Loading...
10-1144 (SFD)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT - Date: 11'/01/101 Application Number: 10700001144_ Owner: - Property Address: 61080 TALEA DR - SHEA LA QUINTA APN: 764-280-004-3 -35996 - 60800 TRILOGY PARKWAY Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 159946 Contractor: Q Applicant: Architect or Engineer- SHEA HOMES, INC. D 60800 TRILOGY PARKW �� n �0�4 LA QUINTA, CA 92253 �i \1 (760)777-6032 ' - Lic. No.: 672285 CfiYOf �U1NTP. 'FINe�+�..Ea ---------------------- -----------'---- -------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION . ' hereby a rm u der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: - Section 70 0) o Division 3 of the Busi nd Professional Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lic la s:� L'i ens, No.: 672285 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. at ontractor. 1.1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law fortheCarrier LIBERTY MUTUAL Policy Number WA266DO66115030 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to • _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject t the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I hall forthwit omply with those provisions. • 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).: pplicant: - 1 _ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within- SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - - - _ 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.). - - APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. _ property who builds or improves thereon, and who contracts for -the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.)• whose benefit work is performed under or pursuant to any permit issued as a result of this application,'. (_) I am exempt under -Sec. , B.&P.C. for this reason 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. Date: Owner: r 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 CONSTRUCTION LENDING AGENCY _ permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certifythat I ave read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and coun ordi nces and state laws relating to building construction, and hereby authorize representatives of th' c nt to ant r upo the above-mentioned property for inspection purposes. L'ender's Name: ' _ • ate gnature (Applicant or Agent): Lender's Address: LQPERA1IT �� Application Number 10-00001144 Permit BUILDING PERMIT Additional desc Permit.Fee . . . 849.50' Plan Check Fee 552.18 Issue. Date Valuation 159946 Expiration Date 4/30/11 Qty Unit Charge Per Extension BASE FEE 639.50 60.00. 3.5000 THOU, BLDG 100,001-500,000 210.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 79.50 Plan Check Fee .. 19..88' Issue Date Valuation 0 Expiration Date.. 4/30/11 Qty Unit Charge Per Extension BASE FEE. 15.00 1.00 9.0000 EA MECH FURNACE.<=100K 9.00 1.00 16.5000 EA MECH.B/C >3-15HP/>10"OK-500KBTU 16.50. 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 . . . . 89.84 Plan Check Fee ,. 22.46 Issue Date . . . . Valuation . . 0 Expiration Date .. 4/30/11 ` Qty 'Unit Charge Per Extension BASE FEE i5.00 17.73.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.06 639.00 .0200. ELEC GARAGE OR NON=RESIDENTIAL 12.78 Permit . . -.. . . PLUMBING Additional desc . Permit Fee . . . . 123.75 Plan Check Fee . 30.94 ' Issue Date . . . Valuation . . . . 0 Expiration Date 4/30/11 Qty Unit Charge Per Extension ' BASE FEE 15..00 . 9.00 .6.0000 'EA PLB FIXTURE 54.00 1.00 15.0000 EA. PLB BUILDING SEWER 15.00 LQPERMIT - . - LQPERMIT Application Number 10-00001144 Permit . . . . PLUMBING Qty Unit Charge. Per Extension 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 7.00 .7500 EA PLB GAS PIPE >=5 5.25 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 Expiration Date.. 4/30/11 Qty Unit Charge Per Extension BASE. FEE 15'.00 'Special Notes and . Comments SFD LOT 3, PLAN 4515B, 1773 SF. INCLUDES 24 -SF. BAY @ NOOK .& '103 -SF : GARAGE EXTENSION. PERMIT.DOES,NOT INCLUDE POOL, SPA; BLOCK WALLS -OR DRIVEWAY APPROACH.. 2007/,2008 CODES. 2,010 PLAN -UPDATE. ------------------------------------•---------------- other Fees . . . .. BLDG STDS ADMIN (SB1473), 7:00 DIF COMMUNITY CENTERS -RES 74.00" DIF CIVIC CENTER- RES .995.00 ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 140:00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 MULTI -SPECIES (MSHCP) FEE 1284.00' DIF PARK MAINT FAC - RES .22.00 DIF PARKS/REC - RES 892.00.. STRONG MOTION (SMI) - RES 15.99 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION-- RES 1930.GO" _ „ Fee summary Charged Paid'- Credited Due Permit Fee Total 1157.59 .` .00 .00 1157.59. Plan Check Total 625.46 .00 00 625:46 Other -Fee Total 5837.21 .00 .00 5837.21 Grand Total 7.620.26 .00 ..00 7620..26