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04-5011 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO IF -AX -(760) 777-7011 LA 90INTA, CALIFORNIA 92253 IN SPE'CT1-0W-RE_QiUESTS (JJ760) 777-7153 BUILDING PERMIT JU� 24 1904 �I7 lj Qty Unit Charge Per Extension A r � QWU A Application Number CITY X04=00005011..- ��'�R7�,�oan- Date 6/21/04 Property.Address: _ ` _-81314 STONE -CROP LN APN: 764 -270 -999 -79 -300233 - Application description DWELLING - SINGLE FAMILY DETACHED. Property Zoning MEDIUM HIGH DENSITY RES Application valuation . . 159014, 1 Owner Contractor,' ------------------------ ---------------------i_>-_` 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 '-------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG"<=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO - GARAGE SQ FTG 456,-00 PATIO SQ FTG 2 21 : _GO NUMBER OF. UNITS -.1:00 FIRST FLOOR'SQ FTG 1821.00 ------------------------------------------------=---------------------------- Permit . . . . .' . BUILDING. PERMIT " Additional desc . Permit Fee 849..50 Plan Check Fee 552.18 Issue Date . . Valuation 159014 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 . . .'. 50.00 Plan Check Fee 12.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension A r P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 041 112) Applicant: Applicant's Mailing Address: Date Architect or No. Ac g— ZLo 6 L BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm lr�nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals de,and my s in full force and effect. � ^^ C License Clais ` 'Licensf No.��_��/ a 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 dcllars ($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.). U I, as owner of the property, am exclusively contracting with licensed contactors 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 WORKERS' COMPENSATION DECLARATION I hereby.affirm under penalty of perjury 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 �y of the work for which this permit is issued. 1^ I ave and 'II maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is W ued. workers' c pensationjasurance cam ad po' b� are: mer olicy Number 1 ll` _ I certify that, in the performance of the work for whics 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 agree that, I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall (1 fort hw h comply with those p�'o 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, 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. 2. Any permit issued as a result of this application becomes null and void if woVentoned menced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to ca ellation. I certify that I have read this applicat;on and state that the above in ion is correct.mply with all city and county ordinances and state laws relating to building construct, nd hereb authorize representatives of this count to pon the ab property for inspection purposes. �te nature (Applicant or Agent Application Number 04-00005011 t Page 2 Date 6/21/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9-.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ----------------------- Permit . . . ---------------------------------------------------- . ELEC-NEW RESIDENTIAL Additional desc,. Permit Fee . . . . 87.86 Plan Check Fee 21.97 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1821.00 .0350' ELEC NEW RES - 1 OR 2 FAMILY 63.74 456.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.12 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee _ 129.00 Plan,Check Fee 32.25 Issue Date Valuation . . . . 0 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. 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 79, PLAN5505B. PERMIT DOES NOT V, r Page 3 Application Number 04-00005011 Date 6/21/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ------------------------------1---------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 55.22 .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 1-5.90 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary. ----------------- Charged Paid Credited Due Pe.rmit.Fee Total -------=-- 11.31.36 ------------------------------ .00 .00 1131.36 Plan Check Total 618.90 .00 .00 618.90 Other Fee Total 2476.12 .00 .00 2476.12 Grand Total 4226.38 .00 .00 4226.38