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06-4217 (SFD)4 P.O. BOX' 1504. 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - Application Number: r06-00004217 Owner: Property. Address: 61524 TOPAZ DR SHEA LA QUINTA APN: 764-280-999-145 -300237- C/O JEFF'MCQUEEN Application description: DWELLING'- SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES A SCOTTSDALE, AZ 852.58 Application valuation: 148062 Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC. SA. c6lrv81260 AVENUE 62 - ��C�,� l LA QUINTA, CA 92253 L� (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/06/06 - LICENSED CONTRACTOR'S DECLARATION 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 7000) of Division 3 of 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 t Lice se I ss: License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - CC 1}►[- p� I - _ ate �IJ�.I issued. have and will maintain workers' compensation insurance, as required by Section 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 pensation 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 s ecome subj to the worksationprovisions of Section Agkers' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the La o e, hallfo with mply withsions. 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).: Date: pelican • < (_) 1, 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, BusinessandProfessions Code: The WARNING: FAILURE 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 ($100,000). 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 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 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Applicationis 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 contractors) 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, ' 1 ) 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 Date: Owner: - CONSTRUCTION LENDING AGENCY . 's 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 I o La uinta, its officers, agents and employees for any act or omission re ate d 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 t above information is correct. - 1 age to comply with all city and co my rdinances and state laws relating t511 Sr and and eby auth representatives of th y o e r upon the above-mentioned r echo, purposes. Ke: ignature (Applicant or Agen '•f Application Number . . . . . 06-.00004217 Permit BUILDING PERMIT - Additional desc . Permit Fee . . . . .811.00 Plan Check Fee . 527.15 Issue Date Valuation- 148062 Expiration Date 6/04/07 Qty. Unit Charge Per. Extension . BASE FEE 639.50 49.00 3.5000 THOU BLDG 100•;001-500,000 171.150 -Permit - MECHANICAL Additional desc . Permit Fee 90.00 Plan Check Fee 22.50 Issue Date Valuation . . . . 0 Expiration Date 6/04/07 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 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . .ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . 81.74 -Plan Check Fee 20.44_ Issue Date Valuation . . . . 0 Expiration Date 6/04/07 Qty Unit Charge .Per Extension BASE FEE. 15.00 1636.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 474.00 ----------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.4.8 . •Permit . PLUMBING Additional desc . Permit Fee 146.25 Plan Check Fee 36.56 Issue Date Valuation 0 Expiration Date 6/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 .13.00• .6.0000 EA PLB.FIXTURE 78.00 1.00 15.00.00 EA PLB BUILDING SEWER 15:00 - LQPERMTT LQPERMIT Application Number . . . . . 06-00004217 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 5.00 .7500 EA PLB GAS PIPE >=5. 3.75 1.00 15.0'000 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`.. 6/04/07 Qty Unit Charge Fir Extensic:i BASE FEE .. 15:00 ---------------------------------------------------------------------------- Special Notes and.Comments SFD - Lot 145, Plan 4210A.w/Casita (255sf.), Box bay (26sf) & Patio Ext. (177sf). PERMIT DOES NOT -INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC., CMC, CPC, 2004 CEC, 2005 ENERGY CODES --------------------------------------------------------------------------- Other Fees. . . . . . . ART IN PUBLIC PLACES -RES 20.00 i.. DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 52.72 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 STRONG MOTION (SMI) - RES 14.80 DIF STREET- MAINT FAC -RES 67.00 -= - DIF TRANSPORTATION - RES 1930.00 . Fee summary Charged Paid. Credited Due Permit Fee Total 1143:99. .00- 00 1143.99. Plan Check Total 606.65 .00 .00 606•.65 Other Fee Total 4562.52. .00 .00 4562.52 Grand Total 6313.16 Ob .00 6313.16 LQPERMIT