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07-1473 (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: 07-00001473 61405 FIRE BARREL DR 764-280-999-144 -300235- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 150034 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED ,<,chitect or Enginee ' 11 -GA Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER TSDALE, AZ 85258 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 Business and Professionals Code, and my License is in full force and effect. LicenQe lass: B License No.: 672285 Dat L — ` _ntractor: 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 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 _ 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 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: !Ii tpp Lender's Address: LQPERMrT actor: HOMES, INC. 0 AVENUE 62 UINTA, CA 92253 )777-6005 No.: 672285 350 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/17/07 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. 1 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 manner so as to become subject to the workers" compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section (� 3700 of the Labor , I shall forthwith comply with those provisions. •�S )icon: K� 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 1$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 county ordinances and state laws relating to building construction, and hereby authorize representatives o#qft4 county lo enter upon the above-mentionedpydpErty :oraneptctr yAoses. D e: Sig re (Applicant or Agent): �V V�� Application Number . . . . . 07-00001473 LQPERAiTT 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 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 10.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1688.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . 818.00 Plan Check Fee 531.70 Issue Date . . . . Valuation 150034 Expiration Date 11/13/07 Qty Unit Charge Per Extension BASE FEE 639.50 51.00 3.5000 ----------------------------------------------------------- THOU BLDG 100,001-500,000 ----------------- 178.50 Permit . . . MECHANICAL Additional desc ... Permit Fee . . . . 64.00 Plan Check Fee 16.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/13/07 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 1. 00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 ----------------------------------------------- EA MECH EXHAUST HOOD -------------=--------------- 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 85.60 Plan Check Fee 21.40 Issue Date . . . . Valuation 0 Expiration Date 11/13/07 Qty Unit Charge Per Extension BASE FEE 15.00 1688.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59.08 LQPERAiTT Application Number . . . . . 07-00001473 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 576.00 .0200 ---------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL ----------------------- 11.52 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 128.25 Plan Check Fee 32.06 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/13/07 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 15.00 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 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 11/13/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 144, Plan 4520C 1688 SF/ BOX BAY @ MASTER (26SF) & 4' EXT. GARAGE (88SF).PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS 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 995.00 ENERGY REVIEW FEE 53.17 DIF FIRE.PROTECTION-RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 LQPERMIT Application Number . . . . . 07-00001473 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF PARKS/REC- RES 892.00 STRONG MOTION.(SMI) - RES 15.00 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged ---------- Paid Credited -------------------- Due Perm it Fee Total 1110.85 ---------- .00 ..00 1110.85 Plan Check Total 601.16 .00 .00 601.16 Other Fee Total 4543.17 .00 .00 4543.17 Grand Total 6255.18 .00 .00 6255.18 LQPERMIT