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05-2533 (SFD)P.O. BOX 15o4 78-495 CALLE TAMPICO LA.QUINTA, CALIFORNIA 92253 BUILDI.NG.& SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00002533 . Property Address: 81207 SANTA ROSA CT APN: 764-270-999-28 -300234- Application description: ' DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 237751._ Applicant. /rchitect or Engineer: Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER. 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. 81260.AVENUE 62 LA" QUINTA,. CA 92253. (.760)777-6005 Lic. No.: 672285 VOICE (760) 777 -7012 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/23/05 JUL 15 2005 OF -----------------------�- �O-----------_----------- -------------------------------- I -------------------------------------- LICENSED CONTRACTOR'S DECLARATION LICENSED _ WORKER'S COMPENSATION DECLARATION - "I hereby affirm underpenalty of perjury that'( am licensed under provisions of. Chapter 9 (commencing withJ. I hereby affirm under penalty of perjury.one of tfie,following declarations: r Section 70001 of:Division.3 of the Business and Professionals Code, and my License is in full farce and effect. _ I have: and will maintain a certificate"of consent to self -insure for workers' compensation, as provided - license Class 13 '- . • License No.:.6.722 85 for_by Section 3700 of the Labor Code, for the performance of the work for which this permit is ..; /ate: �� ontractor: �I r�14,.' f//I"-LS - 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 " "OWNER -BUILDER DECLARATION insurance carrier.and policy number `are: 4... ' - hereby affirm.under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS - Policy`Number 6436568 following reason (Sec. 7031:5, Business and -Professions Coae: Any city or 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 structure, prior to its issuance, also requires the applicant for the person in any manner: so as to become subject to the workers' compensation laws of California; permit to file a signed statement that he or she is licensed pursuant to•the provisions. of the;Contractor's, State and •agree:that; if I shouldebecome subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of -Division 3 ofthe Business and Professions Code) or 700 of. the La r Code, I shall forthwith comply,with those provisions. 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 hve tiundred dollars ($500).: pplicant: (_ 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 WARN NG: FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors'tState License Law does not apply to an owner of property who builds or improves thereon, . SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or.herself.through his or her own employees, provided that the -"DOLLARS ($100,000). IN ADDITION 'TO THE COST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building,or improvement is sold within . SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES: ' . one yearofcompletion, the owner -builder' will -have the burden of proving thafhe or she did not build or ` improve for'the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_) 1, as owner.ofthe: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.License Law does not apply.to an owner -of conditions and restrictions set forth on this application" " " . property who builds or improves.the-reon a_who contracts for the. projects with a 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 _ 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 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: LQPEIZA11T 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 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou t�y-/t eCntJe�rypon the above-mentioned property f r inspection p os Data- (�J Si ure (Applicant or Agent): LQPERAIIT Application Number . . . . . .05-00002533 Structure Information Construction Type . ... . . TYPE V = NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 F1ood.Zone . . . . NON -AO FLOOD ZONE Other'struct info . . . . CODE EDITION 2001 CBC FIRE.SPR�INKLERS . NO GARAGE.SQ FTG 755.00 PATIO- SQ FTG 488.00 NUMBER.OF UNITS 1.00. 1ST.FLOOR;SQUARE FOOTAGE 2679.00 --= -------- --------------- ---=---------- '----_----------- =------------------- �-` Permit BUILDING PERMIT Additional, desc Permit -Eee 1122 5Q' Plan Check Fee -.729.,63:, Issue,Date ... . . . Valuation 237751 Expiration Date 12/20/05 Qty'.. Unit Charge Per Extension, BASE. FEE ; 138.00 3 .5,0.00 THOU BLDG,�100, 001-500~;,000 4639.50" "483.00 Permit. MECHANICAL ' Additional desc Permit. Fee, _ 99-.50 Plan -Check Fee 6. 0.0 Issue'"`Date Valuation" . . 0 Expiration Date 12/20/05 Qty Unit Charge Per'` Extension BASE.'FEE is 00 '1,,00 9.0000 EA, MECH FURNACE <=100K 9.00 1%0.0 11:0060;,EA' MECH':FURNACE> >100K • 11.00 1`..00 9 000.0 .EA MECH. B/C <-3H! 100K BTU 9.00 1.00' 16 5000:' -EA ,.. MECH -B/C• >3 1.5HP/.>.100K-500KBTU 16 :5'0 5.00 &'.5000 .:EP, MECH -VENT `iA&'I.'' 32 "50 1.00" 6.:=5000` -,EA MECH EXHAUST'HQOD 6.50 . Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee -`' '15.06 P1'aii Check Fee 3.77 Issue Date_ Valuation 0 Expiration Date 12/20/05 Qty Unit Charge Per Extension BASE. FEE 15.00 LQPERAIIT Application Number 05-000.02533 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit.Charge Per Extension .0350 ELEC NEW RES 1 OR.12 FAMILY .04 1.00 .0200 -------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL .02 7 - - - - - - - - - Permit .. . . . . . PLUMBING Additional desc permit Fee .177.00 Plan Check Fee- 44.25 Issue Date . . . . Valuation . . . . 0 Expiration Date. 12/20/05 Qty Unit Charge Per Extension BASE FEE 18,00 6.0000 EA PLB..FlXtURE 108.00 1.00 15.0000 EA PLh BUILDING -SEWER- 15.00 11. 0,0 7':5000 EA PL -13 WATER HEATER/VENT 7`:50 3.00:60 EA PLE WATER IN§T./-ALT/R)EP 3.66'. 1-00 9':;0000 EA PLB JAWN SPRINKLER SYSTEM 9.00 '6.00 .,-7500 EA PuB GAS. PIPE, >=5 4.50 1.00 15.'0000 ----------------------------------------- EA PLB GAS METER 7 ------------------------------------- 15.00' Permit GRADING,. -PERMIT Additional desc Permit --F ee 15..:00 Plan, Check Fee' .00 Issue Date . . . . Valuation .. . . . 0 . 8xpiration-'-pat6 12/20/05 Qty Unit Charge Per Extension �'BASE FEE, 15.00 - - - - - - - - - - - - 7 - - - --- -7 - --- - - - - - - - - - - - - - - - - ---------- --------------------------- -Special Notes, and Comments SFb-,LOT,`28 PLAN 6505A, 2679 SF.INCLUDES.,.. 255'SF-CAS-ITA, 26 SF BOX BAY.@ MBR. P�tRMIT.DOES NOT INCLUDE BLQCK.WAjL, POOL, "SPA OR DRIVEWAY APPROACH. ------------------------------.-------- Other-------------------- Fees . . . . . --------Other . ... . ART IN PUBLIC PLACES -RES 94..37 DIF COMMUNI­TYc'CENTERS-RES 97.00 DIF.,CIVIC,.CENTER­- _RES, ..366..00 ENERGY REVIEW' FEE. 145-.92 PIF FIRE PROTECTION -RES 97.0.0 GRADING PLAN CHECK FEE -..00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC.- RES 502..00 LQPERMIT Application Number . . . . . 05-00002533 ------------------------------------------------------------=-------------=- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 23.77 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1429.06 Plan Check Total. 783..65 Other Fee Total 2669.06 Grand Total 4881.77 LQPERMIT Paid Credited Due .00 .00 1429.06 .00 .00 783.65 .00 .00 2669.06 .00 .00. 4881.77