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05-2931 (SFD)P.O. BOX 1504 ^ 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-000.02931 Property Address: 81166 SANTA ROSA CT APN: 764-270-999-25 -300234- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 123721 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 L/J Date: 7/14/05 Contractor: JULApplicant: Archite'ct or Engineer: SHEA HOMES, INC. JULA15 2005 81260 AVENUE 62 Cys , ' �in�e 1 LA QUINTA, CA 92253 CITY OFLA(�UINTA (760) 777-6005 FIAIANCEpEIP� Lic. No.: 672285 C, vic)[ LICENSED CONTRACTOR'S'DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under -provisions -of Chapter -9 (commencing with I hereby affirm under penalty of, perjury one of the following declarations: Section 7000) of Division 3 of.the Business and Professionals Code; ii d my,License is in full force and effect. _ I have and will maintain a certificate of.consent to self -insure for workers' compensation, as provided License Class: B License No.: 672285 - for by Section 3700 of the Labor Code, for.the performance of the work for which this permit is issued /ate: I ontractor.-0�►'l'e 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 - OWNER -BUILDER DECLARATION -: insurance carrier and policy number are: I hereby, affirm. under penalty of perjury that I am exemptfrom the Contractor's State License Law for.the Carrier NTL UNION..INS Poli'y Number 6436568 following reason (Sec. 7031.5, Business andProfessions Code, Any cityor. county that requires a permit to _ I certify that,'in the'performance-of.the work for which this permit is issued, I shall not employ any construct, alter, improve„demolish, or repair any structureprior to its issuance, also requires the.appticant for the person in any manner so as'to become subject.to the workers' compensation laws o_ f California, permit to file-asigned. statement that he or. she is licensed "pursuant to the, provisions of the, Contractor's'State and agree that, if I should.become subject to the workers' compensation provisions of Section License Law '(Chapter 9 (commencing with Section 7000) of Division &of -the Business and Professions Code) or 700 of-theLabor Code, 1 shall forthwith comCply with those provisions., that he`or she is eicdmpt.theiefrom and'the-basis forthealleged exemption. Any violation of Section 7031.5 by, 7 fi. any. applicant for a permit subjects the doplicant to acivil penalty of not more than five hundied,dollars 1$500)1: ate: plicant: (_ 1 1, as:owner•of the property, or my employees with wages as their solecompensation; will do the work, and - the;structure ismot intended or offered for sale -(Sec.'7044, B'Usinesi and Professions Code: The' WARNING: FAILURE TO SECURE WORKERS' CONIPENSATION'COVERAGE IS UNLAWFUL, AND SHALL Contractors State License Law does not apply to`anowner of -property who builds.or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDVVIL FINES UP TO ONE HUNDRED THOUSAND and who doesthe;work'himself or herself through his orher own employees,: provided that the DOLLARS '($100,000).� IN.ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvemenis are not intendedr or offered for sale;. If, however,. the building or.improvernent is sold within _ - SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEY'S FEES. one yeai.of completion;•theowner-builder will have the burden of.proving that he or she didnotbuild or improve for the purpose of sale:):.. l - APPLICANT ACKNOWLEDGEMENT. 1 _ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and.Professions Code:, The:Contractors"State LicenserLaw does•not apply.to anowner of - conditions and restrictions serforth•on this -applicati6ri-, 'Z. property who builds or improves thereon, and who contracts for the projects with contractor(s)licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ ) I am exempt under Sec. B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING.AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives ' of this co my to enter upon he above-mentioned property fop inspectiop purposes. Lender's Name: �('/t Date: gnature (Applicant or Agent). e%/1We Lender's Address: LQPERMFF Application Number . . . . . 05-00002931 ------ Structure Information PLAN 4210A W/26 SF BOX ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRI-NKLERS NO GARAGE -SQ FTG 474.00 ' PATIO SQ FTG 214.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1381.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 723.50 Plan -Che ckFee 117.57 Issue Date . . . Valuatio' -123721 Expiration Date 1/10/06 ` Qty Unit Charge Per Extension, BASE FEE 639.50 24.00 3.5000 THOU BLDG 100,001-500,000 84.00 - Permit MECHANICAL Additional desc . Permit Fee . . . . .65.50. Plan. Check Fee 4.10 Issue DateValuation .. . . 0 Expiration.Date — 1/1'0/06'.' Qty` Urd,-t Charge Per Extension BASE FEE 15._00 1.00 9. 00,00 EA. MECH-FURNACE <=100K-' 9 . 00 1,:00 9. 06,00 ,EA� MECH B/C ,<-3HP/10.0K BTU 9': 00 ' 4:00` 6:5:0.00 EA MECH VENT FAN 2:6.0,0 -i-.06 6.5000 EA_'.,. MECH-EXHAUST HOOD_ 6:50 Permit. _. ELEC-NEW RESIDENTIAL, 9dditional desc Perm -it -Fee . . . . 72.82 Plan Check Fee 4.55 .Issue Date. Valuation 0 Expiration Date 1/10/06` Qty Unit Charge Per Extension BASE FEE 15.00 1381.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY - 48.34 474.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.48 LQPERNIIT Application Number . .. . . . 05-00002931 Permit . . . PLUMBING Additional desc . Permit Fee 122.25 Issue Date . . . . Expiration Date . . 1/10/06 Plan Check Fee . . 7.64 Valuation . . . . 0 Qty Unit Charge Per Extension Extension BASE FEE ---------------- 15.00 ----------------------------------- BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 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 Issue Date . . . . Expiration Date . . 1/10/06 Plan Check Fee . Valuation . . . Qty Unit Charge Per - Extension BASE FEE ---------------- 15.00 ----------------------------------- Notes and Comments SFD Lot 25 Plan 4210B (1381 SF) w/MBR Box Bay (26 sgft).PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. -------------------------------=-------------------------------------------- Other Fees .. . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 11.76 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 12.37 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged LQPERMIT Paid Credited Due" Application Number ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT s . . . . 05-00002931 999.07 .00 .00 133.86 .00 .00 2429.13 .00 .00 3562.06 .00 .00 999.07 133.86 2429.13 3562.06