The URL can be used to link to this page

04-4543 (SFD)`P.O. BOX'41504 78-4951•CALLE TAMPICO SLA ';QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . 04=0.0.0.04.543 Date 5/25/04 Property Address . . . . . . 60523 WHITE SAGE DR APN: 764-270-999-74 -300231- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 164982 Owner SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE AZ 85.258 Contractor SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA CA 92253 (760) 777-6005 WCC: NTL UNION INS WC: 7165833 08/01/04 CSLB: 672285 06/30/05 CCC: B ------ Structure Information PLAN 5505B W/MBR 22SF & EXT PATIO 315 SF ----- Construction TypeTYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CCNG <=1.0 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 30.00 FIRE SPRINKLERS NO GARAGE SQ FTG 456.00 PATIO SQ FTG 536.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 1843.00 Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 867.00 Plan Check Fee 563.55 Issue Date Valuation 164982 Qty Unit Charge Per Extension BASE FEE 639.50 65.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 227.50 Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Applicant: Applicant's Mailing Address: BUILDING & SAFETY DEPARTMENT 543 1 VOICE (760) 777-7012 FAX (760) 777-701 I INSPECTIONS (760) 777-7153 Date: chitect or Engin r: Architect or En Ineer's A ress: 3�( IC-P1J . No. ` ce Zja y6 ( BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is i0 full force and effect. /license Class 1 L5 -"'-License No. � Date' to I 1 Ami OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the 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 to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) 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 ($500).): U 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 not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or 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.). U I, as owner of 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 thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_.) I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION .I hereby affirm under 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 work for which this permit is issued. have and will maintain workers' compensalt'LOA4insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is � j�s.eUXico� ' c01Tensatio ' urance carrier and policy number a �rtier _ '�L R 1J K .Policy Number I�C� . , _ I certify that, in the performance 6f�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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall _ forthwith comply with those provisions. /Date `�- lV cant 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, indemnity 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 I have read this application and state that the above information is I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon above-mentioned property for inspection purposes. ate `� / Signature (Applicant or Agent). Lj Application Number . . . . . 04-00004543 Page 2 Date 5/25/04 Qty Unit Charge. Per Extension --------------------------------------7------------------------------------- BASE FEE 15.00 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 88.63 Plan Check Fee 22.16 Issue Date Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1843.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 64.51 456.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.12 Permit . . . . . . PLUMBING Additional desc Permit Fee 129.00 Plan Check Fee 32.25 Issue Date Valuation . . . . 0. Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 66.50 Plan Check Fee 16.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Special Notes and Comments SFD - PLAN 5505B LOT 74 1843SF W/MBR Page 3 Application Number . . . . . 04-00004543 Date 5/25/04 ---------------------------------------------------------------------------- Special Notes and Comments 22SF & EXT. PATIO 315SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL OR DRIVEWAY APPROACH. -------------------------------------------- Other Fees . . . . . . . . . ------------------------------- ART IN PUBLIC FLACES-RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -RES 366.00 ENERGY REVIEW FEE 56.36 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 16.49 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1166.13 ------------------------------ .00 .00 1166.13 Plan Check Total 634.59 .00 .00 634.59 Other Fee Total 2477.85 .00 .00 2477.85 Grand Total 4278.57 .00 .00 4278.57