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05-0306 (SFD)I IIIIIII VIII III VIII IIII 45 IE •f 4 rAMPICO LIFORNIA 92253 BUILDING PERMIT �klkl------- — . . Property Address APN: Application description Property Zoning . . . . Application valuation . Owner BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 0 5- 0-0-0-0.03.0- Date 1/31/05 . . . 60211 ALOE CIR 764-270-999-170 -300233- . . . DWELLING - SINGLE FAMILY DETACHED . . . MEDIUM HIGH DENSITY RES 159715 SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER -350 SCOTTSDALE AZ 85258 Contractor I SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B ------ Structure Information SFD PLAN 4510B W/CASITA, MBR BAY ----- Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 479.00 PATIO SQ FTG' 337.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1805.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 849.50 Plan Check Fee 552.18 Issue Date . . . . Valuation 159715 Qty Unit Charge Per Extension BASE FEE 639.50 60.00 3.5000 ----------------------- THOU BLDG 100,001-500,000 210.00 -------------------------------------=--------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation . . . . 0 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 5.00 6.5000 EA MECH VENT FAN 32.50 P.O. BOX 1504 78-495 CALLE TAMPICO VOFAX (760) 777-7011ICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 44 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: co Ste— Applicant: Eri in Mq . lJ Applicant's Mailing Address: or Engineer's Address: No.:—Lc-,�. Z-�4y 1 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un qHlenalty of perjury that I am licensed under provisi ns of°Chapte�9� in th Section 7000) of Division 3 of the Business and Professionals Cod ,and my Lice full force and effect. 11 ��//11 cense Cla s License No. J --" Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. . BA P.C. for this reason Date WORKERS' 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. 1 a e and II aintam wo rs' compensation insu mce, as ed y Sectio 3700rpfe Labor Code, for the performance of the work for which this permit is d. y o rs' co nsation i lance sari r a icy_ mer olicy Number I certify that, in the performance of the work for whi h this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of Califomia, and agree tha I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ate - f`with compAly with those p n .o lintcS ` 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. 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 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, indemnity and hold harmless the City of La Ouinta, 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 wo r not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to canceliation . I certify that I have read this application and state that the above information is co I ree to comply with all city and county ordinances and state laws relating to building :ate_ nstru ti , ;nd[reby authorize rep sentatives of this county to enter upon the a ntioned property for inspection purposes. ignature (A"licant or A Page 2 Application Number . . . . . 05-00000306 Date 1/31/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 87.76 Plan Check Fee 21.94 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1805.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 63.18 479.00 .0200 ----------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.58 Permit . . . . . . ---------------------- PLUMBING Additional desc . . Permit Fee . . . . 147.00 Plan Check Fee 36.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - Lot 170 Plan 4510B (1805 sqft) w/Casita (249 sqft) & MBR Bay (26 sqft) . Permit does not include block wall, pool or driveway approach. 2001 CBC --------------------------------------------------- Other Fees ... . . . -------------------------- . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . . . 05-00000306 Date 1/31/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 15.97 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1189.26 ------------------------------ .00 .00 1189.26 Plan Check Total 633.37 .00 .00 633.37 Other Fee Total 2476.19 .00 .00 2476.19 Grand Total 4298.82 .00 .00 4298.82