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07-0605 (SFD)P.O. BOX 1504 78495 CALL TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 07-000006.05 81930 EAGLE CLAW DR 764-280-999-25 -300235- DWELLING SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 170639 ,architect or Engineer: 'Rs1 ------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty,of perjury that I am licensed'unfder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals.Code and my License Is in full force and effect. Lice ass: License No.: 672265 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law forthe 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 it0ssuan9e;.also requires the applicant: -for the permit to file a signed statement that he or she is.licensed,pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with •Section 7600) 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 (0500).: (_ 1 I, as owner of the property, or my employees with•wages as their sole compensation, will do the work, and' the structure isnot 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 -builder will'have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I; as owner of the property; am exclusivelycontiacting with licensed contractors to construct the'project,(Sec. 7044, Business and Professions.Code: The Contractors' Stam License Law does not apply to 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—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm Linder 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: LQPERM11T Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 VOICE (760) 777-7012 FAX (760) 777-70.11 INSPECTIONS (760) 777-7153 Date: ' 2/26/07 SCOTTSDALE, AZ 85258 r Contractor:. PE�MtAR1SHEA HOMES, INC. 81260 AVENUE 62 --- C-ITyor. LA QWWTd . LA, QUINTA, CA 92253 FINANCE T—Tr (7:6 0) 777-6,005 Lic.. NO.: 672285 ------------- WORKER'S COMPENSATION DECLARATION I hereby affirmunder penalty of 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, for the performance of the wait for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of4he work.for which this permit is issued. My workers' compensation insurance carrier and policy number. are: Carrier AMERICAN HOME Policy Number 1247619 I.certifythat, Wthe 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, If l sh uId becomersubjecito the orkers' compensation provisions,of Section 3100 of the r hell fq hwi h comp frit those provisions. plirant:� - �� 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 (0100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION'3705 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 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 issued as a result of this application, the owner, and thwapplicant, each agrees to, and shall defend, indemnity -and, hold harmlessthe City of La Quints, 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 H 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 this appiicatiomand state that t above Information is tract. I agree to comply with all city and county o inances andstatelaws relating to bun c ru ion, and =y authorize afth o e ter upon the above pr r iii ctn n cur Si re(Applicant or Age Application Number . . . . . 07-00000605 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . NON -AO FLOOD ZONE Other stru_ct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE:SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit BUILDING PERMIT Additional desc . . Permit Fee . . . 888.00 Plan Check Fee 144.30 Issue Date . . . Valuation . . . . 17063.9 Expiration Date 8/25/07 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 THOU BLDG 100,001-5'00,00.0 248.50 Permit . Additional desc . . Permit Fee . . . . Issue Date . . . Expiration Date . . MECHANICAL 70.50 8/25/07 Plan Check Fee 4.41 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0.000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3.HP/100_K BTU 18.00 2.00 6.50.00 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 516.00 .0200 LQPERU r ELEC-NEW RESIDENTIAL 94.53 Plan Check Fee . Valuation . . 8/25/07 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 . . . . . 07-00000605 Permit. . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 152.25 8/25/07 Plan Check Fee . . 8.95 Valuation . . . . 0 Qty Unit Charge Per 15.00 -------------------------------- - ----------------- Special Notes and Comments Extension SFD - LOT 25, 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 . . . Additional desc . . Permit Fee . . . Issue Date Expiration Date.. GRADING PERMIT 15.00 8/25/07 Plan Check Fee . . .00 Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------- - ----------------- Special Notes and Comments SFD - LOT 25, 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 995.00 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 Application Number . . . . . 07-00000605 --------------- ------------------------------------------------------------------ Other Fees . . . . . . . . . DIF STREET MAINT.FAC-RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary - - Charged Paid Credited ---------- Due Permit Fee Total 1220.28 ---------- ----------- .00 .00 122 0..28 Plan Check Total 163.57 .00 .00 163.57 Other Fee Total 4506.49 .00 ..00 4506.49 Grand Total 5890.34 .00 .00 5.890.34 LQPER11i17'