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09-0576 (SFD)s Rw T-ity 4�� P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/04/09 Application Number: 09-00000576 Owner: Property Address: 81272 JASMINE CT SHEA LA QUINTA APN: 764-280-999-30 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 D n O Application valuation: 150034 (jam Contractor: -JUN AI ��nn Applicant: Architect or Engineer: SHEA HOMES, INC. JUUJ 81260 AVENUE 62 LA QUINTA, CA 92253 CITY OF LA QUINTA (760) 777-6005 FNA-!4GEDEPT. Lic. No.: 672285 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s and Professionals Code, and my License is in full force and effect. License Cla s: B License No.: 672285. /11"D ate: ntractor: 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, 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, 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 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 --————————————————————————————————————————————— WORKER'S COMPENSATIONDECLARATION 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. . 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 NTL UNION INS Policy Number WC1894819 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section % 3700 of the Labor Code, +I shay7orthhwith comply with those provisions. cant: loo Z �ppf W — WARNING: FAILURE TO SECURE KERS' 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 null and void if work 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building constr ti n, and hereby authorize representatives of th�ty ar /u/\port the above-mentioned propertfor inspe ion purposes. ateSi - ure (Applicant or Agent): Application Number . . . . . 09-00000576 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 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 10.00 -------------------------------- 1ST FLOOR SQUARE FOOTAGE ------------------------------------------- 1688.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 818.00 Plan Check Fee 132.93 Issue Date Valuation . . . . 150034 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE 639.50 51.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 178.50 •Permit . . . MECHANICAL Additional desc . Permit Fee 64.00 Plan Check Fee 4.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 1.00 6.5000 EA MECH VENT FAN 6.50, 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50. Permit . . . Additional desc ... Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 1688.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL ' 85.60 Plan Check Fee . Valuation . . . . 12/01/09 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 5.35 0 Extension 15.00 59.08 a LQPERMIT Application Number 09-00000576 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 57G.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 11.52 Permit PLUMBING Additional desc . Permit Fee 128.25 Plan Check Fee 8.02 Issue Date . . . . Valuation 0 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE G0.00 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 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------------------- 15.00 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.G3 Issue Date . . Valuation . . . . 150034 Expiration Date 12/01/09 Qty Unit Charge Per Extension BASE FEE. 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 130, Plan 4520C 1G88 SF/ BOX BAY Q MASTER (2GSF) & 4' EXT. GARAGE (88SF), PHOTOVOLTAIC SYSTEM ( 1.4C & a LQPERMIT Application Number . . . . . 09-00000576 ---------------------------------------------------------------------------- Special Notes and Comments 3KW).PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2007 CBC,•CMC, CPC, 2004 CEC, 2007 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 13.29 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 15.00 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 1133.35 .00 .00 1133.35 Plan Check Total 155.93 .00 .00 155.93 Other Fee Total 4510.29 .00 .00 4510.29 Grand Total 5799.57 .00 .00 5799.57 LQPERMIT