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04-5750 (SFD)T,Vf °F 4 Q" �9� v`P.O. BOX 1504 'Tit "i78-495 Cie1LLE TAMPICO U LAQUIN, CALIFORNIA 92253 9„ ') _":1a-1 1 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760) .777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number -0400005750 Date 7/29/04 Property Address .. . . . . 60100 DESERT ROSE DR APN: 764-270-999-19 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning MEDIUM HIGH DENSITY RES Application valuation . . . . 183194 Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777-6005 Qty Unit Charge Per Extension 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 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2122.00 ------------------------- Permit . . . . . . --------------------------------------------------- BUILDING PERMIT Additional desc Permit Fee . . . . 933.50 Plan Check Fee 606.78 Issue Date Valuation . . . . 183194 Qty Unit Charge Per Extension BASE FEE 639.50 84.00 3.5000 THOU BLDG 100,001.-500,000 294.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504ICE VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 �! BUILDING & SAFETY DEPARTMENT Application Number: �� / .��0 ,Date: Applicant: Applicant's Mailing Address: or Engineer's Address: tic. No.: `�3--Ly BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm ugdpr penalty of perjury that I am licensed under provisio)is of Chapt9( mpG�yiith Section 7000) of Division 3 of the Business and Professionals Cie, and my Lf;phsis in full force and effect. /Lice� 1 nse Clpss _ _ - cepse No. I 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 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.). ( j 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: 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 e a II maintain orkers' compensation insure 3700 of the Labor Code, for the performance of the work for which this permit is su orkers' mpensation�psarance Car�rmer Policy NumberI certify that, in the performance of the work for whicd, I shall not employ any person in any manner so as to become subject to the workers' com nsabon laws of California, and agree that, ibject to the workers' compensafion provisions of Section 3700 of the Labor Code, I shall forttAh co%m� ply with those prowsi s� X U 11 " 1_/ l ro\I 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. 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 Lenders Address 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 rel d to the work being p ormed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes 1 and void if work is n commenced within 160 days from date of issuance of such permit, or cessation of work for 180 days will subject permit nenupo I certify th t 1 haveread this application and state that the aborrect. I a to comply with all city and county ordinances and state laws relating to building constructi , and ereby authorize representatives of this cothe ab ntioned property for inspection purposes. t ate q L� &/� ' nature (Applicant or Agent): 11 Application Number Page 2 . . . . 04-00005750 Date 7/29/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 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 . . . . 98.83 Plan Check Fee 24.71 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2122.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 74.27 478.00 .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 15.001 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 19, PLAN 55,15C, 2122 SF. Page 3 Application Number . . . . . 04-00005750 Date 7/29/04 ----------------------------------------------------------------------------- Special Notes and Comments 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 60.68 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 18.31 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1247.33 ------------------------------ .00 .00 1247.33 Plan Check Total 681.49 .00 .00 681.49 Other Fee Total 2483.99 .00 .00 2483.99 Grand Total 4412.81 .00 .00 4412.81