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04-6789 (SFD)P.O. Box 1504 V NOV .16 2004 78-495 CALLE TAMPIco CIS G� Ll4fdlfIP7TA LA QUINTA, CALIFORNIA 92253 FINANCEDLIN;S:1 BUILDING PERMIT Application Number f. Property Address... APN: Application description Property Zoning Application.valuation 3"'UILDING & SAFETY DEPARTMENT (760).777-7012 4 FAX (760) 777-7011 CION REQUESTS (760) 7.77-7153 r i X04-00006789 Date 10/15/04 60164 HONEYSUCKLE ST 764-270 999 -13 -0 —300233 - DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 141221 Qwner 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 PLAN 4510C W/ BOX BAY.& 4' EXT GAR ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/CONG <=10 Flood Zone . . ... . . NON -AO FLOOD ZONE Other struct info . . CODE EDITION 2001 ' # BEDROOMS 3.00 - FIRE SPRINKLERS NO GARAGE SQ FTG '• 562.00 PATIO SQ FTG 337.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG -------------------------- ----------,---------1556.00.1---- Permit . . . . . . BUILDING PERMIT -Additional desc Permit Fee . . . . 786.50 Plan Check Fee 511.23 Issue Date . . . . Valuation . . . . 141221 Expiration Date. .. .4/15/05 Qty Unit Charge. Per Extension BASE FEE 639.50 42.00 3.5000 THOU BLDG 100,001-500,000 147.00 ---------------------------------------------------------------------------- ,Permit . . . . . MECHANICAL Additional desc Permit Fee 77.00 Plan Check Fee 19.25 Issue Date Valuation 0 Expiration Date 4/15/05 i Qty Unit Charge Perms Extension' BASE FEE 15.00 P.O. BOX 1504 941261VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: - 6M Date: 1 (o• Oq Applicant: rl V 4 n(ir- C yl D .LL Applicant's Mailing Address: or Engineer's Address: Lic. No.: tcq, -14of tSUILUINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under pe perjury that I am licensed under provisi s of Chapter 9 corn Vn with Section 7000) of Division 3 of the Business and Professionals . Code, and my License is i ce and effect. c / ense Class License No. `� �� Date `� contractor 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 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.). 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. I have an w 1 maintain orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued. workers 'm ensation i rance cam and o' u be /--Carrierolicv Number I certify that, in the performance of the work for whJ'Qh 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 that (F I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those KDyKiVns. �/ / Date V 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 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 tot wo being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void i ork is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to ancellation. I certify that I have read this application and state that the abov fo tion is cert . I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou ent r upon bove-mentioned property for inspection purposes. ,Bafe•�� nature (Applicant or Age -, C, Page 2 Application Number, . . . . . 04-00006789 Date 10/15/04 Qty Unit Charge Per' Extension 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH BIC <=3HP/100K BTU 18.00 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 80.70 Plan Check Fee .20.18 Issue Date . . . . Valuation 0 Expiration Date 4/15/05 Qty Unit Charge Per Extension BASE FEE 15.00 1556.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 54.46 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 Permit . . . . . . PLUMBING Additional desc -Permit Fee . . . . 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/15/05 Qty 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 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 4/15/05 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 ' Special Notes and Comments SFD - Plan 4510C (1556 sgft) w/Box Bay & 4' Ext Garage. Permit does not include Page 3 �. Application Number . . . . . 04-00006789 Date .10/15/04 Special Notes and Comments block wall, pool 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 51.12 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 14.12 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ------ - --- 1082.20 ------------- ------ ---------- .f00' .00 1082.20 Plan Check Total 581.41 .00 .00 581.41 Other Fee Total 2470.24 .00 .00 2470.24 Grand Total 4133.85 .00 .00 4133.85