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07-0866 (SFD)i . P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING.& SAFETY DEPARTMENT. BUILDING PERMIT VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/22/07 Application Number:_-0_7_-b6660866Owner: Property Address: 61655 TORO CANYON WY SHEA LA QUINTA APN: 764-280-999-123 =300237- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED ,. 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 852S8; 6 Application. valuation: 159387 l tO Contractor: APR 2001 Applicant: Architect or Engineer: SHEA HOMES, INC. Fir AVENUE 62 LA LA QUINTA, CA' 92253 C{Ty OF LA QUINTA CE DEPT. �L� 2la"1D, (760)777-600.5 FINAN . Lic. No.: 672285 -------------------------------------------------------------------------- --------=-------------- - ' 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. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lic 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. Date: ntractor: - �'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 workfeI f OWNER -BUILDER DECLARATION insurance carrier and policy number are: 0 {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 ` oy anyconstruct, 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' compensatio fornia,permit tofile.a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I sh uId become subject to a workers'compensation pr sijlo(fJLicense Law (Chapter 9 (commencin with Section 7000) of Division 3 of the Business and Professions Code) or 3 00 of the Labor C all f rt ithco with those rovisions.(•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 1$500).: ate: licant: ` p ...... . {_A QUINTA (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - - - CIN • 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 SHALnF IMANCEDEPT' ��- 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 HUNDRE-D-THOtiS'RIQD�� •r 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 (_) 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.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, . I—), 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 Quinta, 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 dresult 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 have read this application and11 that the above information is co ect. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city andtcpuntylordinances and state laws relating t9,boikg con.fruc`on,� nd he by authorize representatives • - o r�rgy to eQer upon me aoove-mentioneo Qroperfy irr it asp wo p- • Lender's Name: 1 i)►j,,� �� I`J nature (Applicant or Agent): • Lender's Address - LQPERMIT { _ . • Application Number 07-00000866 Permit BUILDING PERMIT: Additional desc- Permit'Fee 849.50 Plan Check Fee 552.18 Issue Date Valuation 159387 Expiration Date 9/18/07 ". Qty Unit Charge. Per Extension" BASE FEE 639.50 60.00 3.5000 THOU.BLDG 100;001-.500,000 210.00 Permit- MECHANICAL. Additional desc . Permit Fee _ 65.50 Plan Check Fee 16.38. Issue Date . . . Valuation 0 Expiration Date 9/18/07 Qty- Unit Charge Per Extension BASE FEE r 15.00 1..00 9.0000 EA MECH FURNACE <=100K'. 9.00 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 OOD 6.50 Permit ELEC-NEW RESIDENTIAL -Additional desc`. Permit Fee 89.84 Plan Check Fee 22.46 Issue Date. Valuation ' . . . 0 Expiration.Date-. 9/18/07 Qty Unit Charge -. Per Extension BASE FEE 15.00 1773:00 .0350 ELEC NEW.RES - 1 OR 2' FAMILY '62.06 639.0.0 02.00 ELEC GARAGE OR NON -'RESIDENTIAL •12.78 :Permit . -; . . . . PLUMBING- �. Additional desc . Permit Fee 120.00 Plan Check Fee 30.00. ' Issue Date Valuation 0 Expiration.Date ,9/18/07• Qty Unit Charge Per. Extension BASE FEE 15.'00 .10:00 6.0000 .EA PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT . - _ - •- .. Application Number . . 07 -00000866 - Permit PLUMBING _Qty -Unit Charge. -Per Extension 1.00 1.5000 EA PLB WATER.HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 6.00 .7500 EA PLB GAS PIPE.>=5: 4.50 .1.00 15.0000 EA PLB GAS METER. 15.00 Permit GRADING PERMIT. Additional desc.. Permit Fee . . . 15.00 Plan -Check Fee .00 Issue Date . . . Valuation . . . . 0 Exp'iration.Date 9/18/07 Qty Univ Charge, Per Extension �- BASE FEE 15.00 Special Notes and Comments -SFD -.LOT 123,•,PLAN 4515B, 1773 SF. WITH Al GARAGE EXT. (103SF) & BOX BAY Q NOOK .(24 SF.). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS 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 55.22 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 15,.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES -1930.00 Fee summary- Charged. Paid Credited Due Permit Fee Total 1139.84 .00 .00 1139.84 Plan Check•Total 621.02 .00 .00 621.02' Other Fee Total 4566.15. .00. .00 4566.15" Grand`Total 6327.01. .00 .00 6327.01 LQPERMIT