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06-4218 (SFD)^; a -P.O. BOX 1504 �. VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 V BUILDING PERMIT Date: 12/07/06 Application Number: C=Z06'OOQ21�048: Owner: Property Address: 61546 TOPAZ DR SHEA LA QUINTA APN: 764-280-999-144.-300237- C/O JEFF MCQUEEN v Application description: DWELLING - SINGLE FAMILY DETACHED 8800. N GAINEY CENTER 350 Property2oning: MEDIUM HIGH DENSITY RES SCOTTSDALE, .,AZ 85258 Application Valuation: 149689 r ' . Contractor: Lr -u -Applicant: i rchitect or Engineer. SHEA HOMES, INC...--. D SMS ACGV\S 81260. AVENUE 62 - Z�`(o► LA QUINTA, CA 92253. 'DEC 15 2006 G� (760)777-6005 ,t 1 _ LiC . No.: 672285 CITU OF L, QUINTA FINANCE DEPT. ------------- 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 'cense lass:. 13 License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �� tS L ontractoe 4-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 workerscompensation 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 w0 ers' 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 sh Id me ubiect the wor4r 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 a o a fo with co ply with ose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ +1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: DatQ&gpplica - 1 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 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 safe.).+ - - APPLICANT ACKNOWLEDGEMENT 1 _ 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 i Each person upon whose behalf this application is made, each person at whose request and for pursuant -to the Contractors' State License Law.). ,1. - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1' 1 I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City f L 0 i itso icesff' r a ents and em Io ees fo r an actor omission related to the work bein • , 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: Y Lender's Address: - LQPERA11T - t r t o a unta, , g p y y g 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 th above info ati is correct. 1 ree to comply with all city and co my or mances and state laws relating to constru ion, a d hereby a orize presentatives ;a�te" .the above-mentioned ope 'nspeo on purp ses.ure (Applicant or A tl: j - Application Number 06-00004218 Permit BUILDING PERMIT Additional `desc- Permit Fee . . . 814.50 Plan, Check Fee 529.43 Issue Date Valuation 149689 Expiration Date 6/04/Q7 Qty Unit.Charge Per Extension BASE FEE 639.50 50.00' 3.5000 THOU BLDG, 100,001-500,000 .. 175.00 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 . . . . 83.40 Plan Check Fee : 20:85 Issue Date . . . . Valuation 0 Expiration Date 6/04•/07 • Qty. Unit Charge Per Extension. BASE FEE 15.00 16,36.00 :0350 ELEC NEW'RES - 1 OR 2 FAMILY 57.26 . 557.00 .0200 ELEC GARAGE OR'NON-RESIDENTIAL: 11.14 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 15.0000 EA: PLB BUILDING SEWER 15.00 - LQPERMIT' - - . ication Number . . . . 06-00004218 it PLUMBING Qty Unit Charge Per Expiration Date 6/04/07 Extension .00 7.5000 EA PLB WATER HEATER/VENT 7.50 .00' .'-3.0000 EA PLB WATER INST/ALT/REP- 3.00 .00 9.'0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 .00 n n .7500 7 r ^ ^ -EA - ' PLB - GAS PIPE >=5 -11 nRTTTI"f 3.75 1 c nn Issue,Date Valuation 0 Expiration Date 6/04/07 Qty Unit Charge Per Extension BASE FEE - 15.00" " • Special .Notes and Comments " SFD - LOT 144, Plan 4210C. ,1636 S.F. w/Casita (255sf),, MBR Box Bay (26sf) Ext Garage (83sf), & Ext Patio (177sf). Permit does not include block wall, pool or driveway approach. 2001 CBC,. CMC, CPC, 2004 CEC, 2005 ENERGY CODES -------------------_------- Other"Fees -------- . . . . ART IN PUBLIC PLACES -RES 20..00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00. ENERGY REVIEW FEE. 52.94 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 14.96 DIF STREET "MAINT FAC -RES -. -67.00._. - DIF TRANSPORTATION- RES 1930.00 Fee summary Charged Paid. Credited Due, Permit Fee Total 00 1149.15 .00 .00- Plan Plan Check Total 609.34 .00 :00 609.34 Other Fee Total 4562.90 .00 .00 4562:90. Grand Total 63-21.39 .00 .00 6321.39 LQPERAIIT ' -