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06-3774 (SFD)P.O 'BOX -1.504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT ` - BUILDING PERMIT Application Number: x•-"06=00003774 Property Address:. - 61571' TOPAZ DR APN: 764 -280 -999 -19 -300237 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant: rchiteci or Engineer: --------------------------------=----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with - Section 7000)of Division 3 of the Bel"and Professionals Code, and my License is in full force and effect. Licen lass: License No.: 672285 -, ate: p ntractor:' 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 ($500).: (_ 1 I ;as owner of the property, or my employees with wages as their sole compensation, will do the work, and 011 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, - - -F 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 . 1 1, 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 • 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: LQPERhI1T VOICE (760) 777-7012 FAX (760) 777-7011. INSPECTIONS (760) 777-7153 Owner: SHEA LA QUINTA. C/O JEFF MCQUE 8800 N GAINEY C TE SCOTTSDALE, AZ 85 8,t.����C!- O`0o!J � Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 -� (,7,60) '777-6005 Lic. No.: 672285 Date: 10/23/06 FIN ----------------------------------------------- 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 performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subj t to the workers' compensation laws of California, and agree that, if I sh ecome ubject to a orkers' compensation provisions of Section 3 00. f the L bor de, shall fo w h comp ith those provisions. ate: licant: ` 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 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 omissionrelatedto 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 a above information is correct. I agree to comply with all . city and co my ordinances and state laws relating t ui !ng cofactl on, an ereby authorize representatives of thi co to ter upon the hue -mentioned p o ,')for inpur �. D Sig re (Applicant or Agent): - y , Application Number 06-00003774- { 'Structure .Information- ""' Construction Type �. TYPE V - NON RATED. w ' * .7.0ccupancy.Type '-DWELLG/LODGING/CONG <=10 ' -Flood Zone '. NON-AO FLOOD ZONE- Other struct info ,. . . . CODE EDITION 2001 CBC` ' ' FIRE. SPRINKLERS •' NO r ;GARAGE SQ.-FTG' 576.00 PATIO .SQ FTG., } �• 0 177. 00- NUMBER NUMBER OF.UNITS 1.00 ]� 1ST FLOOR SQUARE FOOTAGE -------•---------------------------- ------------------- -k - - • - - - - 1943.00 - - � s - — — — — — —— c - s • .. Permit,, BUILDING PERMIT' - . _ Additional-desc _ Permit Fee • .. + 888.00 Plan Check Fee 577.20 ' Issue Date' -. Valuation' . . . 170639' _ Expiration Date 4/21/,07 Qty Unit Charge Per. -,Extension �. BASE FEE 639.50 < 71.00 3:5000 THOU BLDG 100,001-500,000 248.50 ------------------------------------------------------------ I---- ------ - -; - -- Permit. MECHANICAL _. Additional desc " Permit Fee .: 70.50 Plan Check Fee,.. .. 17, 63 ' Issue Date . . . . Valuation -0 �. Expiration. Date-. 4/21/07 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•, ' 2:00 6.5000 EA `r MECH VENT FAN 13.00 1.00 6.5000 EA- 'MECH EXHAUST HOOD t• -------------- ----------ELECyNEW 6.50 -" - - - RESIDENTIAL, --- Permit .•.. r' Additional desc�. - Permit Fee . . . • 94.53 Plan Check Fee 23,.63 _ Issue Late .:' Valuation . . . 0 • - Expiration„Date' 4/21/07. " r ' Qty Unit Charge ~Per -Extension , ..: BASE 'FEE 15..00 ° 1943.00. .0350 ELEC NEW RES - 1 OR ,2 FAMILY 68.0l� ' 576_.00 :0200' ELEC GARAGE OR 11.52 - ,';-:-- ,NON-RESIDENTIAL - LQPERA11T Application Number . . 06-00003774 Permit .".. . . . . PLUMBING - _- Additional desc . Permit Fee 152.25 Plan Check Fee. 35.81 Issue Date . . . . Valuation 0 Expiration Date. 4/21/07;. Qty. Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 1.00 9.0000 EA PLB LAWN. SPRINKLER SYSTEM 9.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00. 15.0000 EA PLB GAS METER 15.00 Permit .. . . GRADING PERMIT Additional desc . Permit Fee15.00 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 19, PLAN 4520C, 1943 SF/ 255 SF CASITA,BOX BAY Q MBR -26 SF 4- GARAGE EXT -'88 SF;PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004.CEC, 2005.ENERGY CODES Other Fees ------------------------------------------ ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY :CENTERS. -RES 74.00_ DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 57.72 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 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES. 1930._00 LQPERAIIT Application.Number 06-00003774 Fee summary, Charged' _Paid . Credited Due-:_ Permit Fee'Tdtal. 1220.28. 00, ---- 1220'.28 Plan Check Total 654..27 .00 .00 654.27 Other Fee.Total 4549.7.8 00 .00 4549.78 Grand- Total � . 6424.'33 00 . 00 6424.33; LQPERMIT