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06-1270 (SFD)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING L SAFETY DEPARTMENT r (` INSPECTIONS (760) 777-7153 BUILDING PERMIT , Date: 3/29/06 Application Number: 06-00001270 Owner: 'Property Address: 61305 FIRE BARREL DR SHEA LA QUINTA APN: 764-280-999-134 -300235- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETA 8800-N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 142817 APR i �� 1 Contractor: Applicant: Architect or Engineer: CITY OF LA GtUIINiA SHEA HOMES, INC. FINANCE DEPT 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perqya,,t I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) of Divi ion 3 of the and Profe sio Is Code, and my License is in full force and effect. en 'e C ss is se No.: 672285 i Date: � on ctor: 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 155001: 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 contractor(s) licensed pursuant to the Contractors' State License Law.). I_ 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 —----------------- 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. 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 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 o as to become su ect to the workers' compensation laws of California, and agree that, if I sho d ame sub' t to the workers' compensation provisions of Section 1I13700 f the Labor Cod I sh tl�rt wit comply with those provisions. e: � 6 icant: 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 t t the above i ormation is correct. I agree to comply with all ciRe ou ty1 ordin nces and st a laws relating t ing con ruction, and hereby authorize representatives ount� m eFtg upon t above-mentioned pro art or ' urp es. I iU nature (Applicant or gen Application Number . . . . . 06-00001270 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 562.00 PATIO SQ FTG 457.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1556.00 ---------------------------------------------------------------------------- Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . BUILDING PERMIT 790.00 9/25/06 Plan Check Fee 513.50 Valuation 142817 Qty Unit Charge Per Extension BASE FEE 639.50 43.00 ---------------------=------------------------------------- 3.5000 THOU BLDG 100,001-500,000 ----------------- 150.50 Permit MECHANICAL Additional desc Permit Fee . . . . 77.00 Plan Check Fee 19.25 Issue Date . . Valuation . . . . 0 Expiration Date 9/25/06 Qt -y 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 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 . . . . 80.70 Plan Check Fee 20.18 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/25/06 Qty. Unit Charge Per Extension BASE FEE 15.00 1556.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 54.46 562.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.24 LQPEn1IT ., Application Number . . . . . 06-0000127.0 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 123.00 Plan Check Fee 30.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/25/06 • Qty Unit Charge Per .Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 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 . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/25/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------- ----------------- Special Notes and Comments SFD - LOT 134 PLAN 4510C,-1556 SF (26 SF BOX BAY.@MBR, 83 SF GAR. EXT. 120 SF PATIO EXT.PERMIT DOES NOT'INCLUDE BLOCK WALLS, 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 51.35 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 14.28 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 LQPERMIT Application Number . . . . . 06-00001270 Fee summary ----------------- Charged Paid Credited ---------- Due . Permit Fee Total ---------- 1085.70 ---------- .00 .00 ---------- 1085.70 Plan Check Total 583.68 .00 ..00 583.68 Other Fee'Total 3761.63- .00 00 3761.63 Grand Total 5431.01 :00 .00 5431.01 ,-LQPERMIT