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04-7159 (SFD)�F �wa�rw 1. TAMPICO ALIFORNIA 922;53 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT ('7,60),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 1 R., . . Application Number . . . . ,04=.00.0.07159 Date ;11/16/04 Property Address _ 81201 RED ROCK RD APN: 764-270-999-60 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation . 237751 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) 77,7-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 67.2285 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 755.0..0 PATIO SQ FTG " 488.00' ' NUMBER OF UNITS 1:00 ------------------------------------------------------------------------------- FIRST FLOOR SQ FTG` 267.9.00 Permit . . . BUILDING PERMIT ` Additional desc ► Permit Fee 1122.50 Plan Check Fee 729.63 Issue Date. Valuation . . . . 237751. Qty Unit Charge Per Extension BASE FEE- 639.50 138_00--_---_-3_5000 THOU BLDG 100,001-.500,000 r 483.00 ------ T '� Permit . . . . . . MECHANICAL Additional desc Permit Fee 99.50 Plan.Check Fee 6.00 Issue Date Valuation 0 Qty Unit Charge Per ' Extension BASE FEE 15.00 1.00 9.0000 EA-MECH�,FURNACE <=100K 9.00 1.00 11.0000 EAS MECH FURNACE >100K .11".00 1.00 9.0000 EA MECH BIC <=3HP/100K BTU 9.00 P.O. Box 1504 • �G/ 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: �- '? I S a Dat Applicant: AI hl o in er= 1 Applicant's Mailing Address:—_Architect or Engineer's Address: t � c. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affi n e enalty of perjury that I am licensed under provisi s of I p^tp-r{9 ep�rwith Section 7000) of Division 3 of the Business and Professionals de, and my Li is in full force and effect.C��-f License Clas/License No. ' �te �}7l `'� '[.� � 1. Tactor LL— 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 (5500).): 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 imploves 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. 4ae and if lLer workers' compensation insur nce, s 1 b on 3 00 of the Labor Code, for the performance of the work for which this permit is ued. comp sation ins " ce cam r arder icy Number U _ I certify that, -in-Me performance of the work for which INs 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, if hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I fort+hw h coom�ply with those provisi 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.). 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 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 thea bov information is correct. I gree to comply with all city and county ordinances and state laws relating to building constructs n, and h�by authorize representatives of this cou t r upon e a -mentioned property for inspection purposes. at nrlgiignture (Applicant or Agent . Page 2 Application Number . . . . . 04-00007159. Date 11/16/04 Qty Unit Charge Per Extension 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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. 15.06 Plan Check Fee 3.77 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .0350 ELEC NEW RES` -'1 -OR 2 FAMILY .04 1.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL .02 Permit . . . . PLUMBING Additional desc Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date Valuation 0 . Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000'EA PLB FIXTURE 108.00 1.00. 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0.000 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 ---7--------------------------------------=--------------------------------- 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 60 PLAN 6505C, 2679 SF.INCLUDES 255 SF CASITA, 26 SF BOX BAY @ MBR. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY -----------------------------------------------------=---------------------- APPROACH. Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 94.37 .Z Page 3 Application Number . . . . 04-00007159 Date 11/16/04 ----------------------------------------------------------------------------- Other Fees . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 145..92 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 23.77 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited- Due Permit Fee Total --- 1429.06. ---------- ---------- ---------- .00 .00 1429.06 Plan Check Total 783.65 .00 .00 783.65 Other Fee Total 2669.06 .00 .00 266.9.06 Grand Total 4881.77 .-00 .00 4881.77