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04-6768 (SFD)LJ ews 1 v LUU1 JLB'UILDING & SAFETY DEPARTMENT P.O. BOX 1504(760).777-7012 CIYV C�: �'�Lau��'f� . 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . 04-00006768 Date 10/14/04 Property Address . . . . . 81218 BARREL CACTUS RD APN: 764-270-999-30 -300233- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . 210180 Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 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 ---7--------------------- 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 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2456.00 -----=---------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit' Fee . . . . 1028.00 Plan Check Fee 668.20 Issue Date . . . Valuation . . . . 210180 Qty Unit Charge Per Extension BASE FEE 639.50 111.00 3.5000 THOU BLDG 100,001-500,000 = 388.50 ------------------------------------------- Permit . . . . . . -------------'------------------- MECHANICAL Additional desc Permit Fee 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 1-5 : 0'0 2.00 9.0000 EA MECH FURNACE <=100K --18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH EVAP COOLER —26.00 P.O. Box 1504 9&4444" VOICE (760) 777-7012 78-495 CALLS. TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D IVy Applicant: ngi er. Applicant's Mailing Address:,—Architect or Engineer's Address: Coy.— ic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under natty of perjury that I am licensed under provisi ns ofaQteng with Section 7000) of Division 3 of the Business and Professionals Code, and my Lien full force and effect. ')L .,--bcennse Class ---iee�nsee No. 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 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 and wi m ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is d. M k ' o ation i' nce cam an li umbe �rrier y ► -Policy Number�� _ I certify that, in the pe ormance of the work for which this permit is issued, sha n employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r, 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 ti 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 erfonned under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work i of 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 inf alio is correct. I ree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to on the a oned property for inspection purposes. ate Signature (Applicant or Agent): 14. I / 0 Application Number . . 04-00006768 Page 2 Date 10/14/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------- ------- �. --------------------------------------- ----------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 110.52 Plan Check Fee 27.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2456.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 85.96 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 --_-------------------------------------------------------------------------'- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 165.00 Plan Check Fee 41.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 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 30, PLAN 5515A, 2456 SF., 290 SF GUEST SUITE,BAY@MBR-22SF BAY @ NOOK 22 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROCH ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN'PUBLIC PLACES -RES 25.45 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page . 3 Application Number, . . . . . 04-00006768 Date 10/14/04 ---------=------------------------------------------------------------------ Other Fees ... . . . . . ENERGY REVIEW FEE 66.82 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 21.01 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ---------- Due Permit Fee Total 1402.02 ---------- ---------- .00 .00 1402.02 Plan Check Total 757.96 .00 .00 757.96 Other Fee Total 2518.28 .00 .00 2518.28 Grand Total 4678.26 .00 .00 4678.26