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04-4995 (SFD)A f P.O. Box 1504 78-495 CALLS TAMP LA ,QUINTA,. CALIF01 BUILDING & SAFETY DEPARTMENT (760).777-7012 Con. FAX (760) 777-7011 NIA 92253 INSPECTION REQUESTS (760) 777-7153 G.,P_.ERMITA.-• j . ��Pr UILDIN Application Number 04--0-000499_5 Date 6/21/04 Property, Address . . . . 605 -52—S -fl VER TORCH CIR APN: 764-270-999-74 -.300233- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . ... . . MEDIUM HIGH DENSITY RES Application valuation . . . . 170396 Owner Contractor ------ "-- ------------------------ SHEA LA QUINTA -° SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/D4 CSLB: 672285 06/30/D5 CCC: B ----------------=--=------ Structure Information -------_------------------ Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001CBC FIRE SPRINKLERS NO GARAGE SQ .FTG 576.00 PATIO SQ FTG177.00 NUMBER OF, UNITS '' '"^ ` 1`J. 00 FIRST FLOOR SQ FTG 1940.00 --------------------------------------------- Permit . . . . . . -----=------------------------- j BUILDING PERMIT. Additional desc Permit Fee 888.00 Plan Check Fee 577.2) Issue Date . . . . Valuation . . . . 170395 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 . . . . 88.50 Plan Check Fee 22.13 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 • '�� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: L,,! qq 5 Date: Applicant: �ArcktectAF&ngi*ek, _ A- _ t Applicant's Mailing Address: Address: No.: Lc f- 9M461 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of (coo ncing with Section 7000.) of Division 3 of the Business and Professionals Code, and my Lire is in full force and effect. (d; License Class License No. / Date "" OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 or 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.). U 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(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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. JL'I have an will maintain o rs' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ued. 6 co nsation ' rance carrier and policy number are: Carrier olicy Number 04 I certify that, in the performance of the work forwhiclftliis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 1 forthwit¢ comply with those proyisionq% Date V" k != plicant Nt I r 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. 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 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 vArk is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to can ellation. I certify that I have read this application and state that the above in ' n is corr9wI agree to comply with all city and county ordinances and state laws relating to building constructio , and he y authorize representatives of this coun o er pon the ove-mentioned property for inspection purposes. Date ignature (Applicant or Agent): v r rr r Page 2 Application Number . . . . . 04-00004995 Date 6/21/04 Qty Unit Charge Per Extension 'BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 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 {. 33.1" Plan Check Fee 8.29. Issue Date Valuation . . . . G J� Qty Unit Charge Per Extension BASE FEE 15.00 190,00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 6.65 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional•desc Permit Fee 152.25 Plari Check Fee 38.06 Issue Date . . Valuation C1 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.O0 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 - 3.0000 EA PLB WATER INST/ALT/REP 3.O0 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.O0 5.00 .7500 EA PLB GAS PIPE >=5 3.7-5, 1.00 15.000'0 EA PLE GAS METER 15.0CL Permit GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00L Issue Date Valuation . . 0 ,Qty Unit Charge Per Extension BASE FEE 15. 00 ----------------------------7------7---------------------------------------- Special Notes and Comments SFD - LOT 74, PLAN 452'0B/CASITI./23 .SF. Page 3 Application Number 04-00004995 Date 6/21/04 Special Notes and Comments BAY @ MBR/.88,SF. GARAGE EXTENSION. PERMIT.DOES.NOT INCLUDE BLOCK WALLS, POOL,.SPA OR.DRIVEWAY APPROACH, Other Fees . . . . . ART IN.PUBLIC.PLACES-RES" .00 DIF COMMUNITY CENTERS -.RES 97.00 DIF CIVIC CENTER - RES 366.0.0 ENERGY REVIEW FEE 57.72 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 17.03 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee -summary Charged Paid Credited. Due Permit Fee Total 1176.92 ..00 00 1176.92, Plan`Check Total `645:.68 .00 .00 645.68' Other'Fee Total 2479.75 00 00 2479.75 Grand Total 4302.35 00 .00 4302:35'