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05-3602 (SFD)IIIIIIIIIIIIIIIIIIIIIIII 10 t I4 P.O. BOX 1504 - IE �^i VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/12/05 Application Number: 05-00003602 Owner: D Property Address: 60835 AZUL CT SHEA LA QUINTA APN: 764-270-999-86 -300234- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 �+cP 1 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 . JC Application valuation: 237751 3 �Q05 Contractor: CITYOF Applicant: rchitect or Engineer: SHEA HOMES, INC. F�NANCF EV ZA vl J '�ns- 81260 AVENUE 62 nLA QUINTA, CA 92253 `CCE. ?,('ek-t (760) 777-6005 Lic. No.: 672285 -------------------------------------------------- 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. Lice lass lb License No.: 672285 ate: ontractor: OWNER -BUILDER DECLARATION I 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).: (_ I 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.). (_ 1 1, 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.). I—) 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: >Pi� LQPERMIT 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. I 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 1 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 be����¢¢¢¢ma subject to the workers' compensation laws of California, and agree that, if o d becorn ject to the he compensation provisions of Section 3700 of the Lab de I shall hwith comply with those provisions. 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 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 ation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state th the above infor ati n is correct. I agree to comply with all city and county ordinances and state laws relating constr do and hereby authorize representatives of c unty to mer upon the above-mentione rope cy ins oses. D"ate: nature (Applicant or Age t): LQPERMIT Application Number . . . . . 05700003602 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE BASE Other struct info . . . . . CODE EDITION 2001 CBC 9.0000 FIRE SPRINKLERS NO FURNACE <=100K GARAGE SQ FTG 755.00 11.0000 PATIO SQ FTG 488.00 FURNACE >100K NUMBER OF UNITS 1.00 -------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE ------------------- 2679.00 Permit BUILDING PERMIT 1.00 Additional desc.. EA MECH Permit Fee . . . . 1122.50 Plan Check Fee 729.63 Issue Date . . . . Valuation . . . . 237751 Expiration Date 2/08/06 1.00 ---------------------------------------------------------------------------- _ Qty Unit Charge Per Extension EXHAUST HOOD BASE FEE 639.50 138.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 483.00 Permit . . MECHANICAL Additional desc . Permit Fee . . . . 9.9.50 Plan Check Fee 6.00 Issue Date Valuation . . . . 0 Expiration Date . . 2/08/06 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 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 15.06 Plan Check Fee 3.77 Issue Date . . . . Valuation 0 Expiration Date 2/08/06 Qty Unit Charge .Per Extension BASE FEE 15.00 LQPERMTT Application Number . . . . 05-00003602 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .04 1.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL .02 Permit. . . PLUMBING Additional�desc . Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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 Expiration Date 2/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------7--------------------------------------------------------------- Special Notes and Comments SFD LOT 86 PLAN 6505C, 2679 SF.INCLUDES 255 SF CASITA, 26 SF BOX BAY @ MBR. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 94.37 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 145.92 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 LQPERMTT Application Number . . . . . 05-00003602 ------------------------------------------ Other Fees . . . . . . . . . ---------------------------------- STRONG MOTION (SMI) - RES 23.77 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1429.06 ------------------------------ .00 .00 1429.06 Plan Check Total 783.65 .00 .00 783.65 Other Fee Total 2669.06 .00 .00 2669.06 Grand Total" 4881.77 .00 .00 4881.77