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06-1194 (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: 06-00001194 61270 FIRE BARREL DR 764-280-999-124 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 166943 �11 r`chjtect or Eng Q -C,(,- 2-1 Tiht 4 4 0" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 . Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/23/06 ------------------------------------------------------------------------------------------------- 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 000) d Division 3 of the ds' ss and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice I ss: I I License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. tractor: 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 fallowing 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 hich 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 subje 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 sh Id orae subject t e workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or _ �9.Z of the Labor , I s II forthwith ply with those provisions. - 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).: ate: plicant. (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 exclusively contracting with licensed contractors to construct the project ISec. 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.). (_ 1 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: LQPERMIT 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 cessation of work for ISO days will subject permit to cancellation. I certify that I have read this application and state that the above inform on is correct. I agree to comply with all City a d coun y ordinances and state laws relating to constructs , and hereby authorize representatives o nt ter u n the above-mentioned prope It i ur os Iignature (Applicant or Ag Application Number . . . 06-00001194 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00 --------------------------------------- 1ST FLOOR SQUARE FOOTAGE ------------------------------------ 1847.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 856.50 Plan Check Fee 139.18 Issue Date Valuation . . . . 161587 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 ----------7----------------------------------------------------------------- THOU BLDG 100,001-500,000 217.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 86.50 Plan Check Fee 5.41 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/19/06 _ Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 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 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 90.43 Plan Check Fee 5.65 Issue Date . . . . Valuation 0 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number . . . . . 06-00001194 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1847.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 64.65 539.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 10.78 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 120.0.0 Plan Check Fee 4.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/19/06 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 r 15.00 1.007.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 ----------------------7----------7-----------=----------------7------------- 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 124, PLAN 5505B, 1847 sf 26 SF BOX'BAY Q MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA 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 .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 13.92 DIF FIRE PROTECTION -RES 140.00 LQPERMIT Application Number . . . . . 06-00001194 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 16.15 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1168.43 ------------------------------ .00 .00 1168.43 Plan Check Total 154.37 .00 .00 154.37 Other Fee Total 3726.07 .00 .00 3726.07 Grand Total 5048.87 .00 .00 5048.87 LQPERMIT