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04-6293 (SFD)60147 Angora Ct '.O: BOX 1504 78, 495-C LLIE TAMPICO A, 6 -LNT A CALIFORN1A:92253 5 Va 101 BUILDING PERMIT umber ess- iowwuw u24 1 •BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-000062.9_3 Date 9/15/04 60147 ANGORA CT APN: 764-270-999-126 -300233- Application description . . . DWELLING -•SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 153474 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 (160) 777-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B ------ Structure Information PLAN 4530B ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG -488.00 PATIO SQ FTG 134.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1759.00 ----------- ---------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT ; Additional desc Permit Fee . . . . 828.50 Plan Check Fee 538.53 Issue Date . . . . Valuation : . . . 153474 Qty Unit Charge Per Extension BASE FEE 639.50 54.00 3.5000 THOU BLDG 100,001-500,000 Y'.1.111 189.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 46.00 Plan Check Fee 11.50 Issue Date Valuation 0 Qty Unit Charge- Per r Extension 1.4 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: O Applicant: h' e t Eneer: COAS_ -tk Applicant's Mailing Address:—Architect or Engineer's Address: It cfs --tic. No.: � 2-te L4 u ) BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under Ity of perjury that I am licensed under provis'ons of Chapter 9,(cor9rWcing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licensee C full force and effect. �"'? cense1Class 4&�ontracto /�n*)%-X' seNNo.Date `u' r_ S � V[, � 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. , 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 for which this permit is issued. J41ka�eand ill aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ed. yporkers' compensatio urance cam r acid pph�y iummerire: c / .2'arrier Policy Number �[ �O, 10 j _ 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 become subject to the workers' compensation laws of California, and agree th t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those rovisions. /Date ``�1 1iu�i Lerfnf an -%— 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 Ok 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 employeesfor 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 cored. I agree to comply with all city and county ordinances and state laws relafing to building construction, and hereby authorize representatives of this coup to enter upon the a -mentioned property for inspecfion purposes. ate �� _ �"� Signa! lure (Applicant or Age V Page 2 Application Number . . . . . 04-00006293 Date 9/15/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------------------ Permit ... . . . . ---------------------- ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 86.33 Plan Check Fee 21.58 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1759.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 61.57 488.00 =-- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.76 ------------- Permit . ------------------------------------------------------------ . . . . . PLUMBING Additional desc . . Permit Fee . . . . 122.25 Plan Check Fee 30.56 Issue Date . . . . Valuation . . . . 0 Qt -y Unit Charge Per Extension BASE FEE 15.00 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 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 126, 1759 SF. Plan 4530B w/ t: !i Fee summary Charged Permit Fee Total 1098.08 Plan Check Total .1 602.17 Other Fee Total 2474.19 Grand Total . 4174.44 Paid Credited Due ---------- ---------- ---------- .00 .00 1098.08 .00 .00 602.17 .00 .00 2474.19 .00 .00 4174.44 Page 3 Application Number 04-00006293 Date 9/15/04 --------------- ------------------------------------------------------------- Special Notes and Comments Box Bay Great Rm (26sf). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY -CENTERS -RES 97.00 DIF CIVIC•CENTER - RES 366.00 ENERGY REVIEW FEE 53.85 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 15.34 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1098.08 Plan Check Total .1 602.17 Other Fee Total 2474.19 Grand Total . 4174.44 Paid Credited Due ---------- ---------- ---------- .00 .00 1098.08 .00 .00 602.17 .00 .00 2474.19 .00 .00 4174.44 02/04/2005 04: 05 17603401819 C IIII 23 PAGE 15/21 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, In the building at 60-147 ANGORA CT, LOT 3126, PHASE 8A, LA QUINTA CA TYPE: BLOW MANUFACTURER: Certainteid THICKNESS: R-38 WALLS: TYPE: BLOW MANUFACTURER: Certainteed THICKNESS: R-13 GENERAL CONTRACTOR: SHEA HOMES LICENSE BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 t4 TITLE: ACCOUNT REPRESENTIVE DATE: