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HomeMy WebLinkAbout04-4994 (SFD)TAW ,t 4 4Q" 4 TAMPICO ALIFO_RNIA, 9,2253 BUILDING PERMIT APN: Application description Property Zoning . . . . . Application valuation BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 c04-0000-4994Date 6/21/04 60582 SILVER TORCH CIR 764-270-999-73 -300233- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 1.66621 Owner .Contractor SHEA LA QUINTA SHEA HOMES,.INC. C/0 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 08/01/04 CSLB: 672285 06/30/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TAPE V - NON RATED. Occupancy Type. . . . . . . DAELLG/LODGING/CONG <=10 Flood Zone . . . . . . .. . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC F -RE SPRINKLERS NO GARAGE SQ FTG , 539:00 PATIO—SQ FTG. ; 537:0:0 NUMBER OF`UNITS 1.00 F`RST FLOOR SQ FTG 1843.00 Permit . . . . . . BUILDING PERMIT. Additional desc Permit Fee . . . . 874.00 Plan Check Fee 568.10 Issue Date Valuation 16662-- 6662_Qty QtyUnit Charge Per Extension BASE FEE 639.50 67.00 3.5000 THOU BLDG 100,001-500,000 234.50 . Permit . . . . . . MECHANICAL, Additional desc Permit Fee 77.00 Plan Check Fee 19.25 Issue Date Valuation 0 Qty Unit Charge Per r Extension P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: or or Enqineer's Add Lic. No.:l CL �l `161 Date: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm enalty of perjury that I am licensed under provi so C�pter 9 com�ncing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lic is in full force and effect. F Il License Cl ss �� License No. Date -6 V !tom Contractor"'� 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 for a 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. have1ar�v-I will maintain w ers' compensation in sur as requid by Section 3700 of the Labor Code, for the performance of the work for which this permit is /issl�Q �y�ypdcers' co n tion i�eurance c Came w �U 1'► 1Policy Numb _ I certify that, in the pe ormance of the work for w c I this 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 tha , i I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall n forth 'th comply with tho /Date `-� Dplican , 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, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the wo being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void i ork is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to ca ellation. I certify that 1 have read this application and state that the above inf ion is cor I agree to comply with all city and county ordinances and state laws relating to building const , and h reby authorize representatives of this cou nter pon a ve / tio�ned.prrooperty for inspection purposes. M t (✓ - .,,.,Date ` g�nature (Applicant or Agent): Page 2 Application Number . . . . . 04-00004994 Date 6/21/04 Qty Unit Charge Per Extension BASE FEE 15.00 2..00 9.0000 EA MECH FURNACE <,=100K 18.00 2.60 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 90.29 Plan Check Fee 22.5 Issue Date . . . . Valuation, 0 Qty Unit Charge Per Extension BASE FEE .15.00 1843.00 .0.350 ELEC NEW RES -'l OR 2 FAMILY 64.5= 539.00 -- .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 . ------------- Permit ----------- --------------------------------------- PLUMBING ----------- Additional desc Permit Fee . . . 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation . . . . - 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.'00 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee :00 Issue Date Valuation . . . . C. Qty Unit Charge. Per Extension BASE FEE 15.00 Special Notes and Comments SFD.- LOT 73, PLAN -5505A/22 SF BAY @ •., a Page 3 Application Number .. . . . . 04-00004994 Date 6/21/04 Special Notes and Comments MBR/83 SF GARAGE EXT./315 SF EXT. PATIO PERMIT DOES NOT.INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 1843 SF. Other Fees . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW -.FEE 56.81 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 16.66 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1185.29 .00 .00 1185.29 Pl-an Check Total 642.17 .00 .00 642.17 Other Fee Total 2478.47 .00 .00 2478.47 Grand Total 4305.93 .00 .00 4305.93 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 b4 !FS 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.