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05-0567 (SFD)i r ce-af 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . 05-000005��17 -' Date 2/14/05 Property Address . . ... . . 60138 KATIE CIR APN: 764-270-999-165 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RE'S— Application valuation . . . . 147334 Owner Contractor -------- ----------- -- ---- MAR IN 0-4 2005 ---------------- SHEA LA QUINTA SHEA HOMES, IkC • TYIC OF LA QUINTA C/O JEFF MCQUEEN 81260 AVENUE 62 FINANCE DEPT 8800 N GAINEY CENTER 350 LA QUINTA--"""!CA 9'2'2`53 SCOTTSDALE AZ 85258 (760) 777-6005. WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B ------ Structure Information SFD 4210B W/CASITA, BOX BAY, EXT GARAGE ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Other 'struct info . . . . . CODE EDITION. 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 557.:,00 PATIO SQ FTG 318.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1636.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee . . . 807.50 Plan Check Fee 524.88 Issue Date . . Valuation . . . . 147334 Qty Unit Charge Per Extension BASE FEE 639.50 48.00 3.5000 THOU BLDG 100,001-500,000 168.00 ---------------------------------------------------------- --------------- Permit MECHANICAL Additional desc Permit Fee 90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation . . . . 0 Qty. Unit Charge. Per Extension 13ASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 118.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 ! s• P.O. BOX 1504 •ot. ��/�G� Y 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: 05- 56? Date: '� O Applicant: c Applicant's Mailing Address: or Engineer's Lic. No 6� LJ� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u penalty of perjury that I am licensed under provisi ng with Section 7000) of Division 3 of the Business and Professionals 11 C20 -and my Li in full force and effect. cense C ass C tens N . Date PD ontractor 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 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 of the work for which this permit is issued. r - I h v andill I maintain work 'compensation insurance, as requi y ecf 00 of a Labor Code, for the perfortnarce of the work for which this permit is ed. w rkers' com sation i ance carne an pIlicy t rier olicy Number VVV certify that, in the performance of the work for which t rmit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall jjj to with comply with those provisi s. ate t 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 1 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 oAiiatio to the wo eing performed under or following issuance of this permit. 2. Any permit issued as a result of this applicationand 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 peron. I certify t at I ha a read this application and state that the io is corre a to comply with all city and county ordinances and state laws relating to building construc on, an hereby authorize representatives of this on th ove-men property for inspection purposes. a e Signature (Applicant or Agen Application Number . . . . . 05-00000567 Page 2 Date .2/14/05 Qty 'Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . ' Permit Fee . . . . 83.40 Plan Check Fee 20.85 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension ` BASE FEE 15.00 1636.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 557.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.14 --------------------------------------------------------------------------- + Permit . . . . . . PLUMBING ^�. Additional desc Permit Fee . . . . 146.25 Plan Check Fee 36.56 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 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 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 1� 15.00 Notes and Comments SFD - Plan 4210B Lot 165 w/casita (255 sqft), MBR box bay (26 sqft), ext garage (83 sqft). Permit does not include block wall, pool or driveway approach. ----------------------------------------- Other Fees ---------------------------------- . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.0.0 DIF CIVIC CENTER - RES 366.00 rc: , Page 3 Application Number ---------------------------------------------------------------------------- . . . . . 05-00000567 Date 2/14/05 Other Fees . . . . . . . . . ENERGY REVIEW FEE 52.49 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 14.73 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1142.15 ---------- ----------- ---------- .00 .00 1142.15 Plan Check Total 604.79 .00 .00 604.79 Other Fee Total 2472.22 .00 .00 2472.22 Grand Total 4219.16 .00 .00 4219.16