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04-5046 (SFD)ot BUILDING & SAFETY DEPARTMENT c,%w� P.O. Box 1504 (760).777-7012 �`1 FF TT 9 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253�INSPE'CTI'�O`N"REQ�UESTS (760) 777-7153 innoo U� . BUILDING PERMIT i(1 JUS! 2 4 IN4 i Application Number p r�ou., xra Date-0i 6/18/04 Property °Address . . . 60580 STAGHQRNm�DR APN: - 764 -270 -999 -68 -300233 - Application description DWELLING - SINGLE FAMILY DETACHED Property.Zoning MEDIUM HIGH DENSITY RES Application valuation . . . . 218350 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: 672285 06/30/05 CCC: B ------ Structure Information PLAN 6420C ----- 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 SQ„.FTG 615.00 PAT TOS' S.Q ` FTG ”' 32 3.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ,FTG' 2500.00 J Permit . . . . BUILDING PERMIT r Additional desc Permit Fee . . . . 1056.00 Plan Check Fee 686.40 Issue Date . . . . Valuation 218350 Qty Unit Charge Per Extension BASE FEE 639.50 119.00 3.5000 THOU BLDG 100,001-500,000 416.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit. Fee . . . 65.50 Plan Check Fee 16.38 Issue Date Valuation 0 Qty Unit Charge Per Extension 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: ey y rp Date: 'a. -0q Applicant: cite or Eryg�lg kz (I ,f f Applicant's Mailing Address: CIA r �./ - Architect or Engineer's Address: Lic. No.:M 2A,p.,t A', BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (com encing with Section 7000) of Division 3 of the Business and Professionals e, and L g is in full force and effect. / icense Classss J license No. (0 /Bat W 1 o� nGr tractors 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 (dommencing 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 1, 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 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 cr 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. 1 have and will intain work�nsat=,nsurance 'ation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is A , sued. Ivd vers' com ca �Polic Ca ' V+T 1. i ' �/V1�.. Number I certify that, in the performance of the work for which this p is issued, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California nd agree that, if I shoul ecome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro /La i Date can '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 Lenders Address N 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, indemnity 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 work is n mmenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have re this application and state that the above inform 'on is correct. I ag to comply with all city and county ordinances and state laws relating to building constrluctiio , and her y authorize representatives of this coun er pon the bove nboned property for inspection purposes. ate La rignalure (Applicant or Agent) Page 2 Application Number 04-00005046 Date 6/18/04 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 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------------------------- Permit . . . . -------------- ELEC-NEWRESIDENTIAL Additional desc Permit Fee . . . . 114.80 Plan Check Fee 28.70 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2500:00 0350 ELEC NEW RES*- 1 OR 2 FAMILY. 87.50 615.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 -------------------.--------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 153.00 Plan Check 'Fee 38.25 Issue Date . . . . Valuation. 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA' PLB FIXTURE 84.00 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 ------------------------------------------7--------------------------------- Special Notes and Comments SFD - Plan 6420C w/Bay Nook (23sf) • 0 i �yf Page 3 Application Number . . . . . 04-00005046 Date 6/18/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 45.8.7 DIF COMMUNITY -CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 68.64 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 , 21.83 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1404,30 .00 .00 1404.30 Plan Check Total 769.73. .00 .00 769.73 Other Fee Total 2.541.34 .00 .00 2541.34 Grand Total 4715.37 .00 .00. 4715.37. 0