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05-3580 (SFD)IIIIIII IIID III VIII IIII 21 l IE 1 SIV{II {l� P.O. BOX 1504 — - - - -- _� .-�--____ _, &t!t*4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: I X05.-00003580 60880 AZUL CT 764-270-999-83 -300234- DWELLING - SINGLE.FAMILY MEDIUM HIGH DENSITY RES 161826 BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rchitect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License lasg: B . License No.: 672285 te: l� ontractor: NDa OWNER -BUILDER DECLARATION 1 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).: 1 _ 1 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/11/05 SEP 1 4 2005 Qryo `Fe ��NTA IbIl 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. JI.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 6436568 I certify that, in the performance oqwo r which this permit is.issued, I shall not employ any person in any mann o as to ct to �workers'pensation laws of California, and agree that, if I s co the wation provisions of Section 3700 of the La C I alions. aD te:" 6� ca 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. 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 lated 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 voi i work is not commenced within 180 days from date of issuance of ch permit, or cessatio o work for 180 days will subject permit to cancellation. I certify that I have read this application and state that t o inform do ' correct. I agree to comply with all cit and ount ordinances and state laws relating t uil in o struaion, a h y a ize representatives of)hl�county tt egVr upon the Oeve-mentioned rope for i pectign pur p (Applicant or w' 0 LQPERMIT Application Number . . . . . 05-00003580 ------ Structure Information PLAN 4510A ----- 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 30.00 FIRE SPRINKLERS NO _ GARAGE SQ FTG 562.00 PATIO SQ FTG 337.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1811.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 856.50 Plan Check Fee 556.73 Issue Date . . . . Valuation 161826 Expiration Date 2/07/06 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.500.0 -------------------------------------------------------------=-------------- THOU BLDG 100,001-500,000 217.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date Valuation 0 Expiration Date 2/07/06 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 ----------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 89.63 Plan Check Fee 22.41 Issue Date . . . . Valuation 0 Expiration Date 2/07/06 Qty Unit Charge' Per Extension BASE FEE 15.00 1811.00 .0350 ELEC NEW RES - 1 OR 2"FAMILY 63.39 c:r LQPERMIT Application Number . . . . . 05-00003580 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 ---------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration'Date . PLUMBING 147.00 Plan Check Fee . . 36.75 Valuation . . . . 0 2/07/06 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 DateValuation . . . . 0 Expiration Date . . 2/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Plan 4510B, 1811 S.F. w/Casita (255sf), Box Bay @ MBR (26sf) and 4' ext. Gar (83sf). 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 55.67 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 Application Number . . . . . 05-00003580 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 16.18 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1191.63 .00 .00 1191.63 Plan Check Total 636.77 .00 .00 636.77 Other Fee Total 2476.85 .00 .00 2476.85 Grand Total 4305.25 .00 .00 4305.25 LQPERWT