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07-1747 (SFD)-:� P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00001747 Property Address: 81795 LA PAZ CT APN: 764-280-999-98 -300237- Application description: DWELLING.- SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 239845 Applicant:chjtect or Engineer: C_(:0 �`�+" , l s --------------------------7----------------------- 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 Business and Professionals Code, and my License is in full force and effect. Licenselass: B License No.: 672285 /6 t �Z�ntractor: t '- 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 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.). (_) 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 _ 1 I am exempt under Sec. , BAP.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 1t t Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTE: SCOTTSDALE, AZ 8525 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: 6/18/07 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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' compensatlon Insurance, as required by Secliuii 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 Number 1247619 1 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, and agree that, i become bject to A workers' compensation provisions of Section - - 'I_OOO�f the or e. Shall orth i c th diose provisions. ate f Ap nt: WARNING: FAILU E 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 certify that I have read this application and state t t the above in foon is co ct. I agree to comply with all city and county ordinances and state laws relating t 'ng con and bltauthorize representatives of is c o ter upon thea e -mentioned o e for ins p U\ te: �T Si ure (Applicant or A Application.Number . . . . . 07-00001747 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 Expiration Date.. 12/15/07 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 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 4.00 6.5000 EA MECH VENT FAN 26.00. 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 Expiration Date 12/15/07 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 LQPERMIT z Application Number . . . . . 07-00001747 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . a Permit Fee . . . . 177.00 Plan Check Fee 44.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/15/07 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 Expiration Date 12/15/07 Qty Unit Charge Per Extension _ BASE FEE 15.00 --------------------------------------------------------------=------------- Special Notes and.Comments SFD - Plan 6420C Lot 98 w/casita (255 sqft), Box Bay@ MBR (26 sqft) & Bay @ Nook(23 sqft), 2781 S.F..Permit does not include block wall, pool or driveway approach.2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES 99.61 DIF COMMUNITY CENTERS-RES 74.00 DIF CIVIC CENTER - RES. 995.00 ENERGY REVIEW FEE 73.42 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 23.98 DIF STREET MAINT FAC-RES 67.00 DIF TRANSPORTATION - RES 1930.00 LQPERMIT Application Number . . . . . 0.7-00001747 Fee summary ----------------- Charged ---------- Paid Credited Due r Permit Fee Total 1529.64 ---------- .00 ---------- .00 ---------- 1529.64 Plan Check Total 830.47 .00 .00 830.47 Other Fee Total 4672.01 .00 .00 4672.01 Grand Total 7032.12 .00 .00 7032.12 LQPERMff