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07-1748 (SFD)_i T4ht-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: 6/18/07 Application Number: C'_O' - 00i7i748 Owner: Property Address: 81805JLA PAZ' CTJ SHEA LA QUINTA APN: 764-280-999-99 -300237- C/O JEFF MCQUEEN D d Application description: DWELLING - SINGLE FAMILY DETACHED 8.800 N GAINEY CENTER Property Zoning`. MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 8525 Application valuation: i70639 J, q "Architect Contractor: C/jyA� 6 `001 Applicant: Archittect or Engine SHEA HOMES, INC. MS LO81260 AVENUE 62 qjGt 2�� b ( Q LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 COO- ------------------------------------------------------------------------=------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice a ass: 'cense No.: 672285 for by Section 3700 of the Labor Code, for the.performance of the work for which this permit is (/r]s/� —11 11 issued. v'� G ntractor: 4 ' �� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code for the erfrman f thek f h' h th' d M k OWNER -BUILDER DECLARATION 1 Lhereby 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 I, a's 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.). (_ I 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 p o ce o work or w 'c 's perm't 's 'ssue . y wor ers compensation insurance carrier and policy number are: Carrier' AMERICAN HOME ' Policy Number 1247619 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any mann r so as to become subject to the workers' compensation laws of California, and agree that, if come su ect toah orkers' compensation provisions of Section 3 00 of the L r C de, all f rthw h om with those provisions. at . �9v, ca V 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 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 certif th have read this application and state h t th above information is correct. I agree to comply with all city arinUntydcc��in11ances and state laws relati 'id gJJsuctio nd hereby authorize representatives �rgr upon the above -menti ed pr pe foctio� o Date: �' 1' ature (Applicant or .o . Application Number . . . . . 07-00001748 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 ' PATIO SQ FTG 177.00 NUMBER OF UNITS .1.00 -----------------------------------------------=---------------------------- 1ST FLOOR SQUARE FOOTAGE ..1943.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 88'8.00 Plan Check Fee_. 577.20 Issue Date . . . . Valuation . . . . 170639 Expiration Date 12/15/07 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 - 3.5000 --------------------=------------------------ THOU BLDG 100,001-500,000 ------------------------------- 248.50 Permit . . . MECHANICAL Additional desc.. Permit Fee. . 70.50 Plan Check Fee 17.63 Issue Date . . . . Valuation 0 Expiration Date .. 12/15/07 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 ------------------------------ EA MECH EXHAUST HOOD --------------------------------------------- 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 94.53 Plan Check Fee 23.63 Issue Date . . . . Valuation 0 Expiration Date.. 12/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 1943:00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 576.00 .0200. ELEC GARAGE OR NON-RESIDENTIAL 11.52 LQPERMIT _ LQPERMIT Application Number . . . . . 07-00001748 ------------------------------------------- Permit . . . ---=-----------------------------= PLUMBING Additional desc . Permit Fee . . . . 152.25 Plan Check Fee 35.81' Issue Date Valuation 0 Expiration Date 12/15/07 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 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 12/15/07 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------------------------7----------7--------------- Special Notes and Comments SFD - LOT 99, PLAN 4520C, 1943 SF/ 255 SF CASITA,BOX BAY Q MBR -26 SF 4- GARAGE EXT - 88 SF.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 995.00 ENERGY REVIEW FEE' 57.72 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 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 LQPERMIT LQPERMIT Application Number 07-00001748 Fee summary. Charged Paid Credited Due Permit Fee Fee Total --------- 1220.28 ---------- .00 ---------- .00 ---------- 1220.28 Plan Check Total 654.27 .00 .00 654.27 Other Fee Total 4549.78 .00 .00 4549.78 Grand Total 6424.33 .00 .00 6424.33