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06-3157 (SFD)P.O. BOX 1504 78-495 CALLE T.AMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address:, APN: Application description: Property Zoning: Application valuation: Applicant: 06-,0;0,003157 81840 EAGLE CLAW DR 764•-280-999-34 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 142817 .1 Tihf 4 4 Qab& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF-MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 C it�or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I'herebyaffirm under penalty of perjury that I em licensed under provisions.of Chapter 9 (commencing with Sectio 7000) Pf Division 3: of the usineesand Pr ionals Code, and, my Ucense'is in full force and effect. lass: License No.: 672285 te: I Daract OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Lam exempt from the Contractor's State License Law for the following reason (Sec. 7031.5,. Business and ProfessiorwCode: Any'c'rty or county that requires a permit to construct, alter, Improve, demolish, or repair any strubture, prior to its issuance, also requires Owl applicant forthe permit to file a, signed statement that. he or she is licensed, pursuant to theprovisions of the Contrector's.State L(cense Law (Chapter ;9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he orsheis exempt therefrom and the basis for the alleged exemption. Any violation of Saction 7031.5 - by any applicant fora permit subjects the applicant.to a civil penalty of not more -than five hundred dollars ($500).: (_) I, as owner of the property; or my employees with wages,as their sole compensation, will do the work, and thestructure 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-buildei.will have,the burden, of proving that he or-she,did not build or improve for the purpose of sale:). (_) 1, as owner of the property„am exclusively contracting with licensed contractors to construct the project (Sec: 70”, ' Business and Professions Code: The Contractors' State.Ucense Law doesw . not apply ton owner of property who builds or improves thereon, and who contracts4or the projects with a corttractor(s) licensed pursuant to the Contractors' State License Law.). " (_ 1 I am exempt under Sec. SAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that Cthere is a construction lending agency for the performance of the work for which this permit Js issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760) 777-7153 Date: 8/30/06 D FSEP 4 2006 - CITY OF 006-CITY.OF LA QUINTA FINANCE DEPT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain acertificate of consent to.selt-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 3.700 of the Labor Code, for theperformance of the work for, which this permit is.issued. My workers' compensation insurance carrier and policy number are:. Carrier AMERICAN" HOME Policy Number 12476.19 _ I certify that, in the performance of the work for which this permit is issued, I.shall not employ any person in,any manner sous to becomes N to the workers' compensation lawsof'Californ(a, and agree that, if I hou become bject t workers' compensation provisiorrs of Section of the r I sit I fortwith those provisions. D pplic nt: WARNING: FA`LURETO SECURE WORKERS' COMPENSATION COVERAGE IS',UNLAWFUL; AND SHALL SUIBJEGT 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 Applicatiorris.hereby made to the Director'of Buildingand,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 atwhose requestand'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 actor 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 ISO days will subject permit to cancellation. I certify that 1 have read this application and state that the. above information is correct. I agree to comply With all city a ceu y ordinances and state laws relating t i _ ruct n, nd hereby horize representatives nI.t.- MI VSign nthe a`bove-mentioned opertri pealure•Uk6lcant or Agen r Application Number . . . . . 06-00'003157 Permit . . . BUILDING PERMIT Additional desc, . Permit Fee 790.00 Plan Check Fee 513.50 Issue Date . . . Valuation . . 142817 Expiration Date 2/26/07 Qty Unit Charge Per Extension BASE FEE 639.50 43.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 150.50 Permit ... . MECHANICAL Additional desc . Permit Fee 59.0.0 Plan Check Fee 14..75 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/2E,'07 Qty Unit Charge 'Per Extension BASE FEE 15..00 1.00 9.0:00.0 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 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 80.70 Plan Check Fee 20.18 Issue Date . . Valuation 0 Expiration Date 2/2.6/07 Qty Unit Charge PerExtension BASE :FEE 15.00 .1556.00 .035.0 ELEC NEW RES - 1 OR 2 FAMILY 54.46 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 Permit . . . PLUMBING Additional desc' . . Permit Fee . . . . 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation 0 Expiration Date 2/26/07 Qty Unit Charge Per Extension BASE :F.EE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 1.00 15:00:00 EA PLB BUILDING SEWER 1"5..0.0. LQPERMIT Application Number . . . . . 06-00003157 Permit . . . . . . PLUMBING. Qty Unit Charge Per Extension 1.00 1.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0600 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 15.0.0 Permit . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . Valuation 0 Expiration Date 2/26/07 Qty Unit Charge Per Extension BASE FEE 15.0.0 Special Notes and Comments SFD - LOT 34, PLAN 4510C, 1556 SF. INCLUDES 26 SF. BOX BAY @ MBR & 120 SF. PATIO EXTENSION.- PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.06 .ENERGY REVIEW FEE 51.35 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 8,92.00 STRONG MOTION (SMI`) - RES 14.28 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due Permit Fee Total 1067.70 .00 .00 1067.70 Plan Check Total 579.18 .00 .00 579.18 Other Fee Total 3781.63 .00 .00 3781.63 Grand Total 5428.51 .00 .00 5428.:51 LQPERMIT ti LQPERMIT Application Number . . . . . 06-00003157