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07-1059 (SFD)P.O. BOX 1504 ^' VOICE (760) 777-7012 78-495 CALLE TAMPICO r FAX (760) 777-7011 J LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 - - BUILDING PERMIT Date: 4/05/07 . Application Number: 07-00001059-. Owner- Property wnerProperty Address: 6-1678--TORO—CANYON WY SHEA LA. QUINTA APN: 764-280-999-86 -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 f _Application "valuation: .170639 D . / Contractor: Applicant: f Architteect Engineer: SHEA HOMES,,INC. APR 26 VJ Ci�i 81260 AVENUE 62 r tfJ LA"QUINTA,• CA 92253 C�ryCF (760) 777-6005 Lic.',No.: 672285 F�EPT A 4 . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------------------------- LICENSED, CONTRACTOR'S -------------------------- LICENSED.CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 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 000) 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 Li ns ass: License No.: 672285 for by Section 3700 of -the Labor Code, for the performance of the work for which this permit is - issued. ate: ontractor: - �1 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 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 tot 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 1 s I ecome subject to the kers' compensation provisions of Section ' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ?200 of the Labor all fo wit omply hose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section. 7031.5 by14" �'�o r ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: pplicant: ' (_ 1 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: FAILURE 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, DAMAGES AS PROVIDED FOR IN improvements are not intended of offered for sale. If, however, the building or improvement is sold within SECTION 37.06 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 1 _) 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 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 I have 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.). ci y a dounty Qrdinances and state laws relating to, building construction d hereby authorize representatives • of c uptd toor er upon t above-mentio y f ins tion r .•' Lender's Name: (��( PIA• Date: ature (Applicant o - Lender's Address: - - LQPERMIT - LQPERMIT Application Number 07-00001059 Structure Information Construction Type :---. TYPE V - NON RATED - Occupancy Type DWELLG/LODGING/CONG <=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 10/02/07 Qty Unit Charge, Per Extension BASE FEE 639.50 71'.00 3.5000 THOU BLDG 1001001-500,.000. 248.50 Permit MECHANICAL Additional desc Permit Fee 70.50 Plan Check Fee 17.63 Issue•Date Valuation 0 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' 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 10/02/07 Qty Unit Charge Per. Extension BASE FEE 15.00 1943.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 516.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 . LQPERMIT Application Number. . . . . . 07-00001059 ---------------------------------------------------------------------------- Permit t:. PLUMBING Additional desc . Permit Fee .152.25 Plan Check Fee 35.81 Issue Date Valuation 0 Expiration Date 10/02/07 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 10/02/07 Qty Unit -Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 86, 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 892.0.0 STRONG MOTION (SMI) - RES. 17.06 DIF STREET MAINT FAC -RES 67.00 . DIF TRANSPORTATION - RES 1930.00. LQPERMIT - - LQPERMIT _ - . Application Number . . . . : 07-00001059. 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 l • LQPERMIT _ - .