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04-4569 (SFD)r I. . u�i�ctcv BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 kLLE TAMPICO FAX (760) 777-7011 A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT . . . . <0 4=0_0__0_0 15-69A Date 5/25/Q4 �.. . . 60458 LACE LEAF CT 764-270-999-123 -300231- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation .170396 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/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 _.PATIO SQ FTG 177.00 NUMBER'OF UNITS 1.00 FIRST FLOOR.SQ FTG 1940.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 888.00 Plan Check Fee 577.20 Issue Date Valuation . . . . 170396 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 THOU BLDG 100,001-500,000 .248.50 -----------------------------------------=------------------I---------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 88.50 Plan Check Fee 22.13 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOC 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: O -%' 44 J & Applicant: Applicant's Mailing Address: or VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 0 -1 - No.: I - No.: YLC*. 1 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under 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 Licen full force and effect. _Lieerse Nd�� w �� �tt�ense Class ss Date La � � Hector OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 1, 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 .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. �hhave d will maintain wo rs' compensation insurance, as'required by Section 3700 of the Labor Code, (or the performance of the work for which this permit is . 1 w co salmon rafice Cartier and ol'cy �rier 1 1 Policy Number _ _ I certify that, in the performance of the work for which this r 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 that, if should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /Date t.I I6\ AC 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, indemnity 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 issuanc cessation of work for 180 days will subject permit to cancellation. e of such permit or I certify that I have read this application and state that the abo a information is com I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize -representatives of this cou r upon the�-"*nnboned property for inspection purposes. �� ignS ature (Applicant or Age Application Number Page 2 04-00004569 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 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 . . . . 33.17 Plan Check Fee 8.29 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 190.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 6.65 576.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 Permit . . . PLUMBING Additional desc Permit Fee . . . . 152.25 Plan Check Fee 38.06 Issue Date . . . . Valuation . . . . 0 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 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 123, PLAN 4520C/CASITA/23 SF. Page 3 Application Number. . . . . . ---------------------------------------------------------------------------- 04-00004569 Date 5/25/04 Special Notes and Comments BAY @'MBR/88 SF. GARAGE EXTENSION. PERMIT DOES NOT INCLUDE BLOCK WALLS, 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 57.72 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 17.03 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total 1176.92 ------------------------------ .00 .00 1176.92 Plan Check Total 645.68 .00 .00 645.68 Other Fee Total 2479.75 .00 .00 2479.75 Grand Total 4302.35 .00 .00 4302.35 PREPARED 3/16/11, 10.17:33 INSPECTION HISTORY REPORT PAGE 1 � PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF LA QUINTA - -------------------------------------------------------------------------------=--•-------------------------------------------------- • APPLICATION PROPERTY ADDRESS APN Alternate ID STRUCTR ------------------------------------------------------------- PERMIT INSPECTION ---------------------=-------------------------------- RESULTDATE/STATUS 'INSPECTOR ' ---------------- 04 00004569 60458 LACE LEAF CT 764-270-999-:123'-300231- 64-270-999-123'-300231-000 000000 B001 00 BUILDING PERMIT 120 0001 FOOTINGS 7/01/04 APPROVED GH 000 000 B001'00 BUILDING PERMIT 125 0001 SLAB' 7/01/04 APPROVED GH 000 000 B001 00 BUILDING'PERMIT 135 0001 ROOF NAIL 8/13/04 APPROVED GH . 000 000 B001 00 BUILDING PERMIT 140 0001 OKAY TO WRAP. 8/20/04 APPROVED GH 000 000' B001 00 BUILDING PERMIT 145 0001 FRAMING 8/20/04 APPROVED GH 000 000 B001 00 BUILDING PERMIT 150 0001 INSULATION 8,/27/04 APPROVED GH ' 000 000 B001 00 BUILDING PERMIT 155 0001 LATH 8/30/04 APPROVED GH 000 000 B001 00 BUILDING PERMIT 160 0001 DRYWALL NAIL 9/03/04 APPROVED GH 000 000 B001 00 BUILDING PERMIT 199 0001 FINAL 10/20/04 APPROVED ST - 000 000 E01 .00 ELEC-NEW RESIDENTIAL 310 0001 ROUGH ELECTRICAL 8/20/04 APPROVED GH ' 000 000 E01 00 ELEC-NEW RESIDENTIAL 315 0001 TEMP USE OF PERMANENT POW 10/20/04 APPROVED ST 000 000 E01 00 ELEC-NEW RESIDENTIAL 399 0001 ELECTRICAL FINAL 10/20/04 APPROVED ST 000 000 GP- 00 GRADING PERMIT 197 0001 GRADING FINAL 10/20/04 APPROVED ST— ' 000 000 M01 00 MECHANICAL 405 0001 ROUGH MECHANICAL 8/20/04 APPROVED GH 000 000 M01 00 MECHANICAL 499 0001 MECHANICAL FINAL 10/20/04 APPROVED ST 000 000 P01 00 PLUMBING 210 0001 SEWER CONNECTION 6/21/04 APPROVED GH 000 000 P01 00 PLUMBING 200 0001 UNDERGROUND*PLUMBING 6/21/04 APPROVED GH, 000 000 P01 00 PLUMBING 230 0001 ROUGH PLUMBING 8/20/04 APPROVED GH 000 000 P01 00 PLUMBING 235 0001 GAS LINE / GAS TEST 9/16/04 APPROVED GH 000 000 POI 00 PLUMBING 299 0001 PLUMBING FINAL 10/20/04 APPROVED ST