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10-1173 (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: vi�f 10-00001173 81207 CASPIAN CT 764-280-004-31 —35996 DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 171842 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY DETACHED LA QUINTA, CA 92283 Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION. I herebyW of perjury that =l am licensed under provisions•of Chapters (commencing with Section of the Busine and Professionals Code, and my License is in full'force and effect. Licens� License No.: 672285 ate•actor: OWNER -BUILDER DECLARATION thereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law forthe following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires,a permit to construct, akar, improve,' demolish, or, repair any structure, prior to Its Issuance, also requires the applicant for the permitto file a signed statement that he or she is licensed pursuantto the provisions of the Contractor's State License Lew (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 slleged,sxemptlon:, Any violation of Section 7031.5 by: applicant for a permit:subjects the applicant to a,civil penalty of not morwthan five hundred dollars ($500).: .00 (_) 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 LicenseLaw does not apply to an owner of property who builds or improves thereon, andwho does the work himself or herself 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.). (-_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to: onstruct 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 contractsforthe projects,with a contractorls) licensed pursuant to the Contractors' State License Law:). 1._ 1 I am'exempt under Sec. , B.&P.C. for this reason Date: Owner'. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury thatthereas 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: LQPERMrr' VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/03/10 Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY s (� LA QUINTA, CA 92253 O III (760)777-6032 Lic. NO.: 672285 111 1 O 12010 ----_-------- ---------- ----eOff T----- WORKER'S COMPENSATIOF ��� 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 j�issued. I have and will maintain workers' compensation Insurance, as.required by rsection 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers', compensation Insurance carrier and policy number are: Carrier -LIBERTY MUTUAL . Policy Number WA266DO66115030 _ I certify that, in the performance of the work for which this permit'is issued,:l.shall not 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 37000 of the Labor Code, I shall forthwith comply with those provisions. rbscent: WARNING: FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (9100,000).. IN.ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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, indemnity 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 thispermit. 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 day_ s will subject permit to cancellation.. I certify that I have read this application.and state that the above Information js correct. I agree to comply with all city -and cou ity ordinances and state laws relating to building construction, and hereby authorize representatives oI thi m V if -ter upon the above-mentioned.pr=77 . re (Applicant orAgent): Application Number . . . . . 10-00001173 Permit. . . . BUILDING'PERMIT Additional desc . . Permit Fee . . . . 891..50 Plan Check Fee 57.9.48 Issue Date . . . Valuation 171842 Expiration Date . . 5/02/11 Qty Unit Charge Per Extension BASE FEE' 639.50 72.00 3.5000 THOU BLDG 100,001-500,000 252.00 Permit. . . . MECHANICAL Additional desc . . Permit Fee . . 82.00 Plan Check Fee .. 20.50 Issue Date Valuation . . . 0 Expiration Date 5/02/11 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 1.00 16.5000 EA MECH B/C >3-15HP/>1O0K--500KBTU 16.50 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permi . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 93.78 Plan Check. Fee Issue Date . . Valuation . . . . Expiration Date . . 5/02/11 23.45 0 Qty Unit Charge Per Extension -BASE FEE 15.0.0 1972.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 69.02 4.88.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.76 Permit. . . . PLUMBING Additional desc . . Permit Fee . . . . 153.00 Issue Date . . . Expiration Date . . 5/02/11 Qty Unit Charge Per BASE FEE 14.00 6.0000 EA PLB FIXTURE LQPERMIT Plan Check Fee . . 38.25 Valuation . . . 0 Extension. 15.00 84.00 Application Number Extension 10-00001173 15.00 Permit . . . . . . PLUMBING SFD - LOT 31, PLAN 4520A, 1972 SF. Qty Unit Charge Per 6 MBR. PERMIT DOES NOT INCLUDE Extension 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 Permiti . . . GRADING PERMIT DIF STREET MAINT FAC -RES Additional desc . DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid. Credited - - Permit Fee . . . . ---------- .00 .00 15.00 Plan Check Fee .00 Issue Date .. .00 .00 4961.13 Valuation . . . . 0 Expiration Date . . 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 31, PLAN 4520A, 1972 SF. INCLUDES 255 SF. CASITA & 26 SF BOX .BAY 6 MBR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK -WALLS OR DRIVEWAY APPROACH. 2007/2008 CODES. 2010 PLAN UPDATE.._ --------------------------------------------------------------------------- Other Fees . . . .. . . . BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER -.RES 995.00 ENERGY REVIEW FEE 57.95 DIF 'FIRE PROTECTION -RES 140:00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 MULT-I-SPECIES (MSHCP) FEE 1284.00. DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC = RES 11.00 STRONG MOTION (SMI) - RES 17.1.8 DIF STREET MAINT FAC -RES 68.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid. Credited - - Due ----------------- ---------- Permit Fee Total 1235.28 ---------- .00 .00 1235.28 Plan Check Total 661.68 .00 .00 661.,68 Other Fee Total 49.61.13 .00 .00 4961.13 Grand Total 6858.09 .00 .00 6858.09 LQPERMIT