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06-3166 (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:: 0,6-00003166 81866 EAGLE CLAW DR 764-280-999-32 -3:00235- DWELLING - SINGLE FAMILY MEDIUM. HIGH DENSITY RES . 12770,2 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER SCOTTSDALE4 AZ 8,525 rchitect oc Engineer: C_�► 1e% LCti 2l_e �U LICENSED CONTRACTOR'S DECLARATION I herebyaffirm underpenaltyof perjury that I am,licensed under provisions of Chapter (commencing with Section 7 OOl of ivision 3 of the.Busi ss and P7ofessionalsCode and my, License is:in full force:and effect. Lice ass License No : 6,72285 a teatentractor: 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. 703.1.5, Business and Profeesions Code: Any or county that requireva.permirto. construct, alter, improve, demolish, or repair any structure,, prior to its issuance, also yequires-the applicant for -the: permit to file a signed statement that he or she is licensed pursuant to the,provisions of the;Contracior's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 'Business and Professione,Cgde)•or thst;he or she is exemprtherefrom.and the basisfor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit:subjects the applicant toe civil penalty of not more than five.hundred dollars ($500).: (=J f, as owner of the property, or my employees'with wages as their,sole compensation, will do;the work, and the-:structureiis not intended oroffered"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 notintended.or offered for'sale. If, however, the building or improvementis sold within one year'of completion, thelowner builder will have the burden of proving'thet he.or she did.not build or improve for the purpose of sale.). 1 _ 1 I, as owner 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:therson; and who contracts for the projecmwith a. COntractor(s) licensed pursuant to the Contractors.' State Licenser Law.). 1 _ 1 I am exempt under Sec. , B:&P.C. for this reason Deter 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: _ -1 Lender's. Address: f� LQZL.l Ili" Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253' (760,)777-6005 Li'c: No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/30/06 R 8p Q � F EP 14 2005 CITY OF LA QUINTA FINANCE DEPT. WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty. of,0erjury-ona.of the following declarations: — I. and will maintaina certificate of consent to self4nsure 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. 1-I have and will maintain workers' compensation insurance, as'requirsd'by Sectfow37o0 of the Labor Code, for,the performance okhe work for which this permit is issued. Myworkers' compensation insurance carrier and policy number are: Carrier, AME&IGAN HOME Policy Number 1247619 I certifythat, in the performance of the work for which this�na- mit is issued, I -shall not employ a�rson ,- any mannerso as to become subject to the w. compensation laws of Calrfornia, d;pteethatsi1 shdAld c me subjrcCV the workersmpensation provisibrwof Section 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 DOLLARS0100,000).. 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;sw forth,on this application: 1. Each person upon whose behalf this ,epplicationis,made, each person:at whose request and for whose benefit work is performed.under or pursuant toany 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 empleyess.for-anyact or omission related to the work being, performed under or following issuance of this permit. 2. Any permit issued as &'result of thisapplication becomes null and void if. Work is not commenced within 180 days: from date df -issuance. of'such permit, or cessation of work for 180 days will subject permit to cancellation. t I certify tPat l hve read this application and city my rdinances-and.state'lawsn Oft i y e r upon above -mens ate: /1 g ture iApplicant or o complywith all representatives ; -, LQPERM r Application Number . . . . . 06-00003166 Structure Information SFD 421.0A W/BOX BAY, EXT GAR, EXT PAT Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . DWELLG/LODGING/LONG <=1.0 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG - 557.00 PATIO SQ FTG 3.91.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1381.00 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 737.50 Plan Check Fee 479.38 Issue Date . . . Valuation 127702 Expiration Date 2/26107 Qty Unit Charge Per Extension BASE FEE 639.50 28.00 3.:_5000 --------------------------------------------------------------------------------- THOU BLDG 100,001-500,000 98.00 Permit MECHANICAL Additional desc . Permit Fee 65.50 Plan Check Fee 16.38 Issue Date Valuation . . . . 0 Expiration Date : 2/26/01 Qty Unit Charge Per Extension. BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5'000 EA MECH EXHAUST HOOD 6.50 Permit . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date, . . Qty Unit Charge 1381.00 .0350 557.00 .02.00 .ELEC-NEW RESIDENTIAL 74.48 Plan Check.Fee . . 18.62 Valuation . . . . 0 2/26/07 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL Extension 15.00 48.34 . 11.14 Application Number . . . . . 06-00003166 Permit . . . PLUMBING Additional desc . .Permit Fee . . . . 122.25 Plan Check Fee 30.56 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/26/07 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA. PLB FIXTURE 54.00 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 3.60 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 Plan Check Fee_ .00 Issue Date . . . Valuation . . . . 0 Expiration Date 2/26%07 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and.Comments_ SFD - LOT 32, Plan 4210C, (1381. s ft) w7box bay (26 sqft), ext. garage (.83 sqft) & patio ext. (177 sqft) Permit does not include block wall, pool or driveway approach. 2.00.1 CBC, CMG, CPC, .2004 CEC, 2.005 ENERGY CODES Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS --RES 74.00 DIF CIVIC CENTER - RES 480.0.0 ENERGY REVIEW FEE 47.94 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 12.77 LQPEW&T Application Number . . . . . 06-06003166 - ----------------_------------- Other Fees . ------ . . . . . . --------- DIF.STREET ----------------- -------:- MAINT FAC -RES 6.7.00 DIF TRANSPORTATION - RES 1666.00 Fee summary ---------------- Charged ---------- Paid ----------- Credited ---- Due Permit Fee Total 1.014.73 .00 ---------- .00 1014.73 Plan Check Total 544.94 .60 .00 544.94 Other Fee Total 3756.71 .00 .00 3756.71 Grand Total 5316..38 .00 .00 5316.38 LQff