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06-3773 (SFD)P.O. BOX 1504 . 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA. 92253 Application Number: 06`=00003773 ' Property'Address: 61523 TOPAZ DR APN: 764-280-999-17 -300237.- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM, HIGH DENSITY RES Application valuation: 166943 A—li—t- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED "8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION , I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License C ss: B License No.: 672285 . Bate: V C�� : tractor. . / C 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 ($5001.: (_ 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, 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.). - (_) 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 1 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 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: 1.0/23/06 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I 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. XI 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 performance of the work for which -this permit is issued, I shall not employ any person in any man o as to become subject to the workers' compensation laws of California, and agree that, if sho be a ubject to workers' compensation provisions of Section 700 of the Lab r Cod , I shal fo with co I with those provisions. v Date: 'cant: r WARNING: FAILURE TO SECURE 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 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 Quinti, 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 thisapplicationand state that t abo a information is correct. I agree to comply with all city and c unty or finances and state laws relating to buil c nstruct n, d hereby a orize representatives of this ca ty�to/Xe ter Spon the above-mentioned pro rt f i spectio ,purp as. .Patb I V' re (Applicant or Agent) LQPERMIT Application Number " f . . . . 06-000.03773 ." 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 539.00 PATIO SQ FTG 537.00. NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1847.00 Permit BUILDING PERMIT Additional desc -" Permit Fee 856.50 Plan Check Fee .' 556.73 Issue Date . . . . Valuation 1615£7 Expiration Date ., 4/21/07 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 THOU BLDG 100,001-500,000 217.00 Permit . . . MECHANICAL Additional desc . Permit Fee 86.50 Plan Check Fee 21.63' Issue Date . . . Valuation . . . . 0 Expiration Date 4/2.1/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00' 11.0000 EA 'MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3715HP/>100K-500KBTU 16.50 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 . . 81.19 Plan Check Fee 3.76 Issue Date Valuation 0 Expiration Date 4/21/07 Qty Unit Charge Per Extension BASE=FEE 15.00 LQPERMIT . iQPERMIT Appli'cat on -Number 06-00003773 Permit : . ELEC-NEW RESIDENTIAL - ' Qty Unit Char e Per Extension . a FAMILY1847.00.0300: ELEC NEW RES MULTI' 55.41 . 539.00,. .0200 ELEC GARAGE.OR NON-RESIDENTIAL.. 10.78 Permit, PLUMBING _ ,. ,Additional-desc.. .. Permit Fee 120.00 Plan :Check.:Fee, __116.50 Issue Date Valuation 0 Expiration,•Date ,4/21/07, Qty ;,Unit Charge Per 'Extension'. BASE. FEE =S 15 00 ,. 10:00 6.0000 EA PLB FIXTURE 60.00 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 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 4/21/07 Qty Unit Charge Per,_ 'Extension ' BASE FEE 15.00 ... -- ------------------------- 'Special,Notes And Comments SFD -.LOT 17,PLAN.5505C,1847 sf _, o 26 .SF BOX .BAY @ MBR, 83 SF. GAR. EXT.,315 SF.PATIO EXT. PERMIT DOES -.NOT INCLUDE BLOCK.WALL, POOL., -:SPA OR -DRIVEWAY-APPROACH-. 2001 , :-. -` - - CBC, C_MC, CPC; 2004 CEC,- 2005 -ENERGY CODES -- - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -- - - Other Fees . . . . ART IN PUBLIC PLACES, -RES . - - - - - - ------ .00 DIF COMMUNITY CENTERS --RES- 74.0,0• DIF CIVIC CENTER-- RES 995.:00 ENERGY REVIEW FEE 55.67 DIF FIRE PROTECTION -RES. 140.00 - GRADING PLAN CHECK FEE .00 - - DIF -LIBRARIES -RES - 355,00 - - . iQPERMIT Application Number 06-00003773 --------------------------------------- .. Other Fees . . .. . .' . _.. _. DIF PARK MAINT EAC - RES----- ---- 22 00- DIF-PARKS/REC - RES 892.00 STRONG MOTION (SMI)"- RES 16.15 DIF STREET MAINT FAC -RES 67.00 DIF,TRANSPORTATION - RES 1930.00 Fee summary I- Charged Paid Credited Due. -- Permit.Fee Total - - - - - - - -- 1159.19 ---- - - - - ------ - - - - ---- .00 .00 --- - - - - -. 1159.19 Plan Check Total 598.62 .00 .00. 598.62 Other.Fee Total... 4546.82 .00 .00 4546.82 Grand Total r 6304.63 .00 .00 6304.63 " LQPERDIIT