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06-2772 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00002772 61355 TOPAZ DR 764-280-999-10 -300237- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 187396 Tih t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rchitect or Engineer: LCE 2J_0 q 0 Contractor:. SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760')777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 i Date: 7/24/06 AUG 0 4 2006 CITY OF LA ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION one year o comten WORKER'S COMPENSATION DECLARATION 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 declarations: Section 000) Division 3 of the Busin s and Professi'nals 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 lass: i nse No.: 6722 B 5 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date ontractor: 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 AMERICAN HOME Policy Number 1247619 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, i sho becom subject to workers' compensation provisions of Section 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 3� 0 the L o d , I s fo with cogyy with chase provisions. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.: ate: lic . (_) 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: FAIL RE 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 (5100,000). 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 f I n theowner-builder will have theb rdf r 'n that h r she did not build or SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. p a io ow u e o pg a e o improve for the purpose of sale.). 1 _ 1 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.). (_ 1 I am exempt under Sec. , BAP.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: pir LQPER11T 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 actoromission 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 ove ' fo anon is coir t. I agree to comply with all city nd ounty ordinances and state laws relati g [o b 'n co truct n, and her `authorize representatives oft u/n�ty{bt V�4hature pont above•mention d prop y in coon pseate: 1 (Applicant or Age Application Number . . . 06-00002772 LQPERMIT 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 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2174.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 926.50 Plan Check Fee 602.23 Issue Datc Valuation . . . . 181091 Expiration Date 1/20/07 Qty Unit Charge Per Extension BASE FEE 639.50 .82.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 287.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee 21.63 Issue Date . . Valuation . . . . 0 Expiration Date 1/20/07 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/100.K BTU 18.00 .00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU .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 . . . . 100.65 Plan Check Fee 3.77 . Issue Date Valuation . . . . 0 Expiration Date 1/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT (i a Application Number. 06-00002772 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty . Unit Charge Per Extension 2174.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 76.09 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 9.56 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 138.00 Plan Check Fee 34.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 12.00. 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDI:'S SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 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 . Expiration Date 1/20/07 Qty Unit Charge Per Extension. BASE FEE 15.00 -----'----------------------------------------------------------------------- - Special Notes and Comments 'SFD LOT 10 PLAN 5515A, 2174 SF, INCLUDES 26 SF BOX BAY @ MBR & 26 SF BOX BAY @ NOOK. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES 7 ---------------------------------------------------------------------- Other-Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 60.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 LQPERMIT LQPERAIIT Application Number . . . . . 06-00002772 ---------------------------------------------------------------------------- Other Fees . . . . .. . . . DIF PARKS/REC - RES 89.2.00 STRONG MOTION (SMI) - RES - 18.73 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00. Fee summary ----------------- Charged Paid Credited ------ ---- ---------- Due Permit Fee•Total •---------- 1257.15 ---------- .00 00 1257.15 Plan Check Total 662.13 .00 .00 662.13 Other Fee Total 3774.95 .00 .00 3774.95 Grand Total -: 5694.23 .00 .00 5694.23