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05-0572 (SFD)14" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION. REQUESTS (760) 777-7153 Application Number . . . . .. 05-00000572 .'Date Property Address . . . 81086 BARREL CACTUS RD APN: 764-270-999-41 -300233- Application description.. DWELLING - SINGLE FAM rY�E)e Property Zoning . . . . . . . MEDIUM HIGH DENSITY R' Application valuation 186889%- 2/14/05 Owner contractor M4R 04 2005 U ------------- -- ------ SHEA LA QUINTA SHEA HOMES, I C . CITYOFLA QUINTA FINANCE DEPT. 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 5505 W/CASITA MBR GAR & PAT EXT ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 536.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2094.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 944.00 Plan Check Fee 613.60 Issue Date . . . . Valuation . . . . 186889 Qty Unit Charge Per Extension BASE FEE 639.50 87.00 3.5000 THOU BLDG 100,001-500,000 304.50 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 IL, P.O. Boa 1504 • 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: o - 5 7 Dat I•(4 -OS' I Applicant: Ar or r I e r: i,-a?l Applicant's Mailing Address: or t c. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm is penalty 11 perjury that I am licensed under pro, Sion t er-9.(C with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice in full force and effect. �� _aa1]ya]]�/ cense Class IXicense No. .,-<at eontractor 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. , BA P.C. for this reason 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 thpwork for which thistensat?iirn rmit is issued. h ve nd ill maintain wors' cmpensation insura e, as requiredqy ecti�00 f the Labor Code, for the performance of the work for which this permit is su workers' co insu ce Carrie an tic n e r J23 ne icy Number I certify that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, nd agree that, if I s uld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall C� forthwithcomply with those provi s —,,_DaO pplicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANSHALL SUBJECT AN PLOYER 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 K 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 bein erformed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work i t 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 tha I have read this application and state that the above info ation is correct. I gr a to Comply with all city and county ordinances and state laws relating to building constructio , and reby authorize representatives of this county to 44eriAon the bov ention properly for inspection purposes. -,Aignature (Applicant or Agent): D' - Page 2 Application Number . . . . . 05-00000572 Date 2/14/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . .. ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 99.07 Plan Check Fee 24.77 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2094.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 73.29 539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 -•--------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 133.50 Plan Check Fee 33.38 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 ---------------------------------------------------------------------------- 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 - Plan 5505C Lot 41 w/casita (247 sqft), MBR box bay (26 sqft), ext garage (83 sqft), ext patio (315 sqft). Permit does not include block wall, pool or driveway approach. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 61.36 Page 3 Application Number . . . . . 05-00000572 Date 2/14/05 ---------------------------------------------------------------------------- Other Fees. . . . . . . . . . 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 18.68 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1275.07 -------------------- .00 ---------- .00 1275.07 Plan Check Total 692.63 .00 .00 692.63 Other Fee Total 2485.04 .00 .00 2485.04 Grand Total 4452.74 .00 .00 4452.74