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04-7229 (SFD).J J BUILDING & SAFETY DEPARTMENT 3 (760),777-7012 TAMPICO i'!` 'FAX (760)-777-7011 ALIFOR NIA 922.53 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT A O I.AQ? Amber PP g 1 cQ4=0-0.007 2 `_` Date 1,1/16/04 ;., ress ._ _ ._ . ' 81273 RED ROCK RD APN:. ' 764-270=999-66 -300233- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation �. 186889 Owner ' Contractor - - - - - - - - - - - - - - - - - -' - - - SHEA LA QUINTA - - - - - - r7 ----------------- 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. --------------- --------- construction Type . . . . . TYPE•V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info.. CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 539.0,0 PATIO.`SQ RTG 536.00 NUMBER" OF UNITS. 1.00 , FIRST FLOOR SQ FTG, 2094.00 Permit . . . . . . BUILDING PERMIT Additional desc r f 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 c 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 P.O. BOX 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: 0<4 - _7-2� D t Applicant: _+" ngln 6nSa� - Applicant's Mailing Address: Architect or Engineer's Address: >_O� ic. No.: LCL 2AD46 J BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affi��nr enalty of perjury that I am licensed under prcvisiont of 9 (��ni with Section 7000) of Division 3 of the Business and Professionals de, and myis in full force and effect. `V License Class License No. [��ractor 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 tine 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 1, 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 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. v and it maintain wo�r�scompo�ensaion insuran e,, a reqS o 37 of the Labor Code, for the performance of the work for which this permit is dy rkers'coinncecarr6er ffd�olic rbecrier NumbNumb ��// I certify that, in the performance of the work for wh �. this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califo ia, d agree tha I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I forlhwi� comply with thole'ns. f 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 ATTO'RNEY'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 (� 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 rr.ade, 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 wT 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 ove information I agree to comply with all city and county ordinances and state laws relating to building consl ion and her y authorize representatives oft ' o enter upon the ove-mentioned property for inspecfion purposes. ate i nature(Applicant Page 2 Application Number 04-00007229 Date 11/16/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -------------------------------------'--------------------------------------- Permit . ... . . . ELEC-NEW RESIDENTIAL Additional. desc Permit Fee99.07 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 . . . . 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 6.0.0 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 66, PLAN 5505B, 2094 SF, 247 SF CASITA, BOX BAY @MBR 26 SF, 315 SF PATIO EXT. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH --------------------------------------------------------------=------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS-RES 97.00 ENERGY REVIEW FEE 61.36 DIF FIRE PROTECTION-RES 97.00 Page 3 Application Number ' . . . . . 04-00007229 Date 11/16/04 - ------------------------------------------------------=--------------------- Other Fees . . . . . . . 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 1294..57 00 .00 1294.57 Plan Check;To.tal 697.50 .00 .00 697.50 Other Fee Total 2119.04 .00 .00 2119.04 Grand Total 4111.11 .00 .00 4111.11