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06-3771 (SFD)P.O. BOX 1504 78-495 CALL TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: - 06-00003771 1"1. - Property Address: 61547 TOPAZ DR APN: 764-280-999-18 _300237 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: . MEDIUM HIGH DENSITY RES Application valuation: 225179 Annlirant - - AfChltecOr E In� ' Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. 81260 -AVENUE -62 LA QUINTA, CA 92253 (760)77776005 Lic. No.:,672285 VOICE (760) 77777012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/23/06 LQPERMIT e , a ` 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 fallowing 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 License I s: B License No.: 672285 _- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: ntractor: - I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 001 R 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 anymanne 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 - subject tote workers' compensation provisions of SectionLicense nd agree that, if I o d becJ�oojwi0co 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 700 of the L or od I shly with thoseprovisions. + any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):: - ate. plicam:' (_ 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 I 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—) 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 . Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law:l. - whose benefit work is performed under or pursuant to any permit issued as a result of this application, _ 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 . of La Ouinta,.its officers, agents and employees for any act or omission related to the work being - - performed under or following issuance of this permit. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. T I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). — - - .- - - - - - - - - - - - - - - - 'Name: city and co' my o dinances and state laws relating to i in c struction, and h reby authorize representatives of thi F u ty,to nter upon t 'above-mentioned pr -for in�ecY�Pn purpos Lender's 1 Lender's Address: ate: ature (Applicant or Agent): - LQPERMIT e , a Application Number 06-00003771 Permit BUILDING_PERMIT Additional desc . Permit Fee... . .. 1080.50 Plan Check Fee. 175:58 -.Issue Date`... Valuation 225.179 - Expiration Date-.-." 4/21/07 - •• - Qty Unit Charge Per Extension BASE FEE 639.50. 126.00. -3.5000 .THOU BLDG 100,-001=500,000 441.00 Permit, MECHANICAL Additional desc . Permit Fee . . . . 74.50 Plan_Check Fee 4.66, _ Issue - Date, _ Valuation 0 Expiration Date 4'/21/07 Qty Unit Charge Per Extension BASE ,FEE 1.00 5 2.00— 9.0000 EA MECH FURNACE) <=100K 18.00 1.00 9.0000 EA MECH B/C.<=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN '" 26.00 1.00 ." 6.5000 EA- MECH EXHAUST HOOD 6.50 . Permit . . . ELEC-NEW RESIDENTIAL Additional-,desc . Permit Fee 117.85 Plan Check Fee 7.37 Issue Date . . . . Valuation . . 0 Expiration Date 4/21/07 Qty Unit Charge. Per- Extension BASE FEE 15.'00 2599.00, .0350 ELEC NEW RES_ - 1' OR 2 FAMILY 90._97 594.00 0200 ELEC GARAGE OR NON-RESIDENTIAL 11.88 . Permit PLUM13ING Additional desc . Permit Fee 160:50 Plan Check Fee 10.03 Issue Date Valuation 0 Expiration .Date 4/21/07 Qty Unit Charge Per Extension BASE FEE 15.00... - .15.00 6.0000 -EA 'PLB FIXTURE 90.00.- 1-00 15.0000 EA PLB BUILDING SEWER 15..00.. LQPERMIT - - - - Application Number 06-00003771 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 i 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER ------------------------------•---------------------------------------------- 15.00 Permit . . GRADING PERMIT . Additional desc . Permit Fee . . 15.00 Plan Check Fee'... .00 l Issue Date . . . . Valuation . . . . 0 _w. Expiration Date . _4/21/07 - Qty Unit Charge Per Extension BASE FEE 15.00. ---------------------------------------- Special Notes and Comments -------------- SFD - LOT 18, PLAN 5500A, 2599 SF. (149 SF. EXERCISE ROOM, .63 SF,BAY, 83 SF. - 'GARAGE EXTENSION). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR, DRIVEWAY APPROACH -75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE. ISSUANCE OF SAME PLAN TYPE 2001 CBC, 'CMC, CPC, 2004 CEC, 2005 ENERGY CODES --------=-------------------------------------------------------------------- Other Fees . . .. .`. . . . ART IN PUBLIC PLACES -RES, 62.94, DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 17.56 .._ _ 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 22.51 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 ' Fee summary Charged Paid Credited Due --------- ---------- ---------- ---------- Permit Fee Total 1448.35 .00 .00 .1448.35 Plan Check Total 197.64 .00 .00 197,.64 Other Fee Total 4578.01 .00 .00 .4578.01 LQPERM[T .