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04-4992 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICOFN' -7011 -LA QUINTA',QALIFORNIA:,92253 U 1N§P1EftI . ON _i. UESTS-(760) 777-7153 I �F FAX (760) 777 BUILDING PERMIT Llm OF LA QUI,60TA Application Number .. FI XCE-DEPT. . . . . Date 6/18/04 Property Addres s. 60627 SILVER TORCH CIR APN: 764-270-999-71 -300233- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 240812 Owner Contractor ------------------------ I ------------ 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) 777-600.5 WCC: NTL.UN.ION INS WC: 7165833 08/01/04 CSLB: 672285. 06/30/05. CCC: B ----------------=--------- 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 .615..00 PATIO' -.SQ FTG 323 700 NUMBER OF' UNITS 1'.00 FIRST FLOOR SQ"FTG2778.00 ----------------------------------------------------------- Permit . . . . . . BUILDING -PERMIT - - - - - - - - - - - - Additional desc Permit Fee . . . . 1133.00 Plan Check Fee 184.11 Issue Date . . . . Valuation 240812 Qty Unit Charge Per Extensi= BASE FEE 639.50 141.00 3.5000 THOU BLDG 100,001-500100-0- 493.50 - - - - - - - - - - - - - - - - - - - 7 - - - - - - Permit . . . . . . - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - ---- MECHANICAL --- - - - - - - - - - - - - - - Additional desc Permit Fee . . . . 90.00 Plan Check Fee 5.53 Issue Date Valuation . . . .. 0 Qty Unit Charge Per Extensicn P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04-4( Qgo2 Applicant: Applicant's Mailing Address: Architect or Engineer's Add Lic. No.: 1(c f-4:;I(y BUILDING PERMIT DECLARATIONS Date: & • d 44-0Y LICENSED CONTRACTOR'S DECLARATION I hereby affirm upenalty of perjury that I am licensed under provisions of Chapter 9 (comm ncing with Section 7000) of Division 3 of the Business and Professionals Code, and my Li is in full force and effect. cense Class /Ccerise No. 1 V 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 (Seq. 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 WORKERS' 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 issued. I %ave kn,6YII'maintain workers' compensation insurance, s required�by Section 3700 of the Labor Code, for the performance of the work for which this permit is suork mpensationi�ncecarrl6aep�rthar�e:� Policy Number 1 ` I certify that, in the performance of the work for whichs permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compgnsation laws of California, and agree that, if ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall ( forthwph comply with those pro%ior� / 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 A 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 Ouinta, its officers, agents and employees for any act or omission related to the work being erformed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work i of commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that the above in i n is correct. I gree to comply with all city and county ordinances and state laws relating to building construction and here y authorize representatives of this county n�rpon th b mentioned property for inspection purposes. ate teignature (Applicant or Agen it Page 2, Application Number . . . . . 04-00004992 Date 6/18/04 Qty Unit"Charge Per Extension BASE FEE 15.00 -2.00 9.0000 EA MECH FURNACE <=100K 18.00 .00. .11.0000 EA" MECH FURNACE >100K .00 2.00 9.0000 EA MECH B,/C.<=3HP/100K BTU 18.00 .00 16.5000 EA MECH B/C >3-15HP/>10.OK-50OKBTU .00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -=-------------------------------------------------------------------------- Permit . . . .. . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 124.53, Plan Check Fee 7.78 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2778.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.23 615.00 ---------------------------------------------------------------------------- .0200 ELEC _GARAGE OR NON-RESIDENTIAL -12.30 Permit . ... PLUMBING Additional desc Permit Fee . . . . 177.00 Plan Check Fee 11.06 Issue Date Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.QO 18.00 6.0000 EA PLB FIXTURE 108.00 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 . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00" Page 3 Application Number . . . . . 04-00004992 Date 6/18/04 Special'Notes and Comments SFD LOT 71 PLAN 6420B, 255 SF CASITA/BAY @MBR 23 SF & NOOK 23SF..PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. Other Fees . . . . ... . . . ART IN PUBLIC PLACES -RES 102.03 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES, 366.00 ENERGY REVIEW FEE 18.41 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 24.08 DIF'STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1539.53 ------------------------------ .00 .00 1539.53 Plan Check Total 208.48 00 .00 208.48 Other Fee Total 2549.52 .00 .00 2549.52 °Grand Total 4297.53 .00 .00 4297.53