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06-1384 (SFD)A,. ,. P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: c&4t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 06-00001384 61245 FIRE BARREL DR 764-280-999-128 -300235- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 215693 D rchitect or Engineer: CW S ►2 C £. Zlo�4 � Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 ;APR Contractor: Z006 SHEA 81260HAVENUEI62 LA QUINTA, CA 92253 ,�UfPIrA (760) Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 350 Date: 4/06/06 --------------7---------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Li c a las : 13 License No.: 672285 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Date: �I "`�' ntractor: issued. I` 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 , OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AMERICAN HOME Policy Number 1247619 ' following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so as to become subj t to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I shout eco a subject the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37qO of the Lab r Cod all orth omply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ I _ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: plic pant: (_ 1 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 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.). ' (_ 1 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , BAP.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: PIV LQPERMIT 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. 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 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 correct. I agree to comply with all city and my ordinances and stow -laws relating to buil 'n onstruction, and hereby authorize representatives of ' out to ter upon t above-mentioned grope for'nspecti purposes. 74 Date: �' nature (Applicant or Agent) Application Number . . . . . 06-00001384 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1045.50 Plan Check Fee 679.58 Issue Date . . . . Valuation . . . . 215693 "Expiration Date .10/03/06. Qty Unit Charge Per Extension BASE FEE 639.50 116.00 ---------------------------------------------------------------------------- 3.5000 THOU. BLDG 100,001-500,000 406.00 Permit . . . MECHANICAL . Additional desc . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Expiratic__ Date 10/03/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00. 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 101.97_ Plan Check Fee 25.49 Issue Date Valuation 0 Expiration Date 10/03/06 Qty . Unit Charge Per Extension BASE FEE 15.00 2481.00 .0300 ELEC NEW RES - MULTI FAMILY 74.43 627.00. ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.54 Permit. . PLUMBING Additional desc . Permit Fee . . . . 171.00 Plan Check Fee 42.75 Issue Date Valuation 0 Expiration Date 10/03/06 Qty Unit Charge Per Extension BASE FEE '15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT _wt=_7, LQPERMIT Application Number . . . . . 06-00001384 Permit . . . . . . PLUMBING Qty Unit Charge Per BASE FEE 15.00 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 9.0000 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 . . . Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15.00 10/03/06 Plan Check Fee .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD Lot 128, Plan 5210C (2,481sf) w/Casita (266sf), MBR Box Bay.(26sf), Nook Box Bay (26sf) & Ext Garage (109sf). 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 39.23 DIF COMMUNITY CENTERS -RES 74.00' DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 67.96 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES .355.00 DIF PARK MAINT FAC - RES 22.00 DIF,PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 21.56 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee.summary Charged Permit Fee Total 1416.97 Plan Check Total 768.70 Other Fee Total 3824.75 Grand Total 6010.42 Paid Credited Due .00 .00 1416.97 .00 .00 768.70 .00 .00 3824.75 .00 .00 6010.42