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10-1164 (SFD)f P.O. BOX. 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10 -00001164 - Property Address: 61170 TALEA DR APN: 764-280-004-36. -35996 - 'Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: ' LOW DENSITY RESIDENTIAL -- 'Application valuation: 225245 Applicant: Architect or Engineer: _,ala LICENSED CONTRACTOR'S, DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with . Section 7000) f D ision 3 of the Busines nd Profession Is Code, and my License is in full force and effect. Licelass: n Li nse No.: 672285 Date: tractor:. ' OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:. (_ 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 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 through his or her own employees, providedthatthe _ improvementsarenot 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.). , (_) 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.). (_) I am exempt under Sec. ,,B.&P.C. for this reason - Date: Owner: 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: LQPERMIT Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY R LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 672285 WORKER'S COMPENSATION I hereby affirm under penalty of perjury one of the following declarati_. _- .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. ' I 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 insurance carrier and policy number are: - - Carrier LIBERTY MUTUAL Policy Number WA-266DO66115030 I certify that, in the performance of the work for which 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 that, if 1 should become subject to the workers' compensation provisions of Section /�,�/.�`yI ��phlicant: e Labor Code sh II forthwith comply with those provisions. Date- WARNING: FAILURE TO SECURE WOR ' 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. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 11/03/10 • 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 work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. - - — I certify that I have read this application and state that the above information is correct. I agree to comply with ail 141' dinances and state laws relating to building construction, and hereby authorize representatives ter upon the above-mentioned property forinspection purposes. �ure (Applicant or Agent): 7� Application Number 10-00001164 Permit . . . BUILDING PERMIT Additional_ desc.. = Permit Fee 1080.50 Plan Check Fee 175.58 Issue Date . . . . Valuation 225245 Expiration.Date 5/02/11 Qty _Unit Charge Per Extension " BASE FEE 639.50 126.00 3.5000 THOU BLDG 100,001-500,000 441.00 Permit MECHANICAL, Additional desc . Permit; Fee . . . . 111.50 Plan Check Fee 6.97. Issue Date Valuation 0 Expiration Date 5/02/11 - Qty Unit Charge Per Extension" BASE FEE 15.00 . 2.00 9".0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW,RESIDENTIAL Additional desc . Permit Fee 117.85" Plan Check Fee .7.36 Issue Date Valuation 0 Expiration Date 5/02/11 Qty Unit Charge" Per Extension " BASE FEE 15.00 2599.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.97 594.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.88 _Permit" :-: - . PLUMBING _ Additi"onal desc . Permit Fee 160.50 Plan Check Fee 10.03 Issue Date . . Valuation 0` Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 15-.00 15.00 6.0000 EA PLB"FIXTURE 90.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT - Application Number . . 10-00001164 " : BASE FEE Permit -----Special Notes and Comments PLUMBING SFD - LOT 36, PLAN 5500A, 2599 SF.. Qty, Unit .Charge Per BOX BAY @ MBR & 83 SF.:GARAGE EXTENSION. Extension 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 8.00• .7500 EA PLB GAS PIPE >=5 6.00 1:00 15.0000 EA PLB GAS METER 15.00 Expiration Date.. .5/02/11.' Qty. Unit Charge Per Extension. " : BASE FEE 15.00 -----Special Notes and Comments SFD - LOT 36, PLAN 5500A, 2599 SF.. INCLUDES 149 SF: EXERCISE ROOM. 63 SF. BOX BAY @ MBR & 83 SF.:GARAGE EXTENSION. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR. DRIVEWAY APPROACH. 75% .REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME -PLAN TYPE ' 2007/2008 CODES. 2010 PLAN UPDATE. ---------------- - ---------- -- Other Fees . . . . .. ART IN PUBLIC.PLACES-RES 63.11 BLDG STDS ADMIN (SB1473) 10.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER -" RES 995.00 ENERGY REVIEW FEE 17.56 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. 22_.812 DIF STREET MAINT FAC -RES" 67.00 DIF TRANSPORTATION - RES 1930.00 Fee.summary -Charged Paid Credited -- ----- Due - --------- - -- - - Permit Fee Total 1485.35 .00 .00 1485.35 Plan Check Total 199.94 00 .00 199.94 LQPERMIT - - - -