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04-5049 (SFD)• u�l'�ti6v BUILDING & SAFETY DEPARTMENT �F-'D P.O. Box 1504(760).777-7012 78-495 CA,LLE TAM,PICO �w G=J 'l FAX (760).777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 �U JUN 2 4 21.24' BUILDING_ PERMIT CITY CF LA QUIN— fF0u9 �7C� D_IPT. Application Number . . . . 0.4="0000504.9 Date ",6/18/04 Property,:4'Address .;- 81302 STONE. CROP LN APN: 764-270-999-80 -300233- Application description . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 161826 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: 672.285 06/30/05 CCC: B ------ Structure Information PLAN 4510A ----- Construction Type . . . . TYPE V'- NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2.001 # BEDROOMS 30.00 FIRE SPRINKLERS NO GARAGE= SQ ` FTG 582 ,'0 0 PATIO SQ FTG 337.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1811.00 ,. f Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . 856.50 Plan Check Fee 556.73 Issue Date Valuation . . 161826 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 THOU BLDG 100,001-500,000 217.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . 0 4 Qty Unit Charge Per b Extension 4 f: w P.O. Box 1504• ��/:. ' w VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4 a INSPECTIONS (760) 777-7153 \ BUILDING & SAFETY DEPARTMENT Application Number: 04 • 6-049 Lrrhitt-rrnkrFnn606r*D te: 6•aq �Applicant: - — A T _ Applicant's Mailing AddressAll: Architect or Engineer's Address: No.: 26g6J BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaK erjury that I am licensed under provisions of Chapter 9 (commng with Section 7000) of Division 3 of the Business and Professionals Vie, and ss License is irce and effect.S�� /License Cllss ^, <icense No. 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.). U I, as owner of the property, am exclusively contracting with licensed ccntractors 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 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 of the w rk for which this permit is issued. I h v and ill aintain wo rs' compensat insur require by Section 3700 of the Labor Code, for the performance of the work for which this permit is r i ed. y rkers' co ensatio urance cam r 1WU Carrier Policy Number 1 I certify that, in the performance of the work for which i permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomi and agree that, if s ouId become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall r forthwitr comply with those pr i 1 n I `1011 WARNING: FAILURE 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 constriction 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 Ouinta, its officers, agents and employees for any act or omission related to the work being p rued under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is n t mmenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to canc ation. I certify that I have read this application and state that the above info ation is correct. a to comply with all city and county ordinances and state laws relating to building construction, and ereby authorize representatives of this county to e u the abovve- a for inspection purposes. ate Signature (Applicant or Agent) f r Page 2 Application Number . . . . . 04-00005049 Date 6/18/04 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD = 6.50. - -------------------- Permit . . . ------- -------------------------------------- ELEC-NEW RESIDENTIAL ---------- Additional desc Permit Fee . . . . 89.63 Plan Check Fee 22.41 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1811.00 .0350 ELEC NEW RES - 1 -OR 2 FAMILY 63.39 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 ---------------------------------------------------------------------------- Permit . . . . PLUMBING Additional desc Permit Fee . . . . 147.00 Plan Check Fee 36.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 ..V. . . . . 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 -------------------------------------------------------------------7-------- Special Notes and Comments .SFD - Plan 4510A w/Casita (255sf), Box l Page - 3 Application Number 04-00005049 Date 6/18/04 ----------------------- Special Notes.and ----------- Comments -------.--------------------- -------------- Bay '@ MBR (26sf) and 4' ext. Gar (83sf). Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -RES 366.00 ENERGY REVIEW FEE 55.67 DIF'FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MA INT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 16.18 DIF STREET MAINT FAC -RES 15.00 DIF.TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1191.63 .00 .00 1191.63 Plan Check Total 636.77 .00 .00 636.77 Other Fee Total 2476.85 .00 .0.0 2476.85 Grand Total 4305.25 .00 .00 4305.25