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07-0677 (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: 07-00000677 81950 EAGLE CLAW'DR 764-280-99,9-23 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 187396 BUILDING & SAFETY DEPARTMENT Q1111111,114- nFd2AA IT - o Owner: A SHEA LA QUINTA 0 C/O JEFF MCQUEEN DETACHED N 8800 N GAINEY CENTER 350 OSCOTTSDALE, AZ 85258 rchitect or Engineer- K6,q Con;. -A 1'L -i.. 2,LeL401 i3 CC :O Contractor: SHEA HOMES, INC'. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lie. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I`hereby affirm under penalty of perjury that I am licensed under'provisions of Chapter 9 (commencing with - Section 7000)' 'Division 3 of the Business and Professionals Code -and my License is in full force and affect. LiceDse ass: I License No.: 6722.85 Date: � O/ ctor: 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 requires:a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, 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 (Chaptern9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or thavhe or she is exempt therefrom and the basis for the alleged exemption. Any•violation of Section 7031.6 by any applicant for a permit subjects the.applicent to a dvil,penalty of not more than five hundred dollars (9600).: (_) 1, 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, Businessand 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 irnprovement,is sold within one year of completion; the owner -builder will have the burden'ofproving that he or she did not build or improve for the purpose of sale:). 1 _) I, as owner of the property, am exclusively contracting with licensed contractors io 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 improvesthereon, and who contracts.:forthe projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ ) I am,exempt under Sec: , &&P.C. for this reason Date: 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: Lender's Address: 17.4: 7i ;711 Y 11 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 ------------------ WORKER'S COMPENSATION DECLARATION Date: 3/05/07 I hereby affirm under penalty of perjury one of the following declarations: _ 1 have and will maintain a certificate of consent to selfinsure 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 3700 of the Labor Code, for the performance otthe work for which this permit is issued. My workers' compensation insurance •carrierand' policy number are: Carrier_ AMERICAN HOME Policy Number 1247619 _ I.certify that, in the performance of the, work4or 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'I should, become subiect.to the workers' compensation provisions of Section �j 37120 of the Le I shall orthwith co y with those'provisions.. a; ica 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 (5100,000). 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 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 the applicant, each agrees to, and shall defend, indemnify and hold harmless the 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 if Work isnot commenced within 186 days from'date ofissuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I haveread"this_ application and state that the aboveinformation is correct. I agree to comply with all city and,county ordinances and, statelaws relating to building construction, and rabyauthorize representatives oft �s my enter up the,above-mentioned pr ori i pure �, ignature (Applicant or Age Application Number . . . . . 07-00000677 LQPM MIT Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other- struct info . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 478.00 PATIO SQ.FTG 178.00 NUMBER OF UNITS 1.00 ------------------------------------------------------------------------------- 1ST. FLOOR SQUARE FOOTAGE 2174:.00 Permit . . . BUILDING PERMIT Additional desc Permit Fee 926.50 Plan Check Fee 602.23 Issue Date . . . . Valuation . . . . 181091 Expiration Date 9/01/07 Qty Unit Charge Per Extension BASE FEE 639.50 82.00 3.5000 THOU BLDG 100,001-50.0,000 28.7.00 Permit MECHANICAL Additional desc . . Permit Fee . . . . 77.00 Plan Check Fee 21.63 Issue Date . . . . Valuation . . . 0 Expiration Date 9/01/07 " Qty Unit Charge :Per Extension BASE FEE 15.00 2::00 9.00:00 EA MECH FURNACE <=100K 18:00 .00 11.0000 EA MECH FURNACE >100K .00 2.00 9.0000 EA MECH.B/C < 3HP/100K BTU 18.00 .00 16.5000 EA MECH B/C >3-15HP/>100K=50OK13TU .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 . . 100.65 Plan Check Fee 3.77 Issue Date . . Valuation . . . . 0 Expiration Date 9/01/07 Qty Unit Charge Per Extension BASE FEE 15.00 LQPM MIT Application Number . . . . . 07-00000677 BASE FEE Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 2174.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 76.09 478.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.56 Permit . . . PL_UMBING DIF COMMUNITY CENTERS -RES Additional desc . . 995.0.0 ENERGY REVIEW FEE Permit Fee . . . . 138.00 Plan Check Fee 34.50. Issue Date . . . . Valuation . . . . 0 Expiration Date 9/01/07 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 9.0000 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 Issue. Date Expiration Date 9/01/07 Plan Check Fee . .00 Valuation . . . . 0 Qty Unit Charge. Per Extension BASE FEE 15.00 - ------------ ------------------------------------- Special Notes and Comments SFD - LOT 23 PLAN 5515A, 2174 SF, INCLUDES 26 SF BOX BAY ,@ MBR & 26 SF BOX BAY @ NOOK. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 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 995.0.0 ENERGY REVIEW FEE 60.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 LQPEmrr Application Number . . . . . 07-00000677 -----------------_------------------------ Other Fees . . . . . . . ----------------------------------- DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 18.73 . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION -,RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee. Total 1257.15 .00 .00 1257.15 Plan Check Total 662.13 .00 .00 662.13• Other Fee Total 4553.95 .00 .00 4553.95 Grand Total 6473.23 .00 .00 6473.23 LQPERMrT