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06-1803 (SFD)ice. '..-'� • �� P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00001803 Owner: Property Address: 61195 PORTULACA DR SHEA LA QUINTA APN: 764-280-999-158 -300235- Q C70 -JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 88,00 N GAINEY CENTER 350 gudR! Property Zoning: MEDIUM HIGH DENSITY RESH p ry� SC�O�TTSDALE, AZ 85258 Application valuation: 166943 f 8 2COjS C�r� V,r Contractor: Applicant: Architect or En ineer. ice' WA SHEA HOMES, INC. �1t1260 AVENUE 62 LA QUINTA, CP,,92253 140 (760) 777-6005 Lic. No.: 672285 ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby of irm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Divi ion of the Bus ines and Professi n Code, and my License is in full force and effect. Lice a CI slense No.: 672285 e: Contractor: 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 fnr thq permit to file a signed statement that he or she is licensed pursuant to the provisions 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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.). i Lender'"s Name: Lender's Address: " P Irl LQPERMIT VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 5/04/06 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. VAI 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 manner ae to become subject to the workers' compensation laws of California, �� (� p agree that, if I sho ome s ject to the workers' compensation provisions of Section 0 of the Labo sh II fortwith those provisions. 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 Quints, its officers, agents and employees for any as 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 tn ove in rmation is correct. I agree to comply with all city and unty o inances and state laws relating const coon, and hereby authorize representatives gf Ny5 upon the above-mentionr insp ctisesnature (Applicant or A Application Number 06-00001803 LQPERMIT Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=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 L----------------------- 1847.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 856.50 Plan Check Fee 139.18 , Issue Date . . . . ,*Valuation . . . . 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 5.41 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 9.0.000 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 LQPERMIT Application -Number . . . . . 06-00001803 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1847.00 .0300 ELEC NEW RES - MULTI FAMILY 55.41 5.39.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ----------------------------------------------------------------------------- 10.78 Permit PLUMBING Additional desc . Permit Fee . . . . 120.00 Plan Check Fee 4.13 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": 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 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 158, PLAN 5505B,1847 sf 26 SF BOX BAY Q MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES -DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES. ------------------ 7 ---------------------------------------------------------- ---- - ------------------------------------------------------------------ Other Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY.CENTERS-RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 1'3.92 DIF FIRE PROTECTION -RES 140.00 LQPERMIT LQPERMIT Application Number . . . . . 06-00001803 ---------------------------------------------------------------------------- Other Fees . . . . . . . . GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 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 152.48 .00 .00 152.48 Other Fee Total 3726.07 .00 .00 3726.07 Grand Total 5037.74 .00 .00 5037.74 LQPERMIT