HomeMy WebLinkAbout04-4995 (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'
I
Coachella Valley Unified School District
P.O. Box 847, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name:
Owner's Name:
Project Address:
Project Description:
APN:
N
This Box For District Use Only
DEVELOPER FEES PAID
AREA.
AMOUNT
LEVEL ONE AMOUNT
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATF
RFI'FIPT
cKFrK #
INITIALS
CERTIFICATE OF COMPLIANCE
(California ucati n Code 17620)
�-I,n
l rt' Qa W� & n � Date P79032
�lShea La Quinta, LLC Phone No.
60-311 Trilogy Parkway La Quinta, CA
18 SFD
764-270-999 Tract #: 30023 Phase Lot #'s:
7A
Type of Development: Residential
Commercial
1-2, 68-83
Industrial
Total Square Feet of Building Area: 38,183 sq. ft
Certification of Applicant/Owners: The person signing certifies that the above ' tton is c rrect and makes this statement
under penalty of perjury and further represents that he/she thd0zed to sign o be of the o er/developer.
Dated: 6 —a q —0
Signature:
***********************************************************************
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code
Gov. Code
Project Agreement Existing Not Subject to Fee
Note: Senior approved/age-related (see attachment )
Number of Sq.Ft.
Amount per Sq.Ft.
Amount Collected
38,183
.36
$ 13,745.88
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Elvira Mattson, Office Technician Signature:
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1,1997, requires that this District provide (1) a written notice to
the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of
these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall
serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of
any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether
payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This
Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School
District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project
that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
MV:c/mydocs/devfees/certificate of compliance form tables.doc 1/16/0 T .-,H
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1
T4&t 4 XPQrmra
BUILDING & SAFETY DEPARTMENT
760-777-7012
BUILDING PERMIT FEE SUMMARY
Date: June 15,2004
Owner: Shea La Quinta, LLC
60-311 Trilogy Parkway
La Quinta, Ca 92253
— -- - --- ems-_ -IA 1
* Denotes ro"/o It'uu1-uU11 LW t-1, -- -
Shea La Quinta, LLC
60-311 Trilogy Parkway
La Quinta, Ca 92253
ue to multiple issuance of same plan type.