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06-1182 (SFD)c w / P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 0670000.1182 61230 SOAPTREE DR 764-280-999-165 -300235- DWELLING---SINGLE FAMILY MEDIUM HIGH DENSITY RES 142817 T4ht44Q" - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ,,"Amhitect or Engineer: tt-,G,i-3i -------------------------------------------------'- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of D vis' n 3 of the Business Vnd Professionals qode, and my License is in full force and effect. Lic - 'c No.: 672285 Da ntractar: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: 1 _ 1 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 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.). (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date Owner: 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: LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN --8800-N GAINEY-CENTER 350 - SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, -INC.. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX. (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/23/06 ----------------------------------------------— WORKER'S 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. Y -I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier AMERICAN HOME Policy N er 1247619 I certify that, in the perfo mance of the wo f r which'this permit is issued, I shall not employ any person in any manner o as to be ome u ject to the workers' compensation laws of California, I� and agree that, if sho ecom ct to the workers' compensation provisions of Section hs .,'3NO of the L r C e, I hal fo nb-co ith those provisions. 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. 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 becomes rlull and void if work is not commenced within 180 days from date of issuance of such permit, or cess ion of work for 180 days will subject permit to cancellation. 51,& ave read this Eappliattnand state that th a informat n s correct. I agree to comply with all o inances aaws relating to g co structio eby authorize representatives o t upon -mentioned pr arty in ectio rposes. uant or Age Application Number 06-00001182 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 457. NUMBER.OF UNITS 1.00 15T:FLOOR.SQUARE FOOTAGE 1556:00 Permit BUILDING PERMIT Additional desc . Permit Fee 790.00 Plan Check Fee 513.50 Issue Date -- Valuation 142817 Expiration Date 9/19/06 Qty'" Unit'Charge Per. Extension BASE FEE 639.50 43.00 3.5000 THOU BLDG 100,001-500,000 150".50. Permit . . MECHANICAL Additional desc . Permit Fee 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.00.00 EA MECH FURNACE <=100K 18.00 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 80.70 Plan Check Fee 20.18 Issue Date . . . Valuation . . 0 Expiration Date 9/19/06 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 LQPERMIT Application Number . . . . 06-00001182 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc .. Permit Fee . . . . 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation . . . . 0• Expiration Date .. 9/19/06 - 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 7.5000 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 >='S 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 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 165 PLAN 4510A, 1556 SF (26 SF BOX BAY @MBR, 83 SF GAR. EXT. 120 SF PATIO EXT.PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH, 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . ... ART IN PUBLIC PLACES -RES ..00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES •480.00 ENERGY REVIEW FEE 51.35 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 14.28 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 LQPERMTT Application Number .. . . 06-00001182 Fee summary Charged Paid Credited Due, Permit Fee Total '1085.70 .00 .00 1085.70 Plan Check Total 583.68 00 .00 583.68 Other Fee Total 3761.63 00 .00 3761.63 Grand Total 5431.01 .00 .00 5431.01