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06-1793 (SFD)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 1/06-00001793-, Owner: Property Address: 61240 PORTULACA DR SHEA LA QUINTA APN: 764-280-999-150 -300235- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED ®� 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES D SCOTTSDALE, AZ 85258 Application valuation: 166943 AA� 78 2® Contractor: Applicant:Architect or Engineer: 's"��'+ a ®� SHEA HOMES, INC. �' �•� 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 1• Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 of Division 3 of th iness and ofessionals Code, and my License is in full force and effect. L�WContracto f _ License No.: 672285 . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 theprovisions of the Contractor's 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).: 1 _ 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 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 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 _ 1 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:' 5/04/06 WORKER'S COMPENSATION DECLARATION 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. Y, I have and will maintain workers' compensation insurance, as required by Section 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 AMERICAN HOME Policy Number 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mann so as to � ome subject the workers' compensation laws of California, and agree that, if I s eco subject to t workers' compensation provisions of Section .s %00 of the Lab ,'I ha rthwith ith those provisions. D licant: 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. 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 t at I have read this application and state that t ab a inf aAhr I agree to comply with all city and unty di=es and state laws relating to ding onstr outhorize representatives. f n r upo the above-mentioned P or insp i n ignature (Applicant or Age 1: Application Number . . . . . 06-00001793' 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 ,539.00 PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00 --------------------=------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1847.00 Permit . . . BUILDING PERMIT Additional.desc . Permit Fee . . . . 856.50 Plan Check Fee 556.73 IE:zue Date . . . . Valuat_on . . . . 161587 Expiration Date 10/31/06 Qty Unit Charge Per Extension BASE FEE 639.50 ' 62.00 3.5000 THOU BLDG 100,001-500,000 217.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 86.50 Plan Check Fee 21.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . . . 81.19 Plan Check Fee 3.76 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMTT Application Number . . . . . 06-00001793 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1847.00 .0300 ELEC NEW RES - MULTI FAMILY 55.41 539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 10.78 Permit PLUMBING Additional desc . Permit Fee . . . . 120.00 Plan Check Fee 16.50 Issue Date . . . . Valuation 0 Expiration Date 10/31/06 Qty Unit Charge Per •,Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00, 1.00 15.0000 -EA PLP�BUILDING SEWER 15.00• -r 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 ' 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 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 10/31/06 Qty Unit Charge Per Extension BASE FEE - 15.00 ------------------------------------------ Special Notes and Comments- SFD - LOT 113, PLAN 5505A,.1847 sf 26 SF BOX BAY @ MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH.2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES -------------------------------------------------------- -------------------- Other Fees . . . . ... ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY'CENTERS-RES 74.00 DIF CIVIC CENTER - RES- 480.00 ENERGY REVIEW FEE 55.67 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 i,QPF.RMTT Application Number 06-00001793 ----------------------------------- .Other Fees . . . . . . . . . ---------------------------------------- DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 16.15 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1159.19 -------------------- .00 ---------- .00 1159.19_ Plan Check Total 598.62 .00 .00 598.62 Other Fee Total 3767.82 .00 .00 37.67.82 Grand Total 5525.63 .00 .00 5525.63 LQPERMIT