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04-8088 (SFD)P.O. Box 1504 ce .'itye ot�46114ra - - AMPICO LIFORNIA 92253 BUILDING PERMIT Property Address . . . APN: Application description Property Zoning . . . . Application valuation . IIIIIII VIII III VIII IIII 62 IE BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 . . 04-00008088 Date 1/31/05 6 0 2 8 6 A-LZOrE—C I R 764-270-999-176 -300233- . . . DWELLING - SINGLE FAMILY DETACHED . . . MEDIUM HIGH DENSITY RES 166943 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 539.00 PATIO SQ FTG' 537.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1847.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee . . . . 856.50 Plan Check Fee 556.73 Issue Date . . . . Valuation 16158.7 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 THOU BLDG 100,001-500,000 217.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 86.50 Plan Check Fee 21.63 Issue Date . . . . Valuation . . . . 0 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 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D q — 30 Fi nate:TSY Applicant: �CErYn�e, Applicant's Mailing Address: or Engineer's Address: ttc. No.:T(T�_y A� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION ;tion 7000) of Division 3 of the Business and Professionals of perjury that I am licensed under ill force and effect. 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. , B.& 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 work fo which this it is issued. v and wi I n intai, work compensatio insu nce,� s^ ^r1 quiredVSectiog3700 of the Labor Code, for the performance of the work for which this permit is ed. M1 rk com sation i ance ca r a `1 0 cy'& m mer olicy Number I certify that, in he performance of the work for which permit is issued, I shall note ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall p�f rthhwwitthh "comply with those provi ns. toApp c 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.). Lenders Name Lenders 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, indemnify 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 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 abov information is co I agree to comply with all city and county ordinances and state laws relating to building constructio' , an h%X�ereby authorize representatives of this cou ter upon time bov ntione�property for inspection purposes. ate U� ignature (Applicant or Agen : \ 4 Page 2 Application Number . . . . . 04-00008088 Date 1/31/05 Qty Unit Charge Per Extension 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . . . 81.19 Plan Check Fee 3.76 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1847.00 .0300 ELEC NEW RES - MULTI FAMILY 55.41 539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 -------=-------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee 16.50 Issue Date . . . . Valuation 0 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 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 176 PLAN 5505A, 26 SF BOX BAY @ MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. PERMIT DOES NOT.INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. -------------------------- Other Fees . . . . . --------------------------------------- . . . . ART IN PUBLIC PLACES -RES ----------- .00 DIF COMMUNITY CENTERS -RES 97.00 Page 3 Application Number . . . . . 04-00008088 Date 1/31/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 55.67 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE I.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 16.15 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1159.19 ------------------------------ .00 .00 1159.19 Plan Check Total 598.62 .00 .00 598.62 Other Fee Total 2476.82 .00 .00 2476.82 Grand Total 4234.63 .00 .00 4234.63