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09-0484 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 'r09=00000 847 81275-CAMBRIA CT 764-280-999-25 -300236- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 142817 T4'ht 4 4 4" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 Architect or Engineer: alp Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/14/09 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION ir under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: 0 of Division 3 of the Busine. and Profession s Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided ss: B 'c nse No.: 672285 for bySection 3700 of the Labor Code, for the performance of the work for which this permit is ADate. issued. tractor: have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor • _^I Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS Policy Number WC1894819 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the w ers' compe tion laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the wor ers' mpensati provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 70 of the Labor , I shall ort wi ce�ply wi rhos rovis' that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I I/� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e. V V ant: (_ 1 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 WARNING: FAILURE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). (_) 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 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: Lender's Address: LQPERM[T 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 that I have read this application and state that the above information is correct. 1 agree JR comply with all city a co my ordinances and state laws relating to building construction, and hereby a horize r resentves 12 u ty to enter upon the above-mentioned prop for inspec`ion p rpdses. ignature (Applicant or Agent): i Application Number . . . . . 09-00000484 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 2007 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 562.00 PATIO SQ FTG 457.00 NUMBER OF UNITS 1.00 -------'--------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1556.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 790.00 Plan Check Fee 513.50 Issue Date . . . . Valuation 142817 Expiration Date 11/10/09 Qty Unit Charge Per Extension BASE FEE 639.50 43.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 150.50 Permit . . . MECHANICAL Additional desc . . I Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/10/09 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 80.70 Plan Check Fee 20.18 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/10/09 Qty Unit Charge .Per Extension BASE FEE 15.00 1556.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 54.46 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 LQPERMIT Application Number. . . . . . 09-00000484 Permit . . . PLUMBING Additional desc . Permit Fee . . . 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation 0 Expiration Date 11/10/09 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA 1 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 11/10/09 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . SOLAR PERMIT Additional desc . . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 142817 Expiration Date 11/10/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 25 PLAN 4510B, 1556 SF .(26 SF BOX BAY @MBR, 83 SF GAR. EXT. 120 SF PATIO EXT., PHOTOVOLTAIC SYSTEM (1.2B-3KW). PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH, 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES _ LQPERMIT Application Number . . . . . 09-00000484 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES .00 BLDG STDS ADMIN (SB1473) 6.00 DIF COMMUNITY CENTERS-RES 74.00 .DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 51.35 DIF FIRE PROTECTION-RES 140.00 GRADING PLAN CHECK FEE .00 . DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES •14.28 DIF STREET MAINT FAC-RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged Paid Credited ---------- Due Permit Fee Total ---------- 1108.20 -------------------- .00 .00 1108.20 Plan Check Total 589.31 .00 .00 589.31 Other Fee Total 4546.63 .00 .00 4546.63 Grand Total 6244.14 .00 .00 6244.14 LQPERMIT