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09-0474 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: � 09 -00000474 - Property Address: 81300 CANTOR CT APN: 764-280-999-186 -300236- Application description: DWELLING - SINGLE .FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 251475 T4ht 4 4 0" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/13/09 Contractor:/ /q l ?'' Applicant: Architect or Engineer: $HEA HOMES, INC. �l%ly Q 60800 TRILOGY PARKWAY 1dJg LA QUINTA, CA 92253 c,1 Y()� (760) 777-6005 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 Section 7 00) of Division 3 of the Busines and Professionals Code, and my License is in full force and effect. Lice a Cl s: I B icense No.: 672285 Date: o�ctor. 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 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 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 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 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(sl licensed pursuant to the Contractors' State License Law.). (_ 1 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT WORKER'S 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. �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 NTL UNION INS Policy Number WC1894819 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjeble5�g 'ompensation laws of California, and agree that, if I should be m subject tornsation provisions ofSection 3 of the Labor de, I sh I rttywithcoit visions. ae l licant: V WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$1 00,000l. 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 Ouinta, 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 certif th t I have read this application and state that the above information is Corr 1 agree t comply with all city a co my ordinances and state laws relating to buildiufi� tion, and re , uthorize presentatives o t ' ou y t enter upon he above-mentioned prop y pos D (` S' nature (Applicant or Agent): Application Number . . . . . 09-00000474 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1171.50 Plan Check Fee 761.48 Issue Date . . . . Valuation . . . . 251475 Expiration Date . . 11/09/09 Qty Unit Charge Per Extension BASE FEE 639.50 152.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 532.00 Permit . . MECHANICAL Additional desc . . Permit Fee . . . . 88.00 Plan Check Fee 22.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee. . . . . 127.21 Plan Check Fee 3.1.80 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/09 Qty Unit Charge Per Extension. BASE -FEE 15.00 2795.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.83 719.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.38 Permit . . . PLUMBING • Additional desc . Permit Fee . . . . 171.00 Plan Check Fee 42.75 Issue Date . . . . Valuation . . . . 0 Expiration Date.. 11/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 09-00000474 Permit . . . . . . PLUMBING Qty Unit Charge Per 15.00 Permit . . . SOLAR PERMIT Extension 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . Additional desc Permit Fee Issue Date Expiration Date GRADING PERMIT 15.00 11/09/09 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE ---------- ----------------------------------------------------------------- 15.00 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 251475 Expiration Date . . 11/09/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 186, PLAN 6430C, 2795 SF., BOX BAY @ MBR (26 SF)108 SF. PATIO EXTENSION, PHOTOVOLTAIC SYSTEM (1.11C-3KW) PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 11.00. DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 76.15 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 25.15 LQPERMIT lk LQPERMIT Application Number . . . . . 09-00000474 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Permit Fee _Total 1595.21 Plan Check Total 863.66 Other Fee Total 4587.30 Grand Total 7046.17 Paid Credited Due ---------- ---------- ---------- .00 .00 1595.21 .00 .00 863.66 .00 .00 4587.30 .00 .00 7046.17 L