672285 JAN 23 2008
CITY OF LA QUINTA
FINANCE DEPT.
CENSED CJdCTOR'S DECLARATION
un er penalty of perjur at am licener provisions of Chapter 9 (commencing with
of iy ¢i n 3 of the Bunq,�s d ProfeCode, and my License is in full force and effect.
%B /IV \ Aense No.: 672285
OWNER -BUILDER DECLARATION
I here4 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I 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:
LQPERA11T
WORKER'S COMPENSATION DECLARATION .
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.
I 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 AXERICAN HOME Policy Number CA 1593364
I certify that, in the performance of the work for which this permit is issued, 1 shall not employ -any
pers n in any manner so as to become subject to the workers' compensation laws of California,
and gree that, if I should b��hwith
ubject to a workers' compensation provisions of Section
V r/ 7 the L or Code, I co ply wit those provisions.
te: Vpplicant:
WARNING: FAILURE TO SECURE WORKERS'0 PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN LT S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO TH ST 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 certi y at I h ve read this application and state that the above information is correct. 1 agree to comply with all
city d ounty ordinances and state laws relating to building constructs , and hereby authorize representatives
of s t ,enter upon eabove-mentioned grope for inspectio Durp ses.
Date: gnature (Applicant or Agent):
-4
LQPERAIIT
Application Number . . . . . 08-0.0000018
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
576.00
PATIO SQ FTG
177.00
NUMBER OF UNITS
1.00
- ----------------------------------------------------------------------------
.1ST FLOOR SQUARE FOOTAGE
1943.00
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee . .
. .
888.00 Plan Check Fee
577.20
Issue Date . .
. .
Valuation
170639
Expiration Date
7/01/08
Qty Unit
Charge
Per
Extension
BASE FEE
639.50
71.00
----------------------------------------------------------------------------
3.5000
THOU. BLDG 100,001-500,000.'
248.50
Permit .
. . MECHANICAL
Additional desc
.
Permit Fee . .
. .
70.50 Plan Check Fee
17.63
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
7/01/08
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/100K BTU
18.00
2.00
6.5000
EA MECH VENT FAN
13.00
1.00
- ----------------------------------------------------------------------------
6.5000
EA MECH EXHAUST HOOD
6.50
Permit .
. . ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee . .
. .
94.53 Plan Check Fee
23.63
Issue Date . .
. .
Valuation . . . .
.0
Expiration Date
7/01/08
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
1943.00
.•0350
ELEC NEW RES - 1 OR 2 FAMILY
68.01
576.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
Application Number ... . . . 08-00000018
Permit . . . PLUMBING
Additional desc .
Permit Fee 152.25 Plan Check Fee
35.81
Issue Date . . . . Valuation
0 -
Expiration Date 7/01/08
Qty Unit Charge Per
Extension
BASE FEE/
15.00
14.00 6.0000 EA PLB FIXTURE
84.00
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
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 7/01/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 108, PLAN 4520C, 1943 SF/ 255
SF CASITA,BOX BAY @ MBR -26 SF 4- GARAGE
EXT - 88 SF.PERMIT DOES NOT INCLUDE
BLOCK WALLS,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
1995.00
ENERGY REVIEW FEE
57.72
°. 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
17.06
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
LQPERMIT
I
LQPERAIIT `
Application Number
. . . . .
08-00000018
Fee summary
Charged
Paid
Credited
Due
-----------------
Permit Fee Total
1220.28
.00
-
.00
----------
1220.28
Plan Check Total
654.27
.00
.00
654.27
Other Fee Total
4549.78
.00
.00
4549..78
Grand Total
6424.33
.00
.00
6424.33
IJ