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06-1142 (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: Tit4t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00001142 O 8179.5:EAGLE CLAW DR 764.-280-999-117 -300235- DWELLING - SINGLE FAMILY DETACHE a MEDIUM HIGH DENSITY RES' 170639 .tO ,11�rchitect or En ear, !_ �° (_C El I ----------------------------------------------------- LICENSED CONTRACTOR'S- DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter9 Icommenang with SectioLt�� ision,3•of the Busi ess and Prof nals Code„and my License is in full force and effect. Li 672285 Date:ontractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law fovtAe 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 pursuantto 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 (8500),: (_ 1 I, as owner of the property, or employees with wages as their sole compensation, willdo She work, and the structure is not intended or offered fousale (Se6. 7044,.Btisihess 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 issold within one yearof 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 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 corrtrmor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/21/06 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: HEA HOMES, INC. 1260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 ------------------- WORKER'S COMPENSATIONDECLARATION I hereby affirm under penaltyof 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, forthe 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 AMERICAN HOME Policy Num 1247619 _ f,oertify:thst, in the performance of the work for high this permit is issued, I shall not employ any person in any manner so as to become subj to the workers' compensation, laws of California; nd agree that, 'rf I sh a subje he workers' compensation provisions of Section Soo of theLabo ode, II , rth c H,eee.reyLtions. 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 (8100,000). 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 fora 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 issuedias a result of this application, the owner, and the applicant, eachagrees to, and shall defend, indemnify and hold harmless the City of La Quints, its officers, agents and employees -for any act or omission related to -the workbeing performed under or following issuance of this permit. 2. Any permit issued ase result of this application becomes null and void if work is not commenced within 180 dayp'from date of issuance.of such permit, or cessation of ork for 180 days will subject permit to cancellation. I certify t at'I he ad this application and state that the ab intormation.i act. 1 agree comply with all city and risy or nances and state laws relating'to_building coon, and yaut preaentatives of t�I n the above-mentioned pro s iqp pu Stgn re (Applicant or.Agentl: a,f Application Number . . . . . 06-00001142. 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 2,001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 IST FLOOR SQUARE .FOOTAGE 1943.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 888.00 Plan Check Fee 144.30 Issue Date . . . Valuation . . . . 170639 Expiration Date 9/17/06 Qty' Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 THOU BLDG 100,001-500,000 .248.50 -------------------------------------------------------------------------------- Permit . . Additional desc . . Permit Fee . . . . Issue Date . . . Expiration Date . . MECHANICAL 70.50 Plan Check Fee . . 4.41 Valuation . . 0 9/17/06 Qty Unit Charge Per Extension BASE FEE 15:00 2.00 9.0000 EA MECH FURNACE <=100K 18.0.0 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . Additional desc-. . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 1943.00 .0350 576.00 .0200 LQPERMFr ELEC-NEW RESIDENTIAL 94.53 Plan Check Fee Valuation . . . . 9/17/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 5.91 0 Extension 15.00 68.01 11.52 Application Number . . . . . 06-00001142 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 152.25 9/1.7/06 Plan Check Fee . . 8.95 Valuation . . . . 0 Qty Unit Charge Per 15.00 Special Notes and Comments Extension SFD - LOT 117, PLAN 4520C, 1943 SF/ 255 SF CASITA,BOX BAY @ MBR. -26 SF 4' GARAGE 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 . . . . 15.0.0 Issue Date . . . Expiration Date . . 9/17/06 Plan Check Fee . . .00 Valuat=ion . . . . 0 Qty Unit Charge Per Extension BASE FEE. 15.00 Special Notes and Comments SFD - LOT 117, PLAN 4520C, 1943 SF/ 255 SF CASITA,BOX BAY @ MBR. -26 SF 4' GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTLIPLE ISSUANCE OF SAME PLAN TYPE.. 2001 CBC., CMC, CPC, 2004 CEC, 2005 ENERGY CODES Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE' 14.43. DIF FIRE PROTECTION -RES 140..00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 17.06 LQPERMrr ti. Application Number . . . . . 06-00001142 --------------------------------------------------------------- Other Fees . . . . . . . DIF STREET MAINT FAC -RES -------------- 67.00 DIF TRANSPORTATION -.RES 1666.00 Fee summary ----------------- Charged ---- Paid Credited -------- - ---------- Due Permit Fee Total 1220.28 .00 .00 1220.2.8 Plan Check Total 163.57 .00 .00 163.57 Other Fee Total 3727.49 .00 .00 .3727.49 Grand Total 5111.34 .00 .00 5111.34 O LQPERbIIT