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04-4996 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUIN-TA, _CALIFORNIA 922 BUILC --BUILDING & SAFETY DEPARTMENT (760) .777-7012 FAX (760) 777-7011 INSPEC'TJI'ON REQUESTS (760) 777-7153 kERMIT. I Application Number 04=00004996_ Date 6/21/04 Property. Address ..'-60565 DESERT ROSE DR APN: 764-270-999-75 -300233= Application description . . DWELLING - SINGLE FAMILY DETACHED. Property Zoning . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 164982 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 PLAN 5505B W/MBR 22SF & EXT PATIO 315 SF ----- 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 30.00 FIRE SPRINKLERS NO GARAGE SQ FTG 456.00 PATIO SQ FTG 536.0.0 NUMBER OF UNITS 1.00 '------------------------------------------------------ FIRST FLOOR SQ FTG 1843.00 --=------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 867.00 Plan Check Fee 563.55 Issue Date . . . . Valuation . . . . 164982 Qty Unit Charge Per Extension BASE FEE 639.50 65.00 3.5000 THOU BLDG 100,001-500,000 227.50 -------------------------------------------------------- Permit . . . . . . -------------------- MECHANICAL Additional desc . . Permit Fee . . . . 59.00 Plan Check Fee 16.63 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504• 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: �2 49 q & Date: 40 • .02 �- 7 Applicant: �rc �0r &A8 qer;_. (1_fn Applicant's Mailing Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un natty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lic ns �' full force and effect. �— ��CLJ icense Class _ I License No. OWNER -BUILDER DECLARATION 1 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 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 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 IN permit is issued. I have d ill maintain ers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issue . cers' c nsat' ' surance carrier �rier Policy Numb I certify tha , in the performance of the work for w this permit i ' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califo 'a, and agree tha , f 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I �Jwithcomply with tho pr ' 'o/Date V! `App", WARNING: FAILURE TO SECURE WO ERS' 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 1 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 Lender's Address 17 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 ees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the wo eing performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes Huff and void i w rk 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 o ation is co . I agree to comply with all city and county ordinances and state laws relating to building constructio , and h eby authorize representatives of this co ty t r upon t above-mentioned property for inspection purposes. /(sate `� v5ignature (Applicant or Agen Page 2 Application Number . . . . . 04-00004996 Date 6/21/04 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 .00 16.5000 EA MECH B/C >3-15HP/>10OK-500KBTU .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 . . . . 88.63 Plan Check Fee 22.16 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1843.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 64.51 456.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.12 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 129.00 Plan Check Fee 32.25 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 75, -PLAN 55050. 1843SF Page 3 Application Number . . . . . 04-00004996 Date . 6/21/04 ----------------------------------------- Special Notes and Comments ---------------------------------- W/MBR 22SF & EXT. PATIO 315SF. 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 56.36 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 16.49 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1158.63 .00 .00 1158.63 Plan Check Total 634.59 .00 .00 634.59 Other Fee Total 2477.85 .00 .00 2477.85 Grand Total. 4271.07 .00 .00 4271.07