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04-4579 (SFD)Lo BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 SOF �________,?g=495._CAALLE TAMPICO FAX (760) 777-7011 � -LA QU-IN`TA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT AppatonNumb=er 04-00004579 Date 5/26/04 Property Address . . . . . . 60607 LACE LEAF CT APN: 764-270-999-115 -300231- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 166943 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 85.258 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B --------------------------- Structure Information -----------------7------- 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 539.00 PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1847.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 856.50 Plan Check Fee 556.73 Issue Date Valuation . . . . 161587 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 217.00 Permit . . . . . . MECHANICAL Additional desc Permit Fe -e . . . . 86.50 Plan Check Fee 21.63 Issue Date . . . . Valuation . . 0 Qty Unit Charge Per Extension r P.O. Box 1504 78-495 CALLE TAMPICO br1�l VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX ()60) 777-701 1 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number:- �j I Date: vC/ AoDlicant: �o -� - Applicant's Mailing Address: Architteec't or Engl . rl Architect or Engineer's Address: Lk- No. �LC CL. �146 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpnplty of perjury that I am licensed under provisiQgns of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Licens m II force and effect Code, and . � C' License Class ss1 rcense No. Date L& ntractor �� 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 fora 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. , B.& 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. . ` I have qnd 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 �Cartiel'—� uao n a6 sTirance car� q�y °olicy Number u 7 T :S _ I 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 tha if hould become subject to the orkers' compensation provisions of Section 3700 of the Labor Code, I shall r _ thwith comply with those rovisi S. r Date`' ` Appli 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Buildingand SafetyA s set forthon this application. 1. Each person upon whose behalf this application is made, each person at permit h s'e request and fto the or hrose benefit work istions and performedunder or pursuant to an permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity and hold harmless the City of La 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 o is not commenced within 180 day* 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 roe to comply with all city and county ordinances and state laws relating to building D ns� on, and hereby authorize representatives of this county t enter upon the a ntioned property for ins Signature P Pe►tY inspection purposes. Signature (Applicant or Agedt ` _ Page 2 Application Number 04-00004579 Date 5/26/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 81.19 Plan Check Fee 3.76 Issue Date . . . . Valuation . . . . 0 r .. Qty Unit Charge Per Extension BASE FEE 15.00 ` 1847.00 .0300 ELEC NEW RES - MULTI FAMILY 55.41 539.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee 16.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 1.0.0 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 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 115 PLAN 5505A/26�SF BOX BAY Q `S Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged I Paid 1159.19 Page 3 Application Number - 04-00004579 Date 5/26/04 --------------------------------=------------------------------------------- Special Notes and Comments .00 MBR/83 SF EXT. GARAGE/315 SF EXT. PATIO. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR_DRIVEWAY APPROACH. ---------------------------------'------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 55.67 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 16.15 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged I Paid 1159.19 .00 598.62 .00 2476.82 .00 4234.63 .00 Credited Due .00 1159.19 .00 598.62 ..00 2476.82 .00 4234.63