06-0541 (SFD)P. 0- B(sr)1504
78-49�- CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 r
Application Number:
Property Address:
APN:
Application description
Property Zoning:
r'
Applicationvaluation:
Applicant:
06-00000541
81880 GOLDEN STAR WY
764-280-999-105 -300235-
.DWELLING - SINGLE FAMILY
MEDIUM HIGH DENSITY RES
142817
Tit!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
DETACHED 8800 N GAINEY CENTER
SCOTTSDALE, AZ 85258
Architect or Engineer:
V -t5%4 C(z)►tiSUL ,
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I here y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Sectio5LS��ntractor:L-J%*%'A'%-
OWNER-BUILDER
ofthe Bss and Professionals Code, and my License is in full force and effect.
Li n License No.: 672285
ate: 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 1$5001.:
(_) 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 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
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: 2/06/06
------------------
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 Pob 1247619
I certify that, in the performance of thor which this permit is issued, I shall not employ any
person in any mannffcojmesect to the workers' compensation laws of California,
and agree that, if I so the workers' compensation provisions of Section
0 of the Labor rtomply with those provisions.
ate: icant:
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 s permit, or cessati of work for 180 days will subject
permit to cancellation.
I certifBaillread this application and state that th ab ve infor ati is orrect. I agree to comply with all
cit anmances and state laws relating to uil i onstructi n, and ereby.authorize representatives
o er upon above-mentioned p pe fo inspet%n purpos s.
D e:nature (Applicant or Agen
LQPERMIT
Application Number .
. . . . 06-00000541
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
562.00
PATIO SQ FTG
457.00
NUMBER OF UNITS
1.00
--=----------------------------------------------------=-------------------=
1ST FLOOR SQUARE FOOTAGE
1556.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
790.00 Plan Check Fee
513.50
Issue Date . . . .
Valuation . . . .
142817
Expiration Date
8/05/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
43.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
150.50
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
77.00 Plan Check Fee
19.25
Issue Date
Valuation . . . .
0
Expiration Date.
8/05/06
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/C <=3HP/100K BTU
18.00
3.00 6.5000
EA MECH VENT FAN
19.50
1.00 6.5000
----------------------------
EA MECH EXHAUST HOOD
-----------------------------------------------
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
80.70 Plan Check Fee
20.18
Issue Date
Valuation . . . .
0
Expiration Date
8/05/06 .
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1556.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
54.46
562.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.24
LQPERMIT
Application Number .
----------------------------------------------------------------------------
. . . . 06-00000541
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
123.00 Plan Check Fee
30.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
8/05/06
Qty Unit Charge
.Per
Extension
BASE FEE
15 . 0.0
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
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 . .
8/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 105 PLAN 4510B, 1556 SF (26'
SF BOX BAY @MBR', 83 SF GAR. EXT. 120 SF
PATIO EXT.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
480.00
ENERGY REVIEW FEE
51.35
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
14.28
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
LQPERMIT
,;A!, Application -Number . . . . . 06-00000541
Fee summary
-----------------
Charged
----------
Paid
Credited
Due
Permit Fee Total
1085.70
----------
.00
----------
.00
----------
1085.70
Plan Check Total
583.68
.00
.00
583.68
.Other Fee Total
3761.63
.00
.00
3761.63
Grand Total
5431.01
.00
.00
5431.01
LQPERMIT