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04-5752 (SFD)0 0� U BUILDING & SAFETY DEPARTMENT m P-Ox- (760),777-7012 CE�IOF .9 D 78A495_C.A1L,LE TM I C 0 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 UILDING PERMIT 'C1TY OF 6A t2111Q•�T61 FINANCE DEFT. Application Number . . . . ..(:04-00005752 Date 7/29/04 Property Address . . . . . . 8T326 BARREL CACTUS RD APN: 764-270-999-21 -300233- Application description DWELLING - S.INGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation . . . . 240673 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: 7165833 08/01/04 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 719.00 PATIO SQ. FTG 214.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2769.00 -------------------------- Permit . . . . . . ----------------------------------- BUILDING PERMIT --------------- Additional desc Permit Fee 1133.00 Plan Check Fee 736.45 Issue Date Valuation . . . . 240673 Qty Unit Charge Per Extension BASE FEE 639.50 141.00 3.5000 THOU BLDG 100,001-500,000 493.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . 1 Permit Fee . . . . 72.00 Plan Check Fee 18.00 Issue Date Valuation 0 Qty Unit Charge Per Extension P.O. Box 15044V �� 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: - Jam— % Date: Applicant: L_14rchitWt orE%inepr: _ h J ; Applicant's Mailing Address: I Architect or Engineer's Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirmundq4VnaIty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and my Lice 'n full force and effect. ' !� License Class / License No. / '1 Date V 1 Contractor OWNER43UILDER 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 or 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. , B.8 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 the work for which this permit is issued. k Lh ve a II maintain wo compensation insur by Section 3700 of the Labor Code, for the performance of the work for which this permit is �" y� sued �Qork`ers' co nsation ms a Gamer a qoequired kbgr aer ■ yI o icy Numbertp� _ I certify that, in the performance of the work for whic is 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 hould become subject to the workers' compensation provisions of Section 3700 of the tabor Code, I shall ' forthwith comply with those r . ions. 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 1 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 agreto, and shalt, defend, indemnity and hold harmless the City of La Quints, its officers, agents and employees for any act or omission related to the work i g performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if w rk s 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 certity th t I hav read this application and state that the above information is co I agree to comply with all city and county ordinances and state laws relating to building c nnstructi , and i��= prentatives of this county to ent upon ve-mentioned property for inspection purposes. /Dale pplicant or Agent I Y. Page 2 Application Number . . . . . 04-00005752 Date 7/29/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 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 . . . . 116.20 Plan Check Fee 29.05 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2769.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.92 214.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 4.28 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 171.00 Plan Check Fee 42.75 Issue Date . . . . Valuation . . . . - 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 21, 6430C, 2769 SF. PERMIT Page 3 Application Number . . . . . 04-00005752 Date 7/29/04 ---------------------------------------------------------------------------- Special Notes and Comments DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 101.68 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 73.65 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 24.06 DIF STREET MAINT FAC -RES ,15.00 DIF TRANSPORTATION - PES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 1507.20 ------------------------------ .00 .00 1507.20 Plan Check Total 826.25 .00 .00 826.25 Other Fee Total 2604.39 .00 .00 2604.39 Grand Total 4937.84 .00 .00 4937.84