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04-7231 (SFD)I 4 4 BUILDING & SAFETY DEPARTMENT x 1504. (760),777-7012 CALLE TAMPICO ' t+ ••� Y'� `:,FAX (760) 777-7011 LA NTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 DEC 2 0 2004 t . ' BUILDING PERMIT CITY OF LA QUINTA ; Application Number 04=0-0007231 `Date 1=1/16/04 Property Address 60505 STAGHORN -DR APN: 764 -270=999=91- -300233 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation 123721 r Owner Contractor �~ ---------------------------==--=---------------- r SHEA,LA QUINTA SHEA HOMES, INC. 1 C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760)-7.77-6005 WCC: NTL UNION INS WC: 6436.568 08/01/05 CSLB: 672285, •06/30/05 CCC: B ------ Structure Information PLAN 4210A W/26 SF BOX ----- Construction Type..'. TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 Other struct info.. CODE EDITION 2001 # BEDROOMS 3.00 a FIRE SPRINKLERS NO. GARAGE SQ FTG, 474.0;.0 PATIO SQ FTG 214.60 NUMBER 'OF UNITS 1 11.00 FIRST FLOOR SQ FTG` 138.1.00 --------=------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc Permit Fee 723.50 Plan Check Fee 470.28'` .Issue Date . . . Valuation 123721 Qty Unit Charge Per Extension BASE FEE 639.50 24.0.0 3.5000 THOU' BLDG 100,001-.500,000 84.00 ----------------------------------- ---------------------------- -------------- Permit MECHANICAL Additional desc Permit Fee 65.50 P1an.Check Fee 16.38 •Issue•Date . . . . Valuation . . . 0 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 P.O. BOX 1504• ��G��j rV VOICE (760) 777-7012 78-495 CALLE TAMPICO Thf FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4aINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0q- 12 -J 1 I Date: /7.0 Applicant:—Arcl%teeAdEn If eer: I Applicant's Mailing Address: or Engineer's Address: Vic. No.:� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm is enalty of perjury that I am licensed under prov' ions �f L pt€f� (l m�Dcing with Section 7000) of Division 3 of the Business and Professionals C and my Lice e s in full force and effect. ,xi -cense Class r 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 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 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 f r L his pe it is issued. h' v and ill aorke core ensati n insura ce, a it b SecU 700 of the Labor Code, for the performance of the work for which this permit is P ed. y oomp sation rance cam is u e[X amer olicy NumberyV ce ify that, in the perform nce of the work for which this Ormit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, nd a that, if I sh Id become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 'forth 'th comply with�tr prov' S. /Date [✓ L ppli�C cant 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 agre 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 work b g performed under or following issuance of this permit. 2. Any permit issued as a result of this application become ull and void if w is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cance on. I certify that I have read this application and state that the above ' to n is n to comply with all city and county ordinances and state laws relating to building constructi , and hereby authorize representatives of this count en pont ove-menti property for inspection purposes. ate l 1 ignature (Applicant or Agent): ` FA Page 2 Application Number 04-00007231 Date 11/16/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------------------------------------•---- Permit ELEC-NEW RESIDENTIAL Additional desc . Permit.Fee 72.82 ''Plan Check Fee 18.21 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1381.00 .0350 ELEC NEW RES - 1 OR 2 -FAMILY 48.34 474.00 0200 ELEC GARAGE OR NON-RESIDENTIAL 9.48 -------------------------------------------------,--------------------------- Permit PLUMBING Additional desc.. Permit Fee . . . . -122.25 Plan Check Fee 30.56 Issue Date Valuation . . . . .0 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.0.0 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.000.0 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 Qty Unit Charge Per Extension --------------------------------------------------------------=------------- BASE FEE 15.00 Special Notes and Comments SFD Lot 91 Plan 4210A (1381 sqft) w/MBR Box Bay (26 sgft).. --------------- Other Fees -------,---- . . . . -------------------------------------- . . . . ART IN PUBLIC PLACES -RES ------------ .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00`', ENERGY REVIEW FEE 47.03 DIF FIRE PROTECTION -RES 97.00^ Page 3 Application Number 04-00007231 Date 11/16/04 ---------------------------------------------=--------------------- Other Fees 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 12.37 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -,RES 1098.00 Fee°summary Charged' Paid Credited Due Permit Fee.Total 999.07 .00 .00 999.07 Plan Check Total 535.43 .00 .00 535.4.3 O.ther'Fee Total 2464.40. .00 .00 .2464.40 Grand Total 3998.90 .00 .00 3998'.90