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04-5010 (SFD)Taf °F4Q" P.O. BOX 1504 78-495 CA,LLE TAMPICO .L-A-QUINTA,_CALISORNIA� 92253 BUILDING PERM Application Number . . . Property Address APN: Application description . . . Property Zoning . . . . . . Application valuation Owner ------------------------ SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY.CENTER 350 SCOTTSDALE AZ 852.58 BUILDING & SAFETY DEPARTMENT D:4 (760).777-7012 a- FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 L9TY ©F QITI ' new.. o�—�I�_ 04=00005010— Date 6/21/04 81326 STONE CROP LN 764-270-999-78 -300233- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 184972' ,Contractor s_ SHEA HOMES, INC. a 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777.-6005 Qty Unit Charge Per Extension WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B ------ Structure Information PLAN 5515C W/NOOK 22SF. ----- Construction Type TYPE'V - NON RATED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . NON -AO FLOOD'ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE $'Q FTG . 4 T8 . ;0 0 PATIO,SQ :,FTG 17,8.0 0• NUMBER OF UNITS 11.00 FIRST FLOOR SQ.FTG 2144."00 a ------------------------------------------ /Permit . -------------- ------ PERMIT -------------- -�--o-�# Additional desc Permit Fee . . . . 937.00 Plan Check Fee 609.05 Issue Date Valuation . . . . 184972 Qty Unit Charge Per Extension BASE FEE 639.50 85.00 3".5000 THOU" BLDG 100,001-500,000 l 297.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL• .Additional desc Permit Fee . . . . 77.00 Plan Check Fee 15.25 'Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504• f 4 4 ��I� 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: 04- So/y I-A Dated -�4-0Applicant: rwitect-veylinoir �_ -� II Applicant's Mailing Address: I hereby affirm CC"de, and my eLicense Class J Architect or Engineer's Address: No.: -(Lc eL G.� (4b I BUILDING PERMIT DECLARATIONS penalty of perjury that I am licensed undBr e is in full force and effect. . LICENSED CONTRACTOR'S DECLARATION provisions f Chapter�9 commencing with Section 7000) of Division 3 of the Business and Professionals se No. I �� f 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 (Sep. 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 wPol have the burden of proving that he or she did not build or improve for the purpose of sale.). U 1, 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 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 work for which this permit is issued. have anq will maintain workers' compensation ins,irance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ued workers' m ensati sura card q�ic rr�a� lCarier . Policy Number I certify that, in the performance of the work for which this i5ermit 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 th t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall ^ forth 'th comply with those p ions. Date— pplicant 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 eing 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 ellation. I certify that 1 have read this application and state that the above inf on is con, . I agree to comply with all city and county ordinances and state laws relating to building construction, nd here authorize representatives of this cou me up th ove- ned property for inspection purposes. Date l.{G ignature (Applicant or Agen rdh Page 2 Application Number . . . . . 04-00005010 Date 6/21/04 Qty 'Unit Charge Per 'Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 .00 11.0000 EA MECH FURNACE >100K .00- 2.00 9.0000 EA' MECH B/C <=3HP/100K BTU. 18.00 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 99.60 Plan Check Fee 24.90 Issue Date . . . . Valuation . . . . 0 •Qty Unit Charge Per Extension BASE FEE 15.00 2144.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 75.04 478.00 -----------------------------------------------------------,----------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit . . . PLUMBING Additional desc Permit Fee 141.00 Plan Check Fee 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 9.00,00 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 -------7--------------------------------------------------------------------- 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`78, PLAN 5515C W/NOOK A V, Page 3' Application Number . . . 04-00005010 Date 6/21/04. Special Notes and Comments 22SF. PERMIT DOES NOT INCLUDE'BLOCK WALL, POOL 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 60.91 'DIF FIRE PROTECTION -.RES 97.00 GRADING PLAN CHECK FEE 1 .00 DIF LIBRARIES --RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC -RES 502.00 . STRONG MOTION (SMI) - RES 18.49 DIF STREET MAINT FAC -RES -15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary. ----------------- Charged =--------- Paid Credited Due Permit Fee Total 1269.60 ------------------------------ .00 .00 1269.60 Plan Check Total 684.45 .0000 684.45 Other Fee Total 2484.40 .00 .00 2484.40 Grand Total 4438:45 ..00 .00 4438.45