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10-1163 (SFD)_%_ . I.,; P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00001163 7 Owner: Property Address: 61190 TALEA DR SHEA LA QUINTA APN: 764-280-004=35 -35996 - 60800 TRILOGY PARKWAY Application description: DWELLING.- SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property. Zoning: t LOW DENSITY RESIDENTIAL Application valuation: 225245 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/03/10 Contractor: . Applicant: Architect or Engineer: SHEA HOMES, INC. -�-_ 60800 TRILOGY PARKWAY i l LA QUINTA, CA 92253 i (760)777-6032 D 1 Lic. , No..: 672285 uwTA ---------------------------------------------.---------------- - - - - -- ---1:1TYYA_`1-A0r- + LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSA ION DEC LA age . I hereby affirm under 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 de ns: Sectio�A�ontra'ctor: f the.Business and Professionals 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 LicensLicense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit.is' issued. Date: - 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 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 for the Carrier LIBERTY MUTUAL Policy Number WA266DO66115030 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ 1 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 to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Code, I shall forthwith 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 acivil penalty of not more than five hundred dollars ($500).: Date: pplicant: (_) 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: FA URE 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 1$100,0001. 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 (Sec. 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. , BAP.C. for this reason 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 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 . 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 all city and co nt ordinances and state laws relating to building construction, and hereby authorize representatives of qliscou ty o enter upon pe above-mentione roperty for inspection purposes. Ignature (Applicant or. Age Application. Number . . 10-00001163 .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,.... PermitFee111.50 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 PermitPLUMBING _ al Additiondesc . 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 . . . . . 10-00001163 Permit . . . . . . PLUMBING Qty Unit Charge Per .- 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 Permit" . . . GRADING PERMIT ' Additional desc .. Permit Fee 15.00 Plan Check Fee ..00 Issue Date Valuation 0 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE .15.00 Special Notes and Comments. '.SFD - LOT 35, PLAN 5500B, 2599 SF. INCLUDES 149 SF. EXERCISE ROOM. 63SF. BOX BAY Q MBR & 83 SF., GARAGE EXTENSION. PERMIT'DOES NOT INCLUDE POOL, SPA, BLOCK.. WALLS OR DRIVEWAY APPROACH.75o 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 22.82 DIF STREET MAINT FAC -RES 67.0.0 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 Certificate of Occupancy T4&t 4 4 4" Building & Safety Department This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. Use classification: SINGLE FAMILY DWELLING Occupancy Group: R3 Type of Construction: VN Code Edition: 2010 CBC Sprinkler Installed: NO Building Permit No.: 10-1163 Land Use Zone: RMH Owner of Building: SHEA LA QUINTA Address: 60800 TRILOGY PARKWAY City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: JULY 20, 2011