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04-4574 (SFD)0 O • '�� BUILDING & SAFETY DEPARTMENT C - P.O.-BOX 1504 (760).777-7012 s OF�4•� 78-49'5�CALLE TAMPICO FAX (760) 777-7011 `�1r�;LA QUINTA,, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT rr7T' Application Number . . . .04=000-045-74± Date 5/25/04 Property. -Address 60629 LACE LEAF CT APN: 764-270-999-116 -300231- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation F 238955 -�• r `_ '; +. a •.+, ' t. — Owner Contractor.: ------------------------ -----=------------`- SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ .85258 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B -------------------------- 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 615.00 PATIO SQ FTG "- 323..00 �- NUMBER- OF UNITS '-` 1.00 FIRST FLOOR SQ FTG 2755.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -!+ ' r Additional desc Permit Fee 1126.00 Plan Check Fee 731.90 Issue Date . . . . Valuation . . . . 238955 Qty Unit Charge Per Extension BASE FEE 639.50 139.00 3.5000 THOU BLDG 100,001-500,000 486.50 ----------------------------------------------------------=----------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 108.00 Plan Check Fee 27.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension r P.O. BOX 1504 •4�/f/',I� i 7$-495 CALLS TAMPICO r `� VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 922534 FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: QZ/- 457/Mate: 'U y Applicant: ng. Applicant's Mailing Address: 1Architect or Engineer's Ad mess: rf Lic. No.: �.1i2 4L 1 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm unci anally 11 perjury that I am licensed under pro vis" ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and ss Lice in full force and effect. �icense Class License No. Date' i n Tactor �� #-. � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from theContractors' 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'g (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 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 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: 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) Ii The Contractors' censed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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 worke ' compensati n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss d. M w4prkers' comp ti ' urance carri d�ppl�cy—yeses /Carie 1, & 1t'1 licy Number _ I certify that, in the performance of the work for whic►yAis permit is issued, I shall not employ any person in any manner so as to become subject to the worke' compensation laws of California, and agree that, Jf I hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall rs forthwith comply with those provisions. M 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. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT 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 Le Ouinta, 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' , of commenced within 180 da int from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certity that I have read this application and state that the above ' formation is correct, a to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county pon the ntionedI ro p party for inspection purposes. SigApplicant or Agent s- r Page 2 Application Number . . . . . 04-00004574 Date 5/25/04 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 -----=---------------.---------.---------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 123.73 Plan Check Fee 30.93 Issue Date . . . . Valuation . . . . •0 �• Qty Unit Charge Per Extension BASE FEE 15.00 2755.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 96.43 615.00 ---------------------------------------------------------------------------- - .0'200 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 - LOT 116, PLAN 6420A/255 F] K l Page 3 Application Number . . . . . 04-00004574 Date 5/25/04 ---------------------------------------------------------------------------- Special Notes and Comments SF.CASITA/23 SF BAY Q NOOK. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . .ART IN PUBLIC PLACES -RES 97.38 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 73.19 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 23.89 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ------------------ ,Charged ---------- Paid Credited Due Permit Fee Total 1549.73 ---------- ---------- ---------- .00 .00 1549.73 Plan Check Total 834.08 .00 .00 834.08 Other Fee Total 2599.46 .00 .00 2599.46 Grand Total _4983.27 .00 .00 4983.27 F] K l