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05-2954 (SFD)"P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00002954 60918 DESERT ROSE DR 764-270-999-186 -300233- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 214532 T-iht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 111 EA LA QUINTAO JEFF MCQUEEN DETACHED' 00 N GAINEY CENTER 350 OTTSDALE, AZ 85258 16 20 L�L Co tractor: �rchitect Or Engineer: CITYOFLgQUINTA S A HOMES, INC. FIPIAPICEDEPT. 41260 AVENUE 62 �Sq' Corps LA QUINTA, CA 92253 -A��1►o . to _G� _ �� --- (760)777-6005 Lic. No.: 672285 ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty 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 License is in full force and effect. License Class: B License No.: 672285 Date:jjj14V ontractor: S�%,@Q / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: 1 _ 1 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 ISec. 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 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.). (_ 1 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: It Lender's Address: t LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: .7/18/05 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 workers' compensation insurance, as required by Section 3700'of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NTL UNION INS Policy Number 6436568 _ 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 that, if I should become bject to the workers' compensation provisions of Section 3700 of the r od , I shall f with comply with those provisions. ate: 1� Applie 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. 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 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 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 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c myenter upon above-mentioned property for inspection purposes. Q� C' Jae: v ignature (Applicant or Agent LQPERMIT Application Number . . . . . 05-00002954 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1042.00 Plan Check Fee 677.30 Issue Date . . . . Valuation . . . . 214532 Expiration Date 1/14/06 Qty Unit Charge Per Extension •BASE FEE 639.50 115.00 ----------------------------------------------------------------------------- 3.5000 THOU .BLDG 100,001-500,000 402.50 Permit . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/14/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 -------------------------------------------------------7-------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 110.59 Plan Check Fee 27.65 Issue Date . . . . Valuation . . . 0 Expiration Date 1/14/06 Qty Unit Charge Per Extension" BASE FEE 15.00 2458.00 .0350 ELEC NEW RES - 1 OR.2 FAMILY 86.03 478.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit . . . PLUMBING Additional desc - Permit Fee . . . . 165.00 Plan Check Fee 41.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/14/06 Qty Unit Charge Per - Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMTT Application Number . . . . . 05-00002954 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension Extension 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 36.33 Additional desc . DIF COMMUNITY CENTERS -RES 97.00 Permit Fee . . . . CIVIC CENTER - RES 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/14/06 Qty Unit'C_harge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - Plan 5515A Lot 186 w/Casita (292sf), MBR Bay (22sf) Great Room Bay (22sf) & Patio Ext (315sf). Permit does not include block wall, pool or driveway approach. ---------7------------------------------------------------------------------ Other Fees . . . . . . ART IN PUBLIC PLACES -RES 36.33 _ DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 67.73 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 21.45 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- ---------- Paid Credited -------------------- Due ----------------- Permit Fee Total 1409.59 .00 .00 1409.59 Plan Check Total 765.45 .00 .00 765.45 Other Fee Total 2530.51 .00 .00 2530.51 Grand Total 4705.55 .00 .00 .4705.55 �a��u�vrfQ•c ,- Certificate of Occupancy G OF Building Y p & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 60-918 DESERT ROSE DRIVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-2954 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: SHEA LA QUINTA Address: 8800 N GAINEY CENTER DR. #350 City, ST, ZIP: SCOTTSDALE AZ, 85258 By: KIRK KIRKLAND _ Date: JULY 24, 2009 Building Official POST IN A CONSPICUOUS PLACE