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06-2771 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002771 Property Address: 81575 BALBOA CT APN: 764-280-999-9 -300237- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 237751 T4'yl 4 4 QuhA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/24/06 Contractor: Applicant: rchitect or Engineer: SHEA HOMES, INC. �S ConS 81260 AVENUE 62It c LA QUINTA, CP 92253 /1-�� (760)777-6005 AUG0 4 2006 kmr OF u► IwINTA ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Busines and Professionals Code, and my License is in full force and effect. Lice ss: cense No.: 672285 ate: tractor: 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).: 1 _ 1 1, 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 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.). ( 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: 'l Lender's Address: N 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. -XI 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 AMERICAN HOME Policy Number 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manners as to become sub'ect to the w ers' compensation laws of California, and o f a su tiect t-, he worke compensation provisions of Section u orth ith com ly wi se provisions. te: WARNING: FAILURE TO SECUR ORKERS' 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 cessation of work for 180 days will subject permit to cancellation. I certify t t I h e read this application and state that t m armati n i correct. I agr a to comply with all city and c y rdinances and state laws relating to ildi g co t ucti and ereby auth ze representatives of th t(y�1IIp'� erVonabove-mentioned pro erty for insp coon rpos s. ate: l SApplicant or Agent . r Application Number . . . . . 06-00002771 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 755.00 PATIO SQ FTG 488.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2679.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1122.50 Plan Check Fee 729.63 Issue Date . . . . Valuation . . . . 237751 Expiration Date . . 1/20/07 Qty Unit Charge Per Extension BASE FEE 639.50 138.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 483.00 Permit . . . MECHANICAL Additional*desc . Permit Fee 99.50 Plan Check Fee 24.88 .Issue Date . . . . Valuation . . . . 0 Expiration Date 1/20/07 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 . . . . 123.87 Plan Check Fee 30.97 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT 0 Application Number . . . 06-00002771 Permit . . . . ELEC-NEW RESIDENTIAL ' Qty Unit Charge Per Extension 2679.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 93.77 755.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 15.10 Permit . . . PLUMBING Additional desc Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/20/07 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 1/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------------------------------------------7-------- Special Notes and Comments SFD - LOT 9, PLAN 6505A, 2,679 SF.INCLUDES 255 SF CASITA, 26 SF BOX BAY Q MBR. PERMIT DOES NOT INCLUDE BLOCK WALL,POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 94.37 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 145.92 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 LQPERA1IT Application Number . . . . . 06-00002771 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 23.77 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary ----------------- Charged Paid Credited ---------- Due Permit Fee Total ---------- 1537.87 -------------------- .00 .00 1537.87 Plan Check Total 829.73 .00 .00 829.73• Other Fee Total 3960.06 .00 .00 3960.06 Grand Total 6327.66 .00 .00 6327.66 LQPERA11T