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04-7233 (SFD)Y' ii �F�a�rw 504 ,LE TAMPICO CALIFORNIA 9.;2253 BUILDING PERMIT Application Number Property Address APN: Application description Property Zoning Application valuation.. BUILDING & SAFETY DEPARTMENT (760),777=7012 .FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 04-0000_7.23-3 Date 11/16/04 X81237 RED ROCK RD` 764-270=999=63 -300233- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 145707 Owner Contractor ------------------------ SHEA LA QUINTA ------------------ SHEA HOMES, INC. C/O JEFF MCQUEEN 8.1260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 �SCOTTSDALE AZ 85258 (760) 7.77-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC:_ B ------ Structure Information PLAN 4210A W/CASITA MBR BOX BAY ----- Construction Type TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Other struct info.. CODE EDITION 2001 # BEDROOMS 4.00- .00.FIRE FIRE-SPRINKLERS SPRINKLERS NO GARAGE SQ FTG 474.00 PATIO SQ FTG 318.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG\ 163.6.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 800.50 Plan Check Fee 520.33 Issue. Date Valuation 145707 Qty Unit Charge Per Extension BASE FEE 639.50 46.00 3.50'00 ---------------------------- THOU BLDG 100,001-500,000 161.00 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 9.000O.EA MECH B/C <=3HP/10O.K BTU 18.00.. 4.00 6.5000 EA MECH.VENT FAN 26.00 P.O. Box 1504• 4a" 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: (a2 3-rJ D e: % 2 / % D Ll Applicant: ct gin Applicant's Mailing Address: —Architect or Engineer's Address: Lic. No.: Le, 1 hereby affirm Code, and my /License Classt BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION provisiobs o(p19 (oomrRencjngwith Section 7000) of Division 3 of the Business and Professionals 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 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. , BA P.C. for this reason 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 therk f r which this permit is issued. �l h v andwo'll ai tain wo compensation insuranc , as requireed by Secti 370 f the Labor Code, for the performance of the work for which this permit is ed. M rs' corn sation nce carried "dI rJbelr licy umber N111111LLL� I certify that, in the performance of the work for which ttfibTermit 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, it I ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall Jorthwit4 comply with those pr for &;A _. 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 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.). Lenders Name Lender's Address (rl APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Build'.ng 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 fhe 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 per6aboveor n. I certify that I have read this application and state that then is cor I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby a thorize representatives of thispon the ove-mentioned property for inspection purposes. gna re (Applicant or Agen f Page 2 Application Number 04-00007233 Date 11/16/04 Qty Unit Charge Per Extension 1.00 .6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . EDEC-NEW RESIDENTIAL Additional desc Permit Fee 81.74 Plan Check Fee 20.4.4 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE. 15.00 1636:00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 '474.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9'.48 ---------------------------- Permit . . . . . . ------------------------------------------------ PLUMBING Additional desc Permit Fee 146.25 Plan Check Fee 36.56 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 5.00 7500 EA PLB GAS PIPE >=5 3.75 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 Plan 4210A (1355 s.gft) w/Casita (255 sqft) & MBR Box Bay (26 sgft). ---------------------------------------------------------------------------- Other Fees., ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE, 52.03 DIF FIRE PROTECTION -RES 97.00 r Page 3. Application Number . . . . . 04-00007233 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 14.57 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 'Fee summary Charged Paid Credited Due Permit Fee Total 1126.99 ..00 ..00 1126.99 Plan Check Total. 598.21 .00 .00 598.21 Other Fee Total 2471.60 ..00 .00 2471.60 Grand Total .4196.80 .00 .00 4196.80 r