The URL can be used to link to this page

04-7163 (SFD)a� .4 urt,�cv A BUILDING & SAFETY DEPARTMENT k� P.O. (760),777-7012 SOF DE`, G V � A TAMPICO� i t` '' FAX (760) 777-7011 LA QTNTA LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 CITY OF IA QUINTA FINANCEDEP% BUILDING PERMIT �4a Application Number . . . . 04-00-0 e 0T6�3 Dat_, -11/16/04 Property Address . . . . [60494--HONEYSUCKLE-ST' APN: 764=270 -999 -95'_ -300233 - Application description . DWELLING SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation 166621 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 (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/CONG <=10 Flood Zone . . . . . . . . .NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 . PATIO SQ, FTG. 537.00 NUMBER OF UNITS 1.00 ------------------------ FIRST FLOOR SQ FTG, 1843.00 --------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . - -1. Permit Fee 874.00 Plan Check Fee 568.10 Issue Date. Valuation . . 166621 Qty Unit Charge Per, Extension BASE FEE 639.50 67.00 3.5000 THOU BLDG 100,001-500,000 234.50 --------------------------------------------------------------- Permit . . . . . . MECHANICAL ------------- Additional desc Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date Valuation . . 0 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._ 3.00 6.5000 EA MECH VENT FAN 19.50 P.O. Bo 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04 - ^] I (p 3 Date) Applicant:tsc o inee . Applicant's Mailing Address: rchitect or Engineer's Address: ic. No.: 4) BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DEC.�ARATION I hereby affirm unde� y of perjury that I am licensed under provis' is of I mme t`a'ng with Section 7000) of Division 3 of the Business and Professionals Cade, and my Licens ull force and effect. i �Li se Cla icense No. Q 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will mintain 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 f hi this permit is issued. I hale a d will ntain workers' compensation insurance as qt ir�Se= 0 the Labor Code, for the performance of the work for which this permit is . My comAensation i ance carrier a c Xa rier 11 o-licy Number I certify that, in the performance of the work for whichthA 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 a ree that, if 1 uld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 'forthrith comply with those pro ' io lam 1�rA :--- , ` 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, 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 cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above i ormation is correct. I a ee to comply with all city and county ordinances and state laws relating to building construction and here y authorize representatives of this cou upon the abo entioned property for inspection purposes. /Date�� nature (Applicant or Agent J Application Number . . 04-00007163 Page 2 Date 11/16/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . - ------------------------------------------ . . . . . ELEC-NEW RESIDENTIAL Additional desc... Permit Fee . . . . 90.29 Plan Check Fee 22.57 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1843.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 64.51 539.00 ---------------------------------------------------------------------------- ..0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 129.00 Plan Check Fee 32.25 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 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 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 95, 1843 SF, PLAN 5505C/22 SF BAY @ MBR%83 SF GARAGE EXT./315 SF EXT. PATIO PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, ---------------------------------------------------------------------------- SPA OR DRIVEWAY APPROACH. Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 A Page 3 Application Number ------------------------------------------------------------------------------ . . . . . 04-00007163 Date 11/16/04 Other Fees . . . . . . . . ENERGY REVIEW FEE 56.81 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 16.66 DIF STREET MAINT FAC -RES 15.00 - DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1185.29 .00' ..00 1185.29 Plan Check Total 642.17 00 .00 642.17 Other Fee Total 2478.47 .00 .00 2478.47 Grand Total 4305.93 .00. .00 4305.93 A