06-0539 (SFD)l�
P.O BOX 1504
78-495CALLE TAMPICO
LA QONTA, CALIFORNIA 92253
Td4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00000539
Property Address: 81860 GOLDEN STAR WY
APN: 764-280-999-107 -300235
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 127604
Applicant: l rchitect or Engineer:
fl -CSL 2.L446
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 00) of pivision 3 of the B ' s and Professionals Code, and my License is in full force and effect.
Licenj C ss: 13 bjcense No.: 672285
Date: actor:
OWNER -BUILDER DECLARATION
1 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).:
(_) 1, 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, 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. 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 350
SCOTTSDALE, AZ 85258 (p::�
11D],
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: 2/03/06
u
FEB 2 31006
CITY OF �A OIt OZ. I
--------------- - - -
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 AMERICAN HOME Policy Number 1247619
1 certify that, in the performance of the wor for which this permit is issued, I shall not employ any
person in any mann so as to become bject to the workers' compensation laws of California,
f—aid agree that, if I s ould come su ' t to the workers' compensation provisions of Section
_ 3#1 Ofof the Labor C hall fo4trwicomply with 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 ($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 hat I have read this application and state that th bov informatio ' orrect. I agree to comply with all
city and ounty ordinances and state laws relating to builds o truction, d ereby authorize representatives
of unty t enter upon the above-mentioned property 'ns ection p p es.
owl
' ature (Applicant or Agent)
wo
Application Number . . . . . 06-06000539
Structure Information SFD 4210A W/BOX BAY, EXT GAR, EXT PAT
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
557.00
PATIO SQ FTG
391.00
-•
NUMBER OF UNITS
1.00
=---------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1381.00
Permit ..
BUILDING PERMIT
Additional desc .
Permit Fee
737.50 Plan Check Fee
479.38
Issue Date . . . .
.Valuation
127604
Expiration Date
8/02/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
28.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
98.00
Permit . . .
MECHANICAL,
Additional desc . .
Permit Fee . . . .
65.50 Plan Check Fee
16.38
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/02/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
4.00 •6.5000
EA MECH VENT FAN
26.00_
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . ..
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
74.48 Plan Check Fee
18.62
Issue Date . . . .
Valuation'
0
Expiration Date
8/02/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1381.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
48.34
557.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.14
LQPERMIT
Application Number . . . . . 06-00000539
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
122.25 Plan Check Fee
30.56
Issue Date
Valuation . . .
. 0
Expiration Date
8/02/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
9.00 6.0000
EA PLB FIXTURE
54.00
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
8/02/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
-------------------------------------------------------------------------'---
Special Notes and Comments
SFD - Plan 4210A Lot
107 (1381 sgft)-
w/box bay (26 sqft),
ext. garage (83
sqft) & patio ext. (171 sqft) Permit
does not include block wall, pool 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
480.00 -..
ENERGY REVIEW FEE
47.94
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•
12.77
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1098.00
LQPERMIT
LQPERMIT
Application Number
. . . . .
06-00000539
Fee summary
Charged
----------
Paid
----------
Credited
----------
Due
----------
-----------------
Permit Fee Total
1014.73
.00
.00
1014.73
Plan Check Total
544.94
.00
.00
544.94
Other Fee Total
3188.71
.00
.00
3188.71
Grand Total
4748.38
.00
.00
4748.38
LQPERMIT
PREPARED
3/16/11,
10:12:26
INSPECTION HISTORY REPORT
PAGE 1
PROGRAM
BP5211,*
0/00/00
THRU 0/00/00
CITY. OF
LA QUINTA
------------------------------------------------------------------------------------------------_------------------------------------
APPLICATION
PROPERTY ADDRESS
APN
Alternate ID
STRUCTR
------------------------------------------------------------------------------------------------------------------------------------
PERMIT
-INSPECTION
RESULT DATE/STATUS
INSPECTOR -
06 00000539
81860
GOLDEN STAR WY
764-280-999-107
-300235-•
000
000
B001
00
BUILDING PERMIT
120
0001
FOOTINGS
4/05/06
APPROVED
GH
000
000
B001
00
BUILDING PERMIT•
125
0001
SLAB
4/05/06
APPROVED
GH
000
000
B001
00
BUILDING PERMIT
135
0001
ROOF NAIL
5/01/06
APPROVED.
GH
000
000
B001
00
BUILDING PERMIT
140
0001.OKAY
TO WRAP
5/11/06
APPROVED
GH
000
000
B001
00
BUILDING PERMIT
145
0001
FRAMING
'5/18/06
APPROVED
GH.
000
000
B001
OO,BUILDING
PERMIT
150
0001
INSULATION
5/22/06
APPROVED
GH
000
000
B001
00
BUILDING PERMIT
155
0001
LATH
5/23/06
APPROVED
- GH '
000
000
B001
00
BUILDING PERMIT
160
0001
DRYWALL NAIL
5/23/06
APPROVED
GH,
000^000
B001
00
BUILDING PERMIT
900
0001
COMMUNITY DEVELOPMENT
FIN 7/20/06
APPROVED
GH
000
000'
B001
00
BUILDING PERMIT
910
0001
PUBLIC WORKS FINAL
7/20/06
APPROVED
GH '
000
000
B001'00
BUILDING PERMIT_
199
0001
FINAL
7/20/06
APPROVED
GH
000
000
E01
00
ELEC-NEW RESIDENTIAL
310
0001
ROUGH ELECTRICAL
5/18/06
APPROVED
GH
000
000
E01
�00'ELEC-NEW
RESIDENTIAL
- 315
0001
TEMP USE OF PERMANENT
POW 6/22/06
APPROVED
GH
000
000
E01
00
ELEC-NEW RESIDENTIAL
399
0001
ELECTRICAL FINAL
7/20/06'APPROVED
GH
000
000
GP
00
GRADING PERMIT
197
0001 -GRADING
FINAL
7/20/06
APPROVED
GH
000
000
M01
00
MECHANICAL
-4.05
0001
ROUGH.MECHANICAL
5/18/06
APPROVED
GH
000
000
M01
00
MECHANICAL
499
'0001
MECHANICAL FINAL
7/20/06
APPROVED
GH
000
000
P01'
00
PLUMBING
210
0001
SEWER CONNECTION
3/31/06
APPROVED
GH '
000
000
- P01
00
PLUMBING _
200
0001
UNDERGROUND PLUMBING
3/31/06
APPROVED
GH -
000
000
PO1
00
PLUMBING
230
0001
ROUGH PLUMBING
5/18/06
APPROVED
GH .
000
000
P01
00
PLUMBING
245
0001
SHOWER PAN
5/18/06
APPROVED
GH
000
000
P01
00
PLUMBING
235
0001
GAS LINE / GAS TEST
6/22/06
APPROVED
GH
000000.
P01
00
PLUMBING
299
0001
PLUMBING FINAL
.7/20/06
APPROVED
GH