08-1419 (SFD)4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
�•--�''� Date: 8 / 15 / 0 8
Application Number: 08-00001419 Owner:
Property Address: 81370 RUSTIC CANYON DR SHEA LA QUINTA
APN: 764-280-999-173-300236- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258
Application valuation: 237751 _
Applicant: Architect Contractor:
A
PP c tect or Engineer: SHEA HOMES, INC. r-
81260 AVENUE 62 E�
LA QUINTA, CA 92253 ._ E `Or0 �
(760) 777-6005�w
Lic. No.: 672285 C�s� FLAr6��3�A
---------------------- ---------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby a irm under penalty of perjyyW that am licensed under provisions of Chapter 9 (commencing with
Section 7 0) of Di ision 3 of the 61 in s d Professional C de, and my License is in full force and effect.
Lic ns ° cen a o.: 672285
te: t actor.
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.).
(_) 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.).
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
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 NTL UNION INS Policy Number WC1894819
_ 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 beco subject to the workers' compensation laws of California,
�� 4d agree that, if I should become bj ct to the workers' compensation provisions of Section
3�Me Labor Conshall fo w t� comply with those provisions.
ate: ant: 4
WARNING: FAILURE TO SECURE WORK ' 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 I have read this application and state that the above information is correct. I agree to comply with all
city and c unty ordin nces and state laws relating to building constru ion, and hereby authorize representatives
t
of 0 ty t nt r on the above -mentioned property for inspec on purposes.
C
e: ig re (Applicant or Agent): %
LQPERMIT
Application Number . . . . . 08-00001419
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
755.00
PATIO SQ FTG
488.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2679.00
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
1122.50 Plan Check Fee
182.41
Issue Date . . . .
Valuation . . . .
237751
Expiration Date
2/11/09
Qty Unit Charge
Per
Extension
BASE FEE
639.50
138.00 3.5000
- - - - - - - - - - - - - - - - - - - - - - - - - -
THOU BLDG 100,001-500,000
- - - - - - - - - - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - -
483.00
- - - - - - - - - - - -
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . .
99.50 Plan Check Fee
6.22
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 11.0000
EA MECH FURNACE >100K
11.00
1.00 9.0000
EA MECH B/C <=3HP/100K BTU
9.00
1.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
16.50
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
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EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
123.87 Plan Check Fee
7.74
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
.2/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPERMIT
Application Number .
. . . . 08-00001419
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
2679.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
93.77
755.00 .0200
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ELEC GARAGE OR NON-RESIDENTIAL
15.10
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
177.00 Plan Check Fee
11.06
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
2/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
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
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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 . .
2/11/09
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit . . .
SOLAR PERMIT
Additional desc . .
Permit Fee . . . .
22.50 Plan Check Fee
1.41
Issue Date . . . .
Valuation . . . .
237751
Expiration Date
2/11/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000
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EA SOLAR EQUIP MISCELLANEOUS
3.00
Special Notes and Comments
SFD - LOT 173, PLAN 6505C,
2,679
SF.INCLUDES 255 SF CASITA, 26 SF BOX BAY
LQPERMIT
Application Number . . . 08-00001419
----------------------------------------------------------------------------
Special Notes and Comments
@ MBR.& PHOTOVOLTAIC SYSTEM (1.12C-5KW).
75% REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE.
PERMIT DOES NOT INCLUDE BLOCK
WALL,POOL,
SPA OR DRIVEWAY APPROACH.
2007 CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES-RES
94.37
DIF COMMUNITY CENTERS-RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
91.20
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
23.77
DIF STREET MAINT FAC-RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total 1560.37
------------------------------
.00 .00
1560.37
Plan Check Total 208.84
.00 .00
208.84
Other Fee Total 4684.34
.00 .00
4684.34
Grand Total 6453.55
.00 .00
6453.55
LQPERMTT