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06-3209 (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: CU 06-0000320.9 81910 EAGLE CLAW DR 764-280-999-27 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 142817 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ,74-a ,¢¢s ig Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Ir rchitect or Engineer: ---------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION. I hereby'affirm under penalty of perjur thatl am licensed under provisions of Chapter 9 (commencing with Section 7000) of- Division 3 of the B i and Profe onals Code, and my License is in full force and effect. UcWWtjass:t B g License No.: 672285. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I.amexempt from the Contractor's. State License Lawforthe 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 tofile a signed statement that he or she is licensed, pursuant to the provisions'aUthe Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business.and Professions Code) or that he orshe.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).: 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 notapply 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 ofsale. I. (_) I, as owner of the property, ani 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 c_ontracts,forthe projects w_ith,a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ ) .1 am exempt under Sec. B.&P.C. for this reason Date: Owner:. CONSTRUCTION LENDING AGENCY I hereby affirmunder 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: LQPERMrr IIJ Contractor: SHEA HOMES., INC'. 81260 AVENUE 62 LA QUINTn., CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 77.7-7011 INSPECTIONS (760) 777-7153 Date: SEP 14 2006 CITY OF LA QUINTA ------------------ WORKER'S COMPENSATION DECLARATION 8/31/06 I hereby affirm under penalty of perjury one of the;following declarations: I have and will maintain a certificate of consent to self4nsure,forworkers' 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 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 I 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;t, if 1 Mould become subjectto workers' compensation:provisions of Section 700 of the hau�fo rthlcom ) with those provisions. � 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 3708'01` THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT 1IMPORTANT Application is hereby made to the Director of Building.and Safety for a permit subject to the conditions and restrictions setforth: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) have read'thisapplication and state that;the above informatio 'scorrect.. I agree to comply with all C ity ountyhndlitnances and aie laws r nn ilding c ruction, n hereby authorize representatives {{nfy�r pon .above -m- do o rty ms ctlon pu p e I onlican ' k Application Number . . . . . 06-00:003209 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 7.90.00 Plan Check Fee 128.38 Issue Date . . . Valuation . . . . 142.817 Expiration Date 2/27/07 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 59.00 Plan Check Fee 3.69 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/27/07 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 3.00 6.5000 EA MECH VENT FAN. 19.50 1.00 6.5.000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 80.70 Plan Check Fee 5.05 Issue Date Valuation . . . 0 Expiration Date 2/27/07 Qty Unit Charge Pet. Extension BASE `FEE 15.00 1556.0'0 .0350 EIEC NEW RES - 1 OR 2 FAMILY 54:46 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 Permi-tPLUMBING Additional desc . Permit Fee. 123.00 Plan Check Fee 7.69 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/27/07 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.00.00 EA PLB FIXTURE 54.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT 0 IF4)� Nw,01d Application Number . . . . 06-0000320.9 Permit . . . ... . PLUMBING Qty Unit Charge Per Extension 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 9.000.0 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 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/27/07 Qty Unit CharE;a Per Extznsion BASE FEE 15.00 -----------------------------------:------------------------------------- Special Notes and Comments ------ SFD - LOT 27, PLAN 4510A, 1556 SF. INCLUDES 26 SF. BOX BAY @ MBR & 1.20 SF. PATIO EXTENSION. PERMIT DOES NOT INCLUDE POOL, SPA; BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE .OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------.------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES ------------ 2.0.00 DIF COMMUNITY CENTERS' -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 12.84 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 14.28 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 144.81 .00 .00 144,.81 Other Fee Total 3743.12 .00 .00 3743.12 Application Number . . . . . 06-00003209 Grand Total 4955.63 .00 .00 4955.63 LQPEPMff