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04-4550 (SFD)000 L� Q� u�w .T'� ''`�' BUILDING & SAFETY DEPARTMENT c w4 EP.0 BOx 1504 (760).777-7012 OFTt�'� -78-495.1CALLE TAMPICO FAX (760) 777-7011 1�- `, !., L-•A-QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number0�4-00'_0.0 54 50 Date 5/26/04 Property,Address '. . . . . 60585 LACE LEAF CT APN: 764-270-999-114 -300231- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . MEDIUM HIGH DENSITY RES Application valuation .. 184972 Owner Contractor t ------------------------ 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 PLAN 5515C W/NOOK 212SF ----- 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 478.00 PATIO 'SQ• FTG 178.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2144.00 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 937.00 Plan Check Fee 609.05 Issue Date . . . . Valuation 184972 Qty Unit Charge Per Extension BASE FEE 639.50 85.00 3.5000 THOU BLDG 100,0017500,000 297.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 61.00 Plan Check Fee 15.25 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension w P.O. Box 1504 78-495 CALLE TAMPICO �i VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: N. 4550 Date: r%p - l -04 Applicant: Ar t Applicant's Mailing Address: c I e �t`En deer. Unyv9AIA-�k-v Architect or Engineer's Address: "Ci c. No.: (L - ! tL N !� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm u enalty 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 Li full force and effect. License Class_ I_ se No. �� -5 A OWNER43UILDER 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 for a 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. . BA 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 and will maintain w ers' compensation ' surance, as req. by Section 3700 of the Labor Code, for the performance of the work for which this permit is issue . wq� co tion ince carve n p eyyar� Came �U oli/R cyNumnber _ I certify that, in the performance of the work for w�Ich this pe it 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 tf if I should became subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisigtts. / 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 Lenders Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT ACKNOWLEDGEMENT Safety Ato the s set forth on this I. Each person upon hose behalf this application is made. each person at Permit ehose request and for whose benefit work snperformed under or pulrsuant to any 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 vo 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 I agree to comply with all city and county ordinances and state laws relating to building cons:Z= ntatives of this county to a ter upon above-mentioned property for inspection purposes. Dateplicant or Agent): ` tt. •'"r {'4 fir,, r =f' , i, X! �,, Page 2 Application Number . . . . . 04-00004550 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 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 . . . . 99.60 Plan Check Fee 24.90 i Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2144.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 75.04 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56' -------------------------- Permit . . . . . -----------.-------------------'-------------------- PLUMBING Additional desc Permit Fee 141.00 Plan Check Fee 35.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 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 - PLAN 5515C.LOT 114 W/NOOK 22SF. Y k Page 3 Application Number 04-00004550 Date 5/26/04 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT DOES NOT INCLUDE BLOCK WALL, POOL 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 60.91 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 18.49 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1253.60 ------------------------------ .00 .00 1253.60 Plan Check Total 684.45 .00 .00 684.45 Other Fee ITotal 2484.40 .00 .00 2484.40 Grand Total 4422.45 .00 .00 4422.45