06-0529 (SFD)i
BOX 1504 Tit!t 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: ..06-00000529 Owner:
Property Address: 81865 GOLDEN STAR WY SHEA LA QUINTA
APN: 764-280-999-86 -300235- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 150034
Contractor:
Applicant: rchitect or Engineer: SHEA HOMES, INC.
81260 AVENUE 62
rla7 ` LA QUINTA, CA 92253
n„�,� Zloypl (760)777-6005-
Lic. No.: 672285
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.
License Class: B License No.: 672285
,,,,be Z ontractoc
17,
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 _ 1 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.).
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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/02/06
350
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 1247619
I certify that, in the performance of thew for which this permit is issued, I shall not employ any
person in any manner so as to become bject to the workers' compensation laws of California,
and agree that, if I sh uld become sub' to the workers' compensation provisions of Section
/-1 3700 of the La or C , I hall forth h comply with those provisions.
Date u pplicant:
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, o cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state tAbldi
bov info ation is correct. I agree to comply with all
city and ounty ordinances and state laws relating gco str ion, and hereby authorize representatives
of th' c t t re,,Pter upon t above-mentioned or inspe n purposes.
gzfe:vl'•1 nature (Applicant o
Application Number . . . . . 06-00000529
Structure Information
Construction Type . . . . . TYPE V - NON RATED
Occupancy Type . . . . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001
# BEDROOMS 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 576.00
PATIO SQ FTG 177.00
NUMBER OF UNITS 10.00
1ST FLOOR SQUARE FOOTAGE 1688.00
----------------------------------------------------------------------------
Permit . . .
Additional desc..
Permit Fee
Issue Date . . ..
Expiration Date .
BUILDING PERMIT
818.00
8/01/06
Plan Check Fee . . 531.70
Valuation . . . . 150034
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
51.00
-=--------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
178.50
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee
64.00
Plan Check Fee
16.00
Issue Date . .
. .
Valuation . . .
. 0
Expiration Date
. .
8/01/06
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/.0 <=3HP/100K BTU
18.00
1.00
6.5000
EA MECH
VENT FAN
6.50
1.00
----------------------------------------------------------------------------
6_.5000
EA MECH
EXHAUST HOOD
6.50
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 85.60 Plan Check Fee .
Issue Date . . Valuation . . . .
Expiration Date . . 8/01/06
Qty Unit Charge Per
BASE FEE
1688.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
LQPERMIT
21.40
0
Extension
15.00
59.08
Application Number . . . . . 06-00000529
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
576.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
11.52
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
128.25 Plan Check Fee
32.06
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/01/06
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
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
8/01/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
---------------------------------7------------------------------------------
Special Notes and Comments
SFD - LOT 86, Plan 4520C 1688 SFI"
BOX BAY @ MASTER (26SF) & 4' EXT. GARAGE
(88SF).PERMIT DOES NOT.INCLUDE POOL,
SPA, BLOCK WALLS OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
53.17
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
15.00
LQPERMIT
Application Number . . . . . 06-00000529
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF STREET
MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
-----------------
Charged
----------
Paid
----------
Credited
----------
Due
Permit Fee Total
1110.85
.00
----------
.00
1110.85
Plan Check Total
601.16
.00
.00
601.16
Other Fee Total
3764.17
.00
.00
3764.17
Grand Total .
5476.18
.00
.00
5476.18
LQPERMIT