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06-4172 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 t f' L 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06-00004172 Property Address: 61458 TOPAZ DR APN: .764 -280 -999 -148, -300237 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES' Application valuation: 210828 Applicant: A�ect or E ineer: Lc- ®t LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License C ss: B i - GG LicenseNo.: 672285 Dat ntractor:tt, 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 (5500).: (_) 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, 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.). (_ 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 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: LQPERAITT Owner: SHEA LA QUINTA C/O JEFF MCQUEE 8800 N GAINEY C SCOTTSDALE, AZ 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 Date: 12/04/06 WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of perjury one of the following declarations: 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 AMERICAN HOME Policy Number 1247619 I certify that, in the p r rmance of the ork for which t1' ermit is issued, I shall not employ any person in any man to be a bject to th a kers' compensation laws of California, and agree that sh u b gme11yLPu je to the work r compensation provisions of Section of the abor C de, I II foghwith omply wi rovisions. WARNING: FAILURE TO SINA R_E 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. ' 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 issuandofsupermit, or cessatio f work for 180days will subject permit to. cancellation. I certify that have ad this application and state'ove i format n is cor ect. I agree comply with all city and cou ty ord antes and state laws relatingco ructio and her by authoriz epresentatives oft o e upo he above-mentionedr ins ction rposes.�2t Date: ig lure (Applicant or Agent Application Number . . . . . 06-00004172 LQPEn11T Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=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 2464.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 1028.00 Plan Check Fee.. 668.20 Issue Date . . . . Valuation 210828 Expiration Date 6/02/07 Qty Unit Charge Per Extension BASE FEE 639.50 111.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 388.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 110.80 Plan Check Fee 27.70 Issue Date . . . . Valuation .. . . . 0 -Expiration Date 6/02/07 Qty Unit Charge Per Extension BASE FEE 15.00 2464.00 03'50 ELEC NEW RES - 1 OR 2 FAMILY 86.24 478.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit . . . PLUMBING Additional desc . Permit Fee •165.00 Plan Check Fee 41.25 Issue Date . . . . Valuation 0 Expiration Date 6/02/07 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000•EA PLB FIXTURE 96.00 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 LQPEn11T Application Number 06-00004172 Permit . . . PLUMBING' Qty Unit Charge Per Extension 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 6/02/07 Qty Unit Charge Per - Extension BASE FEE ---------------------------------------------------------------------------- . 15.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . Valuation . . . . 0 Expiration Date 6/02/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 148, PLAN 5515C, 2464 SF INCLUDES 290 SF GUEST SUITE, BOX BAY Q MBR -26 SF & NOOK -26 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVE WAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES. ---------- -------------------------------------------------- Other Fees . . . . . ART IN PUBLIC PLACES -RES 27.07 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 66.82 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 I,QPERD4IT Application Number 06-00004172' ---------------------------------------------------------------------------- Other Fees . . . . ... . . STRONG MOTION (SMI) - RES 21.08 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited, =--------- Due ----------------- Permit Fee Total ---------- 1395.80 -------------------- .00 .00 1395.80 Plan Check Total 756.40 .00 .00 756.40 Other Fee Total 4589.97 .00 .00. 4589.97 Grand Total 6742.17 .00 .00 6742.17 LQVER\11T