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05-0570 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Qty Unit Charge Per BASE FEE 2.00 9.0000 EA MECH FURNACE <=100K 2.00 9.0000 EA _ MECH B/C <=3HP/100K BTU 4.00 6.5000 EA MECH VENT FAN Extension 15.00 18.00 ,18.00 26.00 BUILDING PERMIT Application Number . . . . .� 05.-00000570~ Date 2/14/05 Property Address . . . . ... 60233 KATIE CIR APN: 764-270-999-162 -300233- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES AN Application valuation . . . . 239845 Owner ------------------------ Contractor a. 04 2005 -mQU SHEA LA QUINTA SHEA HOMES, INC TA C/O JEFF MCQUEEN 81260 AVENUE 621CIFINTY FINANCE DEPT. FINANCE 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 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 PLAN 6420B W/CASITA, MBR&NOOKBOX BAY ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 615.00 PATIO SQ FTG 323.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2781.00 Permit BUILDING PERMIT Additional desc Permit Fee . . . . 1129.50 Plan Check Fee 734.18 Issue Date . . . . Valuation . . . . 239845 Qty Unit Charge Per Extension BASE FEE- 639.50 140.00 3.5000 THOU BLDG 100,001-500,000 490.00 Permit ---------------------- MECHANICAL Additional desc Permit Fee . . . .83.50 Plan Check Fee 20.88 Issue Date . . . .. Valuation . . . . 0 Qty Unit Charge Per BASE FEE 2.00 9.0000 EA MECH FURNACE <=100K 2.00 9.0000 EA _ MECH B/C <=3HP/100K BTU 4.00 6.5000 EA MECH VENT FAN Extension 15.00 18.00 ,18.00 26.00 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: 05-5170 t c5 Applicant: Ar Mly9ine )a% Applicant's Mailing Address: hitect or Engineer's Address: Ic. No.: I he by affirm ode, and my License Class BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION provis ns of t�(�rtr<ren ig ng_with Section 7000) of Division 3 of the Business and Professionals se No //))'�/��JJyy� 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 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. ,V ve a will maintain workers' insu ance, as re �bicn3 00ofthe Labor Code, for the performance of the work for which this permit is ue M workers'com nsation rancec er rner ohcy Number certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California nd ree that, /shId become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fo hwith comply with those pro4/ vi s. l 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 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 r` 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 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 cancellation. I certify that I have read this application and state that the above i orm ion is co L I agree to comply with all city and county ordinances and state laws relating to building connstru tion, bafd ereby authorize representatives of this my nter upon th above-mentioned property for inspection purposes. ate ' Sign pplicant or Age 1 Application Number 05-00000570 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 . . . . 124.64 Plan Check Fee 31.16 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2781.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.34 615.00 --------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.30 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date Valuation . . . . 0 Qty. Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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 Special Notes and Comments SFD - Plan 6420B Lot 162 w/casita (255 sqf t ) MBR ( 2 6 sqf t ) & Nook box bay ( 2 3 sgft). Permit does not include block wall, pool or driveway approach. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 99.61 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . . . 05-00000570 Date 2/14/05 -=-------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 73.42 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 23:98 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary I Charged Permit Fee Total _1529.64 Plan Check Total 830.47 Other Fee Total 2602.01 Grand Total 4962.12 Paid Credited Due ---------- ---------- ---------- .00 .00 1529.64 .00 .00 830.47 .00 .00 2602.01 .00 .00 4962.12