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07-0891 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,.CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number y07-00000891 Property Address: 61633 TORO CANYON WY APN: 764-280=999-122 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED . Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant: rohi`ect or Engineer: G Owner: SHEA LA-QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 3SO SCOTTSDALE, AZ.85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: SHEA HOMES, I c APR 12`2�U7 81260 AVENUE 2 LA QUINTA, C1 9 (760)'777-600 CITY OF LAQUINTA Lic.' No.: 672 FINANCE EDHP7 Date: 3/26/07 -------------------------7----------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 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: Secti n 7000 of Division 3 of the es 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 Lic n lass: B 1 icense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is at Comracto 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. • 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 pe rmance of the work for which his 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 mann o as to be o subject to the orkers' 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 ecom subj t to the wor rs' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or of the La r C , I II fo hwit omply se rovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �00_ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te: plican - (_) 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,.Business and Professions Code: The WARNING: FAILURE TO SECUR ORKERS' 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 herselfthrough 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.). (_ 1 I, 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.). ( 1 I am exempt under Sec. , BAP.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: kyl LQPERMIT 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 omission related to the work being performed under or following issuance f this permit. + 2. Any permit issued as a result of this ap 'cation becomes null and void if work is not commenced within 180 days from date of issuance such permit, or cessation ojaut 0 days will subject permit to cancellation. I cern that I have read this application and st that th . ve infor tion i corto comply with all ity conn y ordinances and state laws rel ing to uildin nstruc i n, an er resentatives t tykoent�er;u2pon the above-ment ned pr erty fo specti n urpos s te: ure (Applicant or Ag .LQPERMIT l Application Number 07-00000891 Structure Information Construction Type... TYPE -V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Flood -Zone NON -AO FLOOD ZONE Other struct info CODE EDITION 200.1 CBC - FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ.FTG 17,7.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1943.00 .Permit . . BUILDING PERMIT Additional desc ' Permit Fee ." 888':00 Plan Check Fee 577.20 Issue Date Valuation . . . 170639 Expiration. .Date .. 9/22/07 Qty Unit Charge .-Per. Extension BASE ' -FEE - 639.56 71.00 3.5000 ------------------------------------------=--------------------------------- THOU BLDG 100,001-500,000.• 248.50 - ..Permit . . .. MECHANICAL Additional desc . Permit Fee 70.50 Plan Check Fee 17.63 Issue Date Valuation 0 Expiration Date 9/22/07 Qty Unit. Charge Per Extension BASE FEE 15.00 2.00 9.0.000 EA MECH FURNACE <=TOOK 18.00 2.00 9.0000 EA MECH.B/C <=3HP/100K BTU 18.00' .2_00 6.5000 EA MECH' VENT FAN 13.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUSTHOOD6.50 - Permit _-. ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . 94.53 Plan Check Fee 23.63 Issue Date Valuation 0 Expiration Date .. 9/22/07 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350 ELEC,NEW RES --1OR 2 FAMILY 68.01 576.60 .•0200 ELEC GARAGE OR NON-RESIDENTIAL 11'.52 . .LQPERMIT l LQPERMIT _ _ Application Number 07-00000891 _- Permit •: . . . . PLUMBING Additional desc". Permit Fee 152.25 Plan Check Fee- ." 35.81 Issue Date Valuation. . . . . 0 Expiration"Date 9/22/07 Qty Unit Charge Per. Extension " BASE FEE .15.00 " 14.00 6.0000 EA PLB FIXTURE' 84.00 1.00 15.0000EA 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.'0.0 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 .5.00: .7500 EA PLB GAS PIPE >=5,. 3.75 1.00 1.5.0000 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 9/22/07 Qty Unit Charge Per Extension ` BASE FEE 15.00 Special Notes and Comments SFD - LOT 122, PLAN 4520B, 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 57:7"2 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 892.0'0 STRONG MOTION (SMI) - RES 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 LQPERMIT _ _ Application Number,". 07-00000891 . Fee summary Charged Paid Credited Due -- - - - - - - - - - - . -- - -- Permit Fee Total ---------- 1220.28 ---- - -- - -- .00. --_---_----- -.00 ---------- 1220.28 Plan Check Total... 654:27 ..00 .00 654:27 Other Fee Total 4549.78 .00 00-: 4549.78: Grand Total 6424.33 .00 .00 6424.33 LQPERMIT