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05-0307 (SFD)R • ° BUILDING & SAFETY DEPARTMENT P.O. 1504 (760).777-7012 C� X4.9 6 8-495 ILLE TAMPICO FAX (760) 777-7011 LA QUI , CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 FEB 0 3 2005 BUILDING PERMIT CITY OF LA QUINTA ' FINANCE DEPT. A-ppT-�&`t' 'on Number . . . . 0� -0�010�0QTQ07 Date 1/31/05 Property Address . . . . . 81194 BARREL CACTUS RD APN: 764-270-999-32 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 218593 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 SFD PLAN 6420C W/MBR BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG' 323.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2503.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1056.00 Plan Check Fee 686.40 Issue Date . . . . Valuation . . . . . 218593 Qty Unit Charge Per Extension BASE FEE 639.50 119.00 3.5000 THOU BLDG 100,001-500,000 416.50 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL Additional desc Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 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 4.00 6.5000 EA MECH VENT FAN 26.00 / W P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 Ot INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT 11 Application Number: D630 7 a :11 ALTD Applicant: P� En&e.Aq Applicant's Mailing Address:—Architect or Engineer's Address: No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisns� r n m�.vmth Section 7000) of Division 3 of the Business and Professionals Pede' and my Lie is in full force and ect. n i� License Class icer�se No. i 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 penally 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. , 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 ork fo which this permit is issued. kkd 'll intain worke ompensation insu nce, as re r d by estiWn370of the Labor Code, for the performance of the work for which this permit is M w ers' comp lion insurance carni r i Carrier Policy Number _ 1 certify that, in the performance of the work for which 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, I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall foghwith comply with those p�visig 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 employees for any act or omission related to the work be' g performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if wo 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 abo info tion is I agree to comply with all city and county ordinances and state laws relating to building ;teLJ2> nd by authorize representatives of this cou t upon the ab ve mentioned property for inspection purposes. 0( Signature (Applicant or Ag nt): Page 2 Application Number : . . 05-00000307 Date 1/31/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 114.91 Plan Check Fee 28.73 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2503.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 87.61 615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 153.00 Plan Check Fee 38.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 32 Plan 6420C (2503 sqft) w/MBR Box Bay (26 sqft). Permit does not include block wall, pool or driveway approach. 2001 CBC ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 46.48 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . . . 05-00000307 Date 1/31/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 68.64 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 21.85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ---------- - ------ Charged ---------- Paid Credited ---------- ---------- ---------- Due Permit Fee Total 1422.41 .00 .00 1422.41 Plan Check Total 774.26 .00 .00 774.26 Other Fee Total 2541.97 .00 .00 2541.97. Grand Total 4738.64 .00 .00 4738.64