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08-0102 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 00000102 61354 SAPPHIRE LN 764-280-999-88 .-300236- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 170639 4 BUILDING &.SAFETY DEPARTMENT BUILDING PERMIT . Owner: SHEA LA QUINTA C/O JEFF MCQUEEN• DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Architect or Engineer: LICENSED CONTRA OR'S DECLARATION I hereby irm and r penalty of perjury that I licensed un i rovisions of Chapter 9 (commencing with Sectio 7 00) of D 's o 3 of the Busi s nd of nseis in full force and effect. Licen 85 ate: tractor: 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).: (_) 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, 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—) 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: 1/11/08 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 h; JAN f1n06 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 CITYOFLA0 rY0 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 Xissued. 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 CA 1593364 r' I certify that, in the performance of the work for which this permit is issued, I shall not employ any pers n in any manner so as to become subject to the workers' compensation laws of California, I and a _that, if I should become subj to the workers' compensation provisions of Section U 7 e Labor Code, all fo mply with those provisions. plicant: WARNING: FAILURE TO SECURE WOR R COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES 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. jte: t t I have r ad this application and state that the above informatioc ect. I agree to comply with all ounty ordi 'ices and state laws relating to build' g constructio eby authorize representatives n u the above-mentioned grope or in pect r o s. / i ature (Applicantor Agent): LQPERMIT Application Number 08-00000102 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 576.00, PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 888.00 Plan Check Fee `577.20 Issue Date . . . . Valuation 170639 Expiration Date 7/09/08 Qty, Unit Charge Per: Extension 'BASE FEE 639.50 71.00' 3.5000 THOU- BLDG 100,001-500,000 248.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 17.63 Issue Date Valuation . . . 0 Expiration Date 7/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 --------------------------------------------------- EA MECH EXHAUST HOOD ------------------------- 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 94.53 Plan Check Fee 23.63 Issue Date .". . . Valuation . . . . 0 Expiration Date 7/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 576.00 .0200 ELEC'GARAGE OR NON-RESIDENTIAL 11.52 Application Number . . . . . 08-00000102 L ----------------------- ------------- Permit . . . . . . ----------------------- ---------------- PLUMBING Additional desc Permit Fee . . . . 152.25Plan Check Fee 35.81 Issue Date . . . . 'Valuation 0 Expiration Date 7/09/08 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 -0.000 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 7 ----------------------------------------- 15.00 Permit . . . . . . GRADING PERMIT. Additional desc Permit Fee 15.00 Plan Check Pee .00 Issue Date . . . . Valuation 0 Expiration Date 7/09/08 Qty Unit Charge Per Extension BASE FEE -15.00. ---------------------------------------------------------------------------- Special NotesandComments SFD -LOT 88, PLAN 4520A, 1943 SF/ 255 SF CASITA,BOX BAY @ MBR -26 SF 4- GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,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 995.06 ENERGY REVIEW FEE 57.72 DIF FIRE PROTECTION -RES 140.00 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 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION. - RES 1930.00 LQPERMIT LQPERAIIT - - .. Application Number 08-0.0000102 Fee summary, Charged Paid Credited Due Permit Fee Total 1220.28. .00 .00. 1220.28, Plan Check Total 654.27 .00 00 654.27 Other Fee Total 4549.78 .00 .00 '4549.78 -" Grand.Total 6424.33 .00 .00- 6424.33 LQPERAIIT -