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08-0558 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, 'CALIFORNIA 92253 C&tyl 4 Xi& " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 08-00000558 Property Address: 81478 GOLDEN POPPY WY APN: 764-280-999-101 -300236- Application description: REMODEL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 8687 Applicant: Architect or Engineer: 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. Li enseI ss: B �] License No.: 672285 ontractor: � �J '—� 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 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.). (_) 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 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: LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY.CENTER SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES,`INC. 60800 TRILOGY PARKWA) LA QUINTA, CA 92253 (760.)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 77777153 Date: 4/03/08 WORKER'S 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. 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 AMERICAN HOME Policy Number CA 1593364 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 subjec to the workers' compensation laws of California, ( iii 111 and agree that , d becom ubject to a workers' compensation provisions of Section �3Q002fthabor o I sh I fort wi ly with those provisions. ateel:J`� 1`I�VVC WARNING: FA LURE 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 1 have read this application and state bove inf r tion is ect. I agree to comply with all city and coupty ordinances and state laws rel g to b it ' c tructi , a r by authorize representatives plf—c ;tt><enter upon the above -men ' ned prop rty r i ection utpo(1 �� ature (Applicant or /1T.. ` Application Number . . . . . 08-00000558 'Permit BUILDING PERMIT Additional desc . Permit Fee 108.00 Plan Check Fee 70.20 Issue Date . . . . Valuation 8687 Expiration Date 9/30/08 Qty Unit Charge Per Extension BASE FEE 45.00 7.00 9.0000 THOU BLDG 2,001-25,000 ------•------------------------ 63.00 ---------------------------------------------- Special Notes and Comments REVISION WHILE UNDER CONSTRUCTION. CREATE 149 SF. EXERCISE ROOM FROM GARAGE SQUARE FOOTAGE. EXISTING SFD PERMIT 08-82. ------------------------------ ----------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE - 7.02 Fee summary Charged Paid =----------- - ------------------- ---- Credited ---------- ---------- Due Permit Fee Total 108.00 .00 .00 108.00 Plan Check Total 70.20 .00 .00 70.20 Other Fee Total 7.02 .00 .00 7.02 Grand Total 185•.22. .00 .00 185.22 LQPERNlrf Bit, #ttf SON- to Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # h� Project Address: �\ �� \4t, b Owner's Name: Shea Homes A. P. Number: Address: 60-800 Trilogy Parkway Legal Description: Trilogy @ La Quinta City, ST, zip: La Quinta, CA 92253 Contractor: Shea Homes Telephone: 760-777-6032 d Address: 60-800 Trilogy Parkway Project Description: �� l City, ST, zip: La Quinta, CA 92253 Telephone: 760-777-6032 8 T�£ Reviewed, ready for corrections State Lic. #: 640934 ic. #: Arch., Engr., Designer: ,J jp,.1 v- C�ns- ik4 Address: JIF �I .,p —tu City, ST, p: Telephone: <� State Lic. #: , "u.- ,° �, Name of Contact Person: Crab C. Nieto Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760-777-6032 Estimated Value of Project: APPLICANT: 00 NOT WERE BELOW THIS UNE #' Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted d Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7d Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees P_ }. Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 — Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Shea La Quinta, LLC Date: April 17, 2008 Owner's Name: Shea La Quinta, LLC Phone No. (760) 777-6032 Project Address: 81-478 Golden Poppy Way _ Project Description: Exercise Room Addition APN: 764-280-999-101-300236 Tract #: Lot #'s: Type of Development: Residential !XX! Commercial Industrial Total Square Feet of Building Area: 149 sq. ft. Certification of Applicant/Owners: The person signing certifies that the a ove information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sig)ron/Behalf of the owner/developer. Dated: 4/17/08 *********************************************************************** 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 17620 65995 Approval Number of Sq.Ft. 149 sq. ft. Amount per Sq.Ft. $ 0.00 Amount Collected $ 0.00 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Support Services Certificate issued by: Leticia C. Torres, Facilities Analyst Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Note: Pursuant to AB -181, any mobilehomes being replaced or relocated within the same school district are exemptfrom developer fees. Any additions of 500 sq. ft. or -less is also exempt from developer fees. (Unless additions. are on a� structure that, is under_ construction.) 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 subjeet of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. �/ MV:c/mydocs/devPees/certificate of compliance form tablesTO USE.doc 1/16/03 T (� � �O 1� LEGEND R AIR CONDITIONER PAD BC PLAN BACK OF CURB — PROPOSED SURVEY SETBACK ESMT. AND OTHER FACTORS BEYOND THE CONTROL OF SHEA HOMES. SHEA HOMES EXPRESSLY EASEMENT EX. EXISTING FF ^ w 1.1T TRILOGY AT LA OUIN 1 A, RIVERSIDE COUNTY, CA. FINISH FLOOR ELEVATION PL OF ESCROW. PROPERTY LINE PE SIGNATURE: PATE: PAD ELEVATION PUE PRESENTED AND REVIEWED BY SALES COUNSELOR: PUBLIC UTILITY EASEMENT S SEWER LATERAL S/W SIGNATURE, DATE: SIDEWALK R/W RIGHT OF WAY LOT (0 (0(0 0 LOT NUMBER 0000 PLAN TYPE O ELECTRIC JUNCTION BOX FT I TRANSFORMER VAULT pg PRIMARY PULL BOX ® WATER METER FIRE HYDRANT RETAINING/GARDEN WALL RETAINING WALL GARDEN.WALL EX. RETAINING/GARDEN WALi-g o2:1 EARTH SLOPE 'q 1,m I R TrW'gi GOLDEN POPPY WAY NOT FOR CONSTRUCTION TRACT NO. 30023-6 19B 81478 GOLDEN POPPY WAY I SCALE- 1•-30' 1 DATE- APRIL 3, 2008 ACKNOWLEDGEMENT: THIS EXHIBIT WAS PREPARED FOR BUYER INFORMATION ONLY. LOCATIONSALLS ARE PROVIDED IN OTHER DOCUMENTS, DIMENSIONS, SIZES AND ITEMS SHOWN ARE APPROXIMATE AND WILL VARY BASED ON D LOCATIONS OFF FIELD PLOT PLAN CONDITIONS, AGENCY INSPECTION REQUIREMENTS, UTILITY COMPANY REQUIREMENTS AND OTHER FACTORS BEYOND THE CONTROL OF SHEA HOMES. SHEA HOMES EXPRESSLY RESERVES THE RIGHT TO MAKE MODIFICATIONS AND CHANGES TO ALL ITEMS. ^ w 1.1T TRILOGY AT LA OUIN 1 A, RIVERSIDE COUNTY, CA. BUYER IS ADVISED TO REVIEW ACTUAL INSTALLED LOCATIONS OF ITEMS PRIOR TO THE CLOSE OF ESCROW. MSA CONSULTING, I INC.BUYER: SIGNATURE: PATE: PGNNINO ■ Crim BNoumnmo ■ LAND Suwvsm o PRESENTED AND REVIEWED BY SALES COUNSELOR: ID34200 BoB Hors DRm ■ Remo ASmeoH ■ CA 92270 SIGNATURE, DATE: 1%Lzaotm (760) 320.9ffi1. ■ Fex (760) 323.7893