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06-3135 (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: 0'6-00003135 81810 EAGLE CLAW DR 764-280-999-37 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 148309 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN. DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rchitect or E ineer: ��o� Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 9.2253 (760)777-6005 Lic. No.: 672285 VOICE (760).777-7012 FAX (760) 777-70,11 INSPECTIONS (760) 777-7153 Date: 8/28/06 D Q 0 0 SEP 14 2006 CITY OF LA QUINTA FINANCE DEPT. ---.----------------------------------------------------------------- - - - - - e - - - - - - - - - - - - - -- - - - - - ' LICENSED CONTRACTOR'S DECLARATION I - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of. perjury that I am licensed under provisions of Chapter'9 (commencing with I hereby affirm under penalty of. perjury one of the following declarations: Section 7p00) of Division 3 of the Busir@ss and Professionals Code, and my License Win full force,andeffect. I have and will'maintain a oerti icate ofconsent to self -insure for workers' compensation, as provided /ate:l L l�tl ctor.0 I � 1, -ice y "L` 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;requiies a.permitto construct, after, improve,. demolish, or,repair, any structure, prior to its: issuance,. also requiree,the applicant for the permit,to file a signed statement that hwor sheds 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 (6500).: (_ 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 (Seo. 7044, Business and Professions Code: The Contractors' State License Law.domnot apply to an owner of property who builds or improves _thereon, and who does the work himself or herself through.his:on her own employeas;.provided,that the improvements are noulmended 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 purposenf sale:). l _) 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.applyto 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:): (_) I sm.exempt under Sec. B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDINGAGENCY I hereby affirm under penalty ;of perjury that there is a construction lending'agencyfor 'theperformance of the work for which this permit is Issued (Sec. 3097, Civ. CJ. Lender's Name: \ Lender's Address: tJ LQPERMIT for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IL 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 Number 1247619' _ 1 cenifythat, in the performance of the work for which this: permit.Wissued, I shall not employ any person in any man so as to become subject to the workers' compensation laws of California, d,agree that, ' come subject to the wor rs' compensation provisions of Section ��' I�ofe' bor C I aII f huff co1�41Provisions: can . t' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE'IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO'CRINIINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). 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 tothe Director of Building and Safety4or 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 toany permit issued as.a_result of this applicationi. the owner, and the applicant, each agrees,to, and shall defend, indemnify and hold harmless the City of'La Quints, its officers, agents and employees for anyact 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 ie.not commenced within 180 days from date of issuance of such permit; or cessation of work.for 180 days will subject permit Yo,cancellation. I certify that l have read this,application and state that t above' Information is correct. .agree to,comply With all city and ourny rdinancesa state laws relating to d g con ruction, and h eby, thorize'representatives Met, tyt r u e above -mention or ins clic uip u i nature (Applicant or A Application Number . . . . . 06-00003135 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 488.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1-00 1ST FLOOR SQUARE FOOTAGE 16.88.00 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 811.00 Plan Check Fee.. 527.15 Issue Date . . . . Valuation . . . . 1.4.8309 Expiration Date . . 2/24/07 Qty Unit Charge Per Extension BASE FEE 639..50 49.00 3.5000 ------------------------------------------------------------------------- THOU BLDG 1.00,001-500,000 .171.50 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 64.00 Plan Check Fee 16.00 Issue Date . . . Valuation . . . 0 Expiration Date . . 2/24/07 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 1.00 6.5000 EA MECH VENT FAN 6.50 1..00 6.5.000 EA MECH EXHAUST HOOD 6.5.0 Permit . . . Additional d_esc.. . Permit Fee . . Issue Date . . . . Expiration Date. . Qty Unit Charge 1688.00 .0350 488.00 .0200 LQPERMT ELEC-NEW RESIDENTIAL 83.•84 Plan Check Fee 20.96 Valuation . . 0 2;/24/07 Per Extension BASE FEE 15.00 ELEC NEW RES - 1 OR 2 FAMILY 59^.08 ELEC GARAGE OR NON-RESIDENTIAL 9.76 V> LQPERMIT M Application Number . . . . . 06-00003135 BASE FEE Permit . . . . PLUMBING SFD = LOT 37, :1688 SF PLAN Additional desc . . BAY @ MBR -26 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, Permit Fee 128.25 Plan Check Fee 32.06 Issue Date . . . . ------- •----------.-------------- Other Fees . . . .. . Valuation . . . . 0 Expiration Date . . 2/24/07 DIF CIVIC CENTER - RES Qty Unit Charge Per ENERGY REVIEW FEE Extension DIF FIRE PROTECTION -RES BASE FEE 15.00 10.00 6.00:00 EA PLB FIXTURE 60.00 1.00 .15.00;00 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 . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15.00 Plan Check Fee .00 2/24/07 Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 Special. Notes and Comments SFD = LOT 37, :1688 SF PLAN 452OC/BOX BAY @ MBR -26 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2064 CEC, 2005 ENERGY CODES - ------- •----------.-------------- Other Fees . . . .. . . ART IN PUBLIC PLACES -RES ..00 DIF COMMUNITY CNTERS-RES 74.00 DIF CIVIC CENTER - RES 480:00 ENERGY REVIEW FEE 52.72 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 14.83 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.06 Fee summary Charged Paid Credited Due Application Number . . . . . 06-0000313.5 ----------------- ----------- Permit Fee Total 1102.09 --- .00 .00 1102.09 Plan Check Total 596.17 .00 .00 596.17 Other Fee Total 3763.55 .00 .00 3763.55 Grand Total 5461.81 .00 .00 5461.81 LQPEmrr