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07-1061 (SFD)1 P.O., BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 1 - uu�trw . BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: CO7-00001066~1V' Property Address: 61582--TORO'CANYON WY APN: 764-280-999 90 300237-. Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 203016 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN, 8800 N GAINEY CENTER 350' SCOTTSDALE, AZ 85258 fp EJ Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC., 28�� ' Cs�nS SPR 2 6 . 81260 AVENUE 62 "LA QUINTA; CA 92253 CI (760)777-6005 7Y QFI-AQUlf1� { .. liic. No.: 672285 FIAIgNCEDEpTi'q . 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 1 hereby affirm under penalty of perjury one of the following. declarations: Section 7 00) 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 Lice I ss: B License No.: 672285• for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. y Date: o tractor: I have and willmaintainworkers' 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 . " OWNER -BUILDER DECLARATION - - - insurance carrier and policy number are: 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 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 - and agree that, if I'should become subject tot e.workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labo shall f rt 'it c0- y with those provisions. _ that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by pct (/y��Jd�y,f�,� any applicant for a permit subjects the applicant to a civil penalty of,not more than five hundred dollars ($500).: - Date: v ` scant:` o,/ ' 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: F URE 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, DAMAGESASPROVIDED FOR IN r 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 - (_ 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 theprojectswith 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.).• whose benefit work is performed under or pursuant to any permit issued as a result of this application, I_) 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 - - of La Quinta, its officers, agents and employees for any actor omission related to the work being performed under or followingissuance 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. ♦ - - " _ I hereby affirm under penalty of perjury that there is a construction.lending agency for the performance of the I certify that I ave 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.I. city a my ordinances and state laws relating t - uilding construction, and eby-authorize representatives t ' unty to enter upon the above-mention01r in esti pur \ Lender's Name: at Sign re (Applicantor Ag Lender's Address: LQPERMIT - VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/05/07. T -7 - Application Number . . . . . 07-00001061 Permit . . . BUILDING PERMIT Additional desc.. Permit Fee . . . . 1003156 Plan Check Fee 652..28 Issue Date Valuation 203016 Expiration Date 10/02/07 Qty Unit Charge Per Extension BASE FEE .639.50 104.0'0 3.5000 THOU BLDG 100,001-500,000 -364.00 Permit MECHANICAL Additional desc Permit Fee 83.50 Plan Check Fee 20.88 Issue Date . . Valuation 0 i Expiration Date 10/02/07 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 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 107.76 Plan Check Fee 26.94 Issue:Date Valuation 0 Expiration Date 10/02/07 Qty Unit Charge Per Extension BASE FEE 15.00 2341.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 81.94 541.00 .0200 ELEC GARAGE bR NON-RESIDENTIAL 10.82 - - Permit PLUMBING Additional desc . Permit�Fee 171.00 Plan Check.Fee ... 42.75 Issue Date Valuation 0, _ Expiration Date 10•/02/07 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA. PLB FIXTURE 102.00 r 1.00, 15.0000 EA PLB BUILDING SEWER 15.00` LQPERMIT - - Application Number 07-00001061 1 Permit . . . . PLUMBING, _ _ _ - Qty Unit,Charge .Per _ -Ext —.Extension e - r 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 6.00 :7500 EA PLB GAS 'PIPE >:=5•- 4.50 1.00- 15.0000 EA PLB GAS METER '-------------------------- ---------- --------------- 15..00 - - ------ ^ Permit GRADING PERMIT T" ` Additional desc ., " Permit Fee 15.00 Plan Check Fee .. .00 Issue Date . . . Valuation 0 - Expiration Date 10/02/07 v " Qty -Unit Charge Per-- �' Extension ' BASE FEE :15.00 Special Notes and Comments- -- - - - -.- - - - -- ------'---------------- ---- _ - -- SFD -.,Lot 90:Plan 5320B, 2341 S.F. • w/Casita .(255sf), MBR Box.(26sf), Nook ` Box(26sf) & .Ext. Garage (83sf) . Permit ' •. does not include'block wall, pool or - driveway approach. _ 2001 CBC;'CMC, CPC, 2004-CEC, 21005.- 005 ENERGY ENERGY CODES • Other.Fees . . . . ART IN PUBLIC PLACES -RES 20.00 • DIF COMMUNITY CENTERS -RES 74.00 r ` DIF CIVIC CENTER- RES 995.00 _ ENERGY REVIEW FEE. -65.-23 " DIF.FIRE PROTECTION -RES 140.••00 DIF LIBRARIES - RES 355.00 a"' DIF PARK MAINT FAC - RES ; .22.00 DIF PARKS/REC - RES 892.00 • STRONG MOTION (SMI) - RES 20.30 DIF STREET MAINT FAC -RES 67.00 DIF -TRANSPORTATION - RES -1930`.00 - 4 Y Fee -summary Charged; Paid' Credited Due --------------------------------------------------------- ' Permit Fee•Total 13.80.76 00 00 1380.76 Plan Check Total 742.85 .00 .00 742.85 ' Other Fee'Total. 4580.53,- .00 .00 4580.53 " s Grand Total6704.14 •.00 .00 6704.14 LQPER UT -