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04-7215 (SFD)0 0 BUILDING & SAFETY DEPARTMENT O. Bo 04. f (760),777-7012 LE TAMPICO FAX, (760) 777-7011• L A UIN CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-71.53 DEC gry of i� QUINTA BUILDING PERMIT A AME DEPT: Application Number . . 04-00007215 d '-Date ;;jl/1.6/04 Property Address' . . �6O44'5- STAGHORN._DR. APN: •764-270-999-89 -300233- Application.description DWELLING SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation ". 141221 Owner Contractor M SHEA LA ` QUINTA SHEA ` HOMES" INC. C/O JEFF MCQUEEN 8.1260 AVENUE 62 •8800 N GAINEY CENTER 350:, LA QUINTA CA 92253 SCOTTSDALE.- AZ 85258 . (760) 7.77-6005 WCC: NTL UNION INS t WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC:. B -----------==------------- Structure Information. -.- ------------- ---------- Construction Type . . . . . •TYPE V - NON RATED ' Occupancy Type . . DWELLG/LODGING/CONG <=10 Flood Zone -NON-AO FLOOD ZONE Other struct info. 'CODE EDITION 2001 CBC FIRE SPRINKLERS 'NO GARAGE SQ FTG ,562.00 PATIO SQ FTG _ , '33'7. 001 .- NUMBER OF•UNITS 1.00 ., FIRST FLOOR S'Q FTG` 1556.00 Permit. . . BUILDING PERMIT Additional desc r. Permit Fee 786.50 --Plan ,Check Fee 511.23 Issue Date Valuation. .. 141221 Qty Unit Charge Per Extension BASE FEE 639.50 42.0.0 3.5000 THOU' BLDG 100,001-500,000 147.00 ------------------------ -•---------------- Permit MECHANICAL Additional desc;. Permit Fee 77.00 7. Plan.Check Fee 19.25 Issue Date Valuation 0 Qty Unit Charge Per ' Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=10.OK 18.00 2.00 9.0000 EA` MECH Bim'/C < `3HP/10OK BTU 18.00, 3.00 6.5000 EA MECH-VENT FAN 19.50 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: 0 Date 7 • - D Applicant: t Engi a fit Applicant's Mailing Address: chitect or Engineer's Address: >Lilc. No.: LJ�q61 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un r enalty of perjury that I am licensed under prov. ions pINh r o with Section 7000) of Division 3 of the Business and Professionals Cod ,and my Li e i in full force and effect.' ense Class icense No. 1 �te ntractor � 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. , B.& 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 I theAmin ch this perm is issued. ain workers' ompensation insuran e, as required by Sectio X00 of the Labor Code, for the perfornance of the work for which this permit is uep ati ns a carrier nd r arrier icy Number I certify that, in the performance o the work for w' h this permiti iss d, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and a ree th if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthy4h comply with th9se�pvi�ions. f 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 AA 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 bec es null and void if w 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 ncellation. I certify that I have read this application and state that the above i anon is rre . 1 agree to comply with all city and county ordinances and state laws relating to building construction, nd there y authorize repr ntatives of this a er upon ove-mentioned property for inspection purposes. ate l� ignature (Applicant or Agent): > t Page R 2 Application Number 04-00007215 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 . . . . 80.70 Plan Check Fee 20.18 Issue Date Valuation . . . . 0 Qty Unit Charge, Per Extension " BASE FEE 15.00 1556.00 .0350. ELEC NEW RES- 1 OR 2 FAMILY 54.46 562.00, .0200- ELEC GARAGE OR -NON-RESIDENTIAL 11.24 Permit . . . . . . PLUMBING ' Additional desc Permit Fee . . . 123.00 Plan Check -Fee 30..75 Issue Date : . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 1:00 15:0000 EA PLB-.BUILDING SEWER 15.00 1.00 7'.5000EA PLB WATER HEATER/VENT, 7.50 1.00 3.0000•EA PLB WATER INST/AL'T/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 89, PLAN 4510B, BOX BAY@ MBR-226SF', 83 SF -GAR. EXT. PERMIT DOES, NOT INCLUDE POOL, SPA, BLOCK,WALLS OR. DRIVEWAY'APPROACH t -------------------------------------------_-- Other Fees : -------------------------------' . . . ART IN PUBLIC PLACES -RES .00 DI.F COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number .,.0.4-00007215 Date 11/16/04 --------------------- ---------------------------------------------------- Other Fees ENERGY REVIEW FEE 51.12 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 14.12 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary --------- - ------- Charged Paid Credited Due Permit Fee Total ---------- 1082120 ------- --- ---------- ---------- .00 ..00 1082.20 Plan Check Total 581.41 .00 .00 581.41 Other Fee Total .2470.24 .00 .00 2470.24 Grand Total 4133.85 .'00 .00 4133.85