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07-0897 (SFD)r P.O.,BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING &.SAFETY. DEPARTMENT INSPECTIONS (760) 777-7153 - BUILDING PERMIT » Date: 3/26/03 Application Number: -- 000897 - Owner:' _ Property Address: 61726 TORO CANYON WY SHEA LA' QUINTA — APN: 764-280-999-84 -300237- C/O JEFF MCQUEEN t1i Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ.85258Application valuation: 127702 2007Contractor: +i1U1NTA Applicant: rchjtect or Engineer: SHEA HOMES,' INC. CE DEp'T , 812 6 0 . AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 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 Busine;s 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 License lass: License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �� issued. -� ate: � tractor: `i-� V Y -1I 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: 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 countythat 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 to the orkers' 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 II fo hwith co�pl ith those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by L� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: e: plicant: 111 (_) 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 (Seca 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 hisorher 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 • _ 1 _ 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; (_) 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 omissionrelated 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.). city and county ordinances and state laws relating to uilding construction, and he by authorize representatives ]o- of hi ynty t enter upo the above-mentioned pro y for i ec 'cm purpose Lender's Name: - ate: ignature (Applicant or Agk `" Lender's Address: � � LQPERMIT Gw rt Application Number 07-00000897 -------Structure Information SFD 4210A W/BOX BAY, EXT GAR, EXT PAT ----'- :. .Construction Type .. - : . TYPE V - -'NON RATED •• Occupancy Type' DWELLG/LODGING/LONG <=10 Other-struct info . . . . .- CODE EDITION. 2001 # BEDROOMS 3.00• FIRE SPRINKLERS NO s..: GARAGE SQ FTG 557.00 PATIO SQ FTG 391.00 NUMBER OF UNITS 1.00 -------------------------- 1ST FLOOR SQUARE FOOTAGE --------------------------------------- 1381.00 ------------ Permit BUILDING PERMIT Additional desc Permit Fee 737.50 Plan Check Fee 479.38 Issue Date Valuation 127702 Expiration Date 9/22/07 Qty' - Unit Charge • Per 'Extension BASE FEE 639.50 28.00, 3.5000 THOU BLDG 100,001-500,000 98;00 PermitMECHANICAL -. Additional' desc.-. '. Permit Fee 65.50 Plan Check Fee : 1.6.38 Issue Date . . . . Valuation . . . 0 Expiration Date.. 9/22/07 Qty - Unit Charge Per Extension BASE FEE 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 1.100 6:5000.EA -MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc ` Permit Fee . . . . 74.48 Plan Check Fee 18.62 •Issue Date Valuation 0 Expiration'Date 9/22/07 Qty. Unit Charge Per Extension' BASE FEE 15.00 1381.00 .0350 ELEC NEW RES - -l'OR 2 FAMILY 48.34 557.00 .0200 ELEC'GARAGE OR NON-RESIDENTIAL 11.14 LQPERMIT Application Number 07-00000897, ----------------------------------------------------------------------------- _ Permit PLUMBING _ Additional desc . Permit Fee 122..25 Plan, Check Fee 30.56 Issue Date Valuation . . . . 0 Expiration Date 9/22/07 Qty Unit Charge Per Extension BASE FEE. 15.00 9.00 6.0000 EA PLB FIXTURE 54:00 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 9/22/07 Qty Unit Charge. Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 84, Plan 4210C,(1381 sft) w7box bay (26 sgft), ext. garage (83 sgf.t) & patio ext. (177 sqft) Permit does not include block wall,. pool or driveway approach. 2001 CBC, CMC,'CPC, 2004 CEC, 2005 ENERGY-CODES- NERGY CODES 7 Other Fees. . . . . .'.. . ... ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 •DIF CIVIC CENTER _ RES 995.00 ENERGY REVIEW FEE 47.94, 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., 12.77 - LQPERMIT ' Application Number, .07-00000897 . ------ --- - Other Fees . ----- . . . . . ------------------- DIF STREET MAINT FAC -RES --- 67.00 DIF -._TRANSPORTATION_ - . RES:. 1930'.00 Fee summary• Charged Paid' Credited Due 'Permit Fee Total '1014.73 .00 .00 1014.73 ...Plan Check Total 544.94 .00 .00 `544•.94 Other Fee'Total 4535.71 .00 .00 4535.71 Grand, Total 6095.38 ..00 :00 6095:38 LQPERMIT - - ,