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06-1195 (SFD)..4if P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 06-00001195 61260 FIRE BARREL DR 764-280-999-125 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 163330 Tay/ 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHE O 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 " Mq Architect or Engineer: 09 HISP11o � 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 Bu 'ness and Professionals Code, and my License is in full force and effect. L' lass License No.: 672285 16 3 racto . 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, 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 Contractor's 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 (5500).: 1 _ I 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 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 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: LQPERMIT Contractor: ?00� SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 9 -?253 is jYLic. No.: 672285 (760) 777-6005 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/23/06 WORKER'S 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' 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 mann so as to become subje to the workers' compensation laws of California, d agree that, if I s uld ome subject to a workers' compensation provisions of Section 7 of the Lab Co , h II fort f=rt with c 1 with those provisions. M. plican 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 Ouinta, 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 c ssation of work for 180 days will subject permit to cancellation. I certif that I have read this application an tate that the above info tion is correct. I agree to comply with all �D: nd county rdinances and state I s re builtling const d hereby authorize representatives s c t enter upon the abov mentio e r petty ction pur ses. nature (Applica Agent): ✓ Application Number . . . . . 06-00001195 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 863.50 Plan Check Fee 140.32 Issue Date . . . . Valuation . . . . 163330 Expiration Date . . 9/19/06 Qty Unit Charge Per Extension BASE FEE 639.50 64.00 -------------------------------------------------------------------7-------- 3.5000. THOU BLDG 100,001-500,000 224.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 5.22 Issue Date . . . . Valuation . . . . 0 -, Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=10.OK 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 ----------------------------7----------------------------------------------- 6.5000 EA "MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc.. .Permit Fee 89.82 Plan Check Fee 5.62 Issue.Date . . . . Valuation 0 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 1805.00 .0350 - ELEC NEW RES - 1 OR 2 FAMILY 63.18 582.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.64 Permit PLUMBING Additional desc Permit Fee 147.00 Issue Date . . . . Expiration Date . . 9/19/06 Plan Check Fee . . Valuation . . . . Qty- Unit Charge Per BASE FEE 13.00 6.0000 EA PLB•FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERMIT 9.19 0 Extension 15.00 . 78.00 15.00 Application Number 06-00001195 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 9.0000 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 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date.. 9/19/06 Qty Unit Charge Per -. Extension �- BASE FEE 15.00 --------------------------------------------.----------------------------•---- Special Notes and Comments SFD - Lot 163, 1805 SF. Plan 4510C w/Casita (249sf), MBR Box Bay (26sf), Ext Garage (83sf) & Ext Patio (120sf). Permit does not include block wall, pool 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 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 14.03 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 16.33 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 1198.82 .00 .00 1198.82 Plan Check Total 160.35 .00 .00 160.35 LQPERMIT LQPERMIT Application Number . . . . . 06-00001195 Other Fee Total 3746.36 .00 Grand Total 5105.53 .00 00 3746.36 00 5105.53