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06-1192 (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: 06-00001192 61290 FIRE BARREL DR 764-280-999-122 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 166943 Tit4t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 ��O4. SCOTTSDALE, AZ 85258 chitect or Engineer: 2.c -q. 2 Logb ) LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectillog �A�ontra Df the Busin s and Profes ion Is Code, and my License is in full force and effect. '11Li -tor: 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 ($500).: (_) 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.). 1 _ 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Contr S MES, I 8 AVENUE 62 4® 6' INTA, (-A 92253 0)777-6005 L k . No.: 672285 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 or which this permit is issued, I shall not employ any person in any manner so as to become su ea to the workers' compensation laws of California, [and agree that, if I sho come s to the workers' compensation provisions of Section [370 oft La I s all forthwit comply with those provisions. 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 cessation of work for 180 days will subject permit to cancellation. NagI haa��e read this application and state that the above inform tion is correct. I agree to comply with all pty i antes and state laws relating to it ' nstructi n, and hereby authorize representatives t upon a above-mentioned p pert ori spectio purposes. ignature (Applicant or Age Application Number . . . . . 06-00001192 LQPERMIT 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 556.73 _ Issue Date -Valuation . . . . 161587 Expiration Date 9/19/06 Qty Unit Charge Per ..Extension BASE FEE 639.50 62.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 217.00• Permit MECHANICAL Additional desc . . Permit Fee . . . . 86.50 Plan Check Fee 21.63 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 ---------------------------------------------------------------7------------ EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 81.19 Plan Check Fee 3.76 Issue Date . . . . Valuation 0 Expiration Date 9/19/06 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT Application Number .. . . . . 06-00001192 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1847.00 .0300 ELEC NEW RES - MULTI FAMILY 55.41 539.00 .0200 ------------------------------------------------------ ELEC GARAGE OR NON-RESIDENTIAL 7 --------------------- 10.78 .Permit . . . PLUMBING Additional desc . Permit Fee . . . . 120.00 Plan Check Fee 16.50 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 15.0, 1.00 7..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------------------------ 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 122, PLAN 5505C, 1847 sf 26 SF BOX BAY @ MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. 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 480.00 ENERGY REVIEW FEE 55.67 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 LQPERMIT .Application Number . . . . . 06-00001192 ------------------------------------------ Other Fees . . . . . . . . . =---------------------- 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 ---------- 1159.19 ------------------------------ .00 .00 1159.19 Plan Check Total 598.62• 00 .00 598.62 Other Fee Total 3767.82 .00 .00 3767.82 Grand Total 5525.63 .00 .00 5525.63 LQPERMIT BORM STRUCTURAL ENGINEERS STRUCTURAL JOB SITE OBSERVATION Project Name: Project Number: s Observer: Date of Observation: A visit to the project site was made on the above date to: ❑ Address specific elements of the work. ❑ Assist the field personnel with complying with the intent of the construction documents. ❑ Assist the field personnel with complying with the findings from a previous structural job site observation. ❑ G 1 &&crok At the time of our visit, work had progressed to these point of : (Q 127v ,- Phase: i8.(fG {dk,�_D �. Phone: 916-774-7597 Address: 0K Ve- Bldg. / Lot Number: .S% 22 51/ _S_11!5 674p5 - Fax: 925-467-1780 Bldg. / Plan Type & Elevation: Phone: 702-740-5427 - Foundation Trenched q� C✓/. D// • ❑ ❑ Foundation Poured C�// p� CI' / Roof Sheathing Covered ❑ ❑ 0 0 Roofing Material Stacked and Loaded C� ®� �j ❑ ❑ Exterior Walls Covered ❑ 0 0 0 Interior Wall Covered ❑ ❑ ❑ ❑ 0 Insulation Installed ❑ 0 ❑ 0 ❑ Electrical, Mechanical, Plumbing Complete 0 0 0 0 0 Final Framing Pick-ups Completed ❑ ❑ ❑ 0 0 Building Complete ❑ 0 0 ❑ o Based upon our visit: ❑ Refer to the attached field notes to be addressed by the construction personnel. O Additional information will be sent from our office which will need to be addressed by the construction personnel. ❑ It is our opinion that this building is being constructed in general conformance with the intent of the construction documents prepared by our office. ❑ Site Observation ceased, framing was not at a stage of completion in which site observation could be performed. ❑ Concerns brought to the attention of field personnel based on previous site observation made on have yet to be addressed. -Please note: G Our findings and recommendations may have other than structural ramifications which we have not addressed. Be advised that changes to the construction documents need approval of the building official. Our firm is not authorized to act as the Owner's agent. Our findings shall not be construed as authorizing the expenditure of additional funds. Site Observation was made only to determine general conformance with the intent of the construction documents. Observation was made of those portions of the work which would best represent the intent of the construction documents, not each and every element of the work. Site observation did not include review, approval or observation of, among other items: 1. The contractors safety precautions, procedures, designs, methods or techniques. 2. Any shoring, scaffolding, underpinning, temporary retaining of excavations, or any other erection methods or temporary bracing. 3. Any soils at the site, their adequacy to support the building, expansiveness, or any other soil related conditions. 4. Any drainage courses or devises of a temporary nature or as a permanent part of the structure, including roof and floor slopes, drains and pipes. The findings of this observation are understood to be an expression of professional opinion by the engineer based on his or her best knowledge, information and belief. As such, it consists of neither a guarantee nor a warrantee expressed or implied. Field Superintendent (third copy) Date: Client (second copy via mail) Field Engineer (first copy) Date: If you have any questions please contact our office. COSTA MESA, CALIFORNIA Phone: 714-513-7500 Fax: 714-513-7555 ROSEVILLE, CALIFORNIA Phone: 916-774-7597 Fax: 916-774-7599 PLEASANTON, CALIFORNIA Phone: 925-474-1180 Fax: 925-467-1780 LAS VEGAS, NEVADA Phone: 702-740-5427 Fax: 702-740-5431 PHOENIX, ARIZONA Phone: 623-869-0607 Fax: 623-869-0609