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07-0865 (SFD)P.O. BOX 1504 . VOICE 760 777-7012 78-495 CALLE TAM:PICO FAX (760) 777-7011 L'A.QUINTA,.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 = BUILDING PERMIT .. r , Date: 3/22/.07 Application Number:- �07-00.00.0865-Owner: Property Address: 61677 TORO CANYON WY SHEA LA QUINTA APN: 764-280-999-124 -300237- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800. N GAINEY: CENTER 350 Property Zoning: MEDIUM-HIGH DENSITY RES SCOTTSDALE, AZ' 85258 Application valuation: 170639 Contractor: D ' Applicant:chitecct. or Engineer: /� SHEA HOMES , INC. f ! 1 C,bhS(.cl]LI81260 AVENUE 62 (L LA QUINTA,; CA 92253 APR 1'2 2009 (760) 777-6005 LiC. No.:.672 285 CITY OF`AQUINTA. FINANCE D01'r. ' - 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 7 00) of Division 3 of th 'Hess anZPfe s ionals 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�.BCl ss: \ license No.: 672285 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .`}�J�' f� — issued. Datctor: "- — - Ihave 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 _ .l 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 s 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 shou become subject to the worker 'compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labor Co I forthw'th co ly Zlh t ose:rovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ,l`1 mp`) any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: - ate: -_ plicant "v ( .) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE 70 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon; SUBJECT AN EMPLOYER TO CRIMINALPENALTIESAND CIVIL FINES UP TO.ONE HUNDRED THOUSAND _ _ and who.does the work himself or herself through his or her own employees, provided that the _ -.DOLLARS ($.100,000). IN-ADDITIONTO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN = -- improvements are'not intended orofferedfor 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* _ - r 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, . 1 _ 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 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 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 1 have read this application and state that the above information is correct agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city a ounty dinances and state laws relating 'to bu g cons I i�nand-hereby horize representativeso !��the above-mentioned pro ms tiogses. Lender's Name:- - ate:re (Applicant ar Agen • V - Lender's Address: LQPERMIT . - - Application Number . . . . . 07-0'00-00865 Structure Information _.- Construction- Type TYPE V --.-NON RATED Occupincy'Type . . . . . . DWELLG/LODGING/LONG <=10 " Flood Zone . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO. GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00. 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 9/18/07 Qty Unit Charge Per Extension _BASE FEE 639.50 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 9/18/07 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 MECH VENT FAN 13.00 - 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 =----------------------------------------------------- ----------------------- Permit -. ELEC-NEW RESIDENTIAL• Additional desc . Permit Fee . . . . 94:53 Plan Check Fee .23.63 Issue Date Valuation . . . . 0 Expiration Date'. 9/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350 ELEC NEW ,RES.- 1 OR.2 FAMILY 68.01 576.00 .0200 ELEC GARAGE 'OR NON-RESIDENTIAL 11.52 LQPERMIT - . Application Number .. . . . . 07-00000865 ---------------------------------------------------------------------------- - Permit . - _PLUMBING - Additional desc Permit Fee . : . . 152:25 Plan Check_ Fee 35.81 Issue"Date Valuation 0 Expiration Date 9/18/07 " 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 Fee 15.00 Plan Check Fee .. ..00 Issue Date, Valuation, 0 Expiration Date. -9/18'/07 -9/18/07 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 124; PLAN 4520C, 1943.SF/ 255 SF CASITA,BOX BAY.@ MBR -26 SF 41 -GARAGE EXT '- 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL; SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004,CEC, 2005 ENERGY CODES 1. . ---------------------------------------------------- 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* . LQPERMIT - ', Application Number 07-00000865 " •Fee; ' summary Charged _ ` Paid Credited, Due Permit_ Fee Total 1220.28 ,00 00 .1220.28 Plan Check Total 654.27 0.0. .00' 6,54.27. Other 'Fee .Total. 4549:78 00".. .00 - 4.549 78 Grand Total .. 6424:33` .00 .00"'- 6424.33- " LQPERMIT