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05-2914 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 1iILDY�tC��4c�� Ad 1 b I�905 P Application Number: r 05-00002914 Property Address: 60932 DESERT ROSE DR CITY OF LA QUINTA APN: 764-270-999-187 -300233- FINANCEDEPT. Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 186889 Applicant: .'�Irchitect or.Engine 4" Cdn z jja l 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 ate:�l i `r ontractor:� 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 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 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: [� Lender's Address: ►v Y LQPERMIT q" �RTMENT IT 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 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/13/05 WORKER'S 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. Y� 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. 1 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 ubject to the workers' compensation provisions of Section �_}1► 3700 of the Labor de I shall fo hwith comply with those provisions. Date: • ,�� pplicant�— 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 const r" tion, and hereby authorize representatives of this county to enter upon the above-mentionedpr for inspe kion purposes. Pefe��_ Signature (Applicant or Age Application Number . . . . . 05-00002914 Structure Information SFD PLAN 5505 W/CASITA MBR GAR & PAT EXT----= Construction Type.. . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 536.00 NUMBER OF UNITS• 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE.FOOTAGE 2094.00 Permit BUILDING PERMIT Additional desc . Permit Fee 944.00 Plan Check Fee 613.60 Issue Date . . . . Valuation . . . . 186889 Expiration Date 1/09/06 Qty •Unit Charge Per Extension BASE FEE 639.50 87.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,0017500,000 304.50 Permit MECHANICAL Additional desc . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . 0 Expiration Date 1/09/06 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 - 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 ------------------------------------=--------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 99.07 Plan Check Fee 24.77 Issue Date Valuation 0 Expiration Date 1/09/06 Qty Unit Charge Per Extension BASE FEE 15.00 2094.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 73.29 539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 LQPERMIT Application Number . . . . . 05-00002914 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . Permit Fee 133.50 Plan Check Fee 33.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/09/06 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 Permit .. GRADING PERMIT Additional'desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/09/06 Qty Unit Charge Per Extension BASE FEE ' 15.00 -------------------------------------------------------------- Special Notes and Comments -------------- SFD - Plan 5505B, 2094 SF, Lot 187 w/casita (247 sqft), MBR box bay (26 sqft), ext garage (83 sqft), ext patio (315 sqft). 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 61.36 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 18.68 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due LQPERMIT Application Number . . . . . 05-00002914 ----------------- Permit Fee Total -------------------- 1275.07 ---------- .00 .00 ---------- 1275.07 Plan Check Total 692.63 .00 .00 692.63 Other Fee Total- 2485.04 .00 .00 2485.04 Grand Total 4452.74 .00 .00 4452.74 LQPERMIT Certificate.of Occupancy U II,,II G OF'I'k�Building & 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: 60-932 DESERT ROSE DRIVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-2914 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 —r -A Date: JULY 27, 2009 Building Official POST IN A CONSPICUOUS PLACE