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04-8109 (SFD)4.. IIIIII V I I I VIII III 52 �a Q � - iE ° u��ttcv BUILDING & SAFETY DEPARTMENT y�4��0_BoX�504 (760)•777-7012 CL Q D 6 7 495 CC LE TAMPICO FAX (760) 777-7011 LA QUICALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 0 3 2005 U BUILDING PERMIT Cliff 8� l� ®UINTA FINANCE DEPT. KP__p catio IFF -00008109 Date 1/31/05 Property Address . . . . . 6024= OE CIR APN: 764-270-999-171 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . ... . . MEDIUM HIGH DENSITY RES Application valuation . . . . 147093 Owner Contractor ------------------------ ------------------------ SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B -------------------------- 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 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 557.00 PATIO SQ FTG 318.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1610.00 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 807.50 Plan Check Fee 524.88 Issue Date . . . . Valuation 147093 Qty Unit Charge Per Extension BASE FEE 639.50 48.00 3.5000 THOU BLDG 100,001-500,000 168.00 ---------------------------------------------------------------------------- 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 •4 :��/ VOICE (760) 777-7012 78-495 CALLS TAMPICO 44FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 041-5r 10 1 t b Applicant: I A�chit�l<�nninaCr_ —e--\ I 1 11.. Applicant's Mailing Address: , or Engineer's Address: tic. No.: 061 111p`14�, BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATIQN 1 hereby affirmand r enalty of perjury that I am licensed under provision ofChatIler �'ciny vnttl'Section 7000) of Division 3 of the Business and Professionals ,Cente, and my Lice n full force and eff ljQ(hJ License Glass • enp; No. 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 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 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 Owner 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 wo for which this permit is issued. I ve a, maintain orkers' compensation ins , nce a requir by Section 3700 of the Labor Code, for the performance of the work for which this permit is ued. workers' mpensation insur ce ca` r re u am cy Number I certify that, in the performance o the work for whi h this permit is issued, I shall of employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree tha f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fort��ose's. Date /#Z" 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 /y Lenders Address .I1 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 Quinta, its officers, agents and employees for any act or omission related to the work ing performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if 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. 1 certify that I have read this application and state that the above info on is ce agree to comply with all city and county ordinances and state laws relating to building constructi n, an hereby authorize repr ntatives of this county me upon the tioned property for inspection purposes. Date Signature (Applicant or Agent' 10 Application Number . . . . . 04-00008109 Page 2 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 83.30 Plan Check Fee 20.62 Issue Date . . . . Valuation . . . . 0 .Qty Unit Charge Per Extension BASE FEE 15.00 1633.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.16 557.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.14 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 146.25 Plan Check Fee 36.56 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 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 Qty Unit Charge Per Extension -------------------------------------------- BASE FEE 15.00 Special Notes -------------------------------- and Comments SFD - LOT 171, 4210A INCLUDES 255 SF. CASITA/ 23SF BAY Q MBR/ 83 SF GARAGE EXT. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, ---------------------------------------------------------------------------- SPA OR DRIVEWAY APPROACH Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 k J Page 3 Application Number . . . . . 04-00008109 Date 1/31/05 ---------------- ---------------------------------------------------------- Other Fees . . . . . ... . . ENERGY REVIEW FEE 52.49 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 14.52 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1142.05 ------------------------------ .00 .00 1142.05 Plan Check Total 604.56 .00 .00 604.56 Other Fee Total 2472.01 .00 .00 2472.01 Grand Total 4218.62 .00 .00 4218.62