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04-5013 (SFD)-t!t 4 DING & SAFETY DEPARTMENT P.O. Box 1504 _L. (760).777-7012 78-495 CALLE TAMPICO R '!' FAX (760) 777-7011 LA ,QUINTA CALIFORNIA, 9'2253 �I``" �' INS`P°ECTLON REQUESTS (760) 777-7153 BUILDING 'PiERMIT©;v`"' Application. Number . . 040�00_Q5Q13�D Date 6/21/04 Property 'Address'- 81266 STONE CROP LN APN: 764-270-999-83 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 185294 Owner Contractor --------------- SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N.GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE ' AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 7165833: 08/01/04 CSLB: 672285 06/30/05 CCC: B ------ Structure Information PLAN 5515C W/MBR 26SF ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE: -SQ FTG418:00 PATIO' SQ FTG - 178: 00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ -FTG 2148.00 ----------------------------=-----------------=,---------- ------------------ Permit . . . BUILDING PERMIT } Additional desc Permit Fee . . 940.50 Plan Check Fee 611.33 Issue Date . . . . Valuation 185294 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 3.5000 THOU BLDG 100,001-500,000 301.00 --------------------------------------------- -------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . 59.00 Plan Check Fee 16.63 Issue Date Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 4 s��i� VOICE (760) 777-7012 78-495 CALLE TAMPICOTwy� FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 'o 13�Architect Date: Applicant: or.Enaineer t . Applicant's Mailing Address: or Engineer's (�►c� i�1�.1 V1,,W�C►.E, L �► Lic. No.: n lcj�. 2 L'01.41bi BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and Lie is in full force and effect. License Class I -License No. ,,— Date C/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 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 ($500).): U 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). (--) 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.). U I am exempt under Sec. , BA P.C. for this reason , Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Wave d ill maintain wo rs' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ssue . y wo¢ier�' co s tion in urance 0 a /Carrier! It RDYE iP'olicy NumberTU i _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,-Batlice . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 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, indemnity and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the wo being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if rk is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above iinillormation is torr . I agree to comply with all city and county ordinances and state laws relating to building construct' n',)an�dJhereby �authorize representatives of this c er upon the ove-mentioned property for inspection purposes. le f l O ` ignature (Applicant or Agent): 4 w Page 2 Application Number 04-00005013 Date 6/21/04 'Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACEI<=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 .00 16%5000 EA -MECH B/C >3-15HP/>100K-500KBTU .00 3x00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA ',MECH EXHAUST HOOD 6.50 ----------------------------------------------------------------------------- Permit . .. . . . . ELEC-NEW RESIDENTIAL desc -Additional Permit Fee '99,741 Plan Check Fee 24.94 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per 'Extension BASE. FEE 15.00 2148.00 .0350 ELEC NEW RES,- I OR 2 FAMILY 35.18 478..00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 ---------------------------------- Permit . . . . . . PLUMBING ----------------- ----------- 7 ------- Additional desc Permit'Fee . . . . 141.00 Plan CheckFee 35.25 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE -72.00 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 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------- Special Notes ----------------------------------------------- and Comments SFD LOT 83 PLAN 5515B, 2148'SF BOX BAY 5 J 1 , l Page 3 Application Number 04-00005013 Date 6/21/04 ------------------------------------------- Special Notes and Comments -----------------------:---------- @ NOOK- 26SF..PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR,DRIVEWAY APPROACH ---=-----------------------=--------- Other Fees . . ... . --------------------------------------- ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00• ENERGY REVIEW FEE 61.13 DIF FIRE -PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES'- RES 225.00 DIF. PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES. 18.52 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1255.24 .00 .00 12515.24 Plan Check Total 688.15 .00 .00 688.15 Other Fee Total 2484.65 00 .00 2484.65. Grand Total 4428:04 .00 .00 4428.04