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04-7204 (SFD)TA;.t!t Ot 4 a" ,MPICO ' FORNIA 92253 BUILDING PERMIT App- _U_u_m e, r j Pro ei _ j NTA. APN. Application description Property'Zoning . . . . . Application valuation . . Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 BUILDING & SAFETY DEPARTMENT J �.. (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Q?_A 0_00J72r1.0�4 . _.. 7 Date" 11/16/04 60434_HONEYSUCKLE ST 764-270-999-97 -300233- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 149793 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (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 576-':",00 4 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 1685.00 Permit . . . . BUILDING PERMIT Additional desc ' Permit Fee 814.50 Plan Check Fee 529.43 Issue Date Valuation . . . . 149793 Qty Unit Charge Per Extension BASE FEE 639.50 50.00 3.5000 THOU BLDG 100,001-500,000175.00 '1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -a - - `- R -r- - - - - - - - - - - - - - - Permit . . . MECHANICAL Additional desc Permit Fee 93.00 Plan Check Fee 23.25 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 1,1.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 P.O. BOX 1504 78-495 CALLE TAMPICO Tiff 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Architect or Engineer's Address: tic. NoA f . k `-C BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un Ity of perjury that I am licensed under provisi ns ofCpa 9,[c�mrpencing with Section 7000) of Division 3 of the Business and Professionals Cod .and my Licen is i full force and effect. I vylC�J- erase Class icense No. --- �-c 4 /bate vAC-) ntractor 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. , BA P.C. for this reason Date 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 w rk r which this permit is issued. e and ill mtain work ' compensation insure e, asqre bySectio 700o the Labor Code, for the performance of the work for which this permit is ued. y ers'com sation in ce came an be Ig er olicy Number _ I certify that, in the performance of the work for which this p it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and a that, if I sho ecome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwitE)J�ppficnt ply with those provis' ate � 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 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 employeesfor any act or omission related to the work being pe need under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is no mmenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancel tion. 1 certify that I have read this application and state that the above info i 1 cone . I ag to comply with all city and county ordinances and state laws relating to building construction, nd hereb authorize representatives of this count up the a tioned property for inspection purposes. ate MigInture (Applicant or Agent): Page 2 Application Number . . . . . 04-00007204 Date 11/16/04 Qty Unit Charge Per Extension 1;00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 4.00 6.5000 EA MECH VENT FAN 26.00 ------------------- 1.00 : 6.5000 EA MECH EXHAUST HOOD 6.50 . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 15.06 Plan Check Fee 3.77 Issue Date . . . . Valuation . . . . 0 ,AIX - Qty Unit Qty Charge Per Extension BASE FEE 15.00 1.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .04 y 1.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .02 :------------------.---------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 128.25 Plan Check Fee 32.06. 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 71.5000 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 Notes and Comments SFD - LOT 97, 1685 SF PLAN 452Oa.BAY @ MBR -23 SF, 88 SF GARAGE EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL OR DRIVEWAY APPROACH. Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 Page 3 Application.Number 04-00007204 Date 11/16/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 52.94 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 14.97 DIF,STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1065.81 ------------------------------ .00 ..00 1065.81 Plan Check Total 588.51 .00 .00 588.51 Other Fee Total 2472.91 .00 .00 2472.91 Grand Total 4127.23 .00 .00 4127.23