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04-6765 (SFD)t'. T4hf 4 4 a" P.O. Box 1504�- 78-495 CALLE TAMPICO LA QUINTA, CALIFOR92'253 1 ?IN WC 71 7�� BUILDING & SAFETY DEPARTMENT ',�� (760).777-7012 qIf FAX (760) 777-7011 S'PECTION REQUESTS (760) 777-7153 Application Number . . . . . 4-00006765 Date 10/14/04 Property Address . . . . . . 812-6"6 GOLDEN BARREL WY APN: 764-270-999-100 -300233- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation . . . . 168537 Owner Contractor ------------------------ SHEA LA QUINTA ------------------------ SHEA HOMES, INC. C/O JEFF MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85258 (760) 777-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . ... . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576:00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1917.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 881.00 Plan Check Fee 143.16 Issue Date . . . . Valuation . . . . 168537 Qty Unit Charge Per Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-500,000 241.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 70.50 Plan Check Fee 5.00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 151-00 2.00 9.0000 EA MECH FURNACE <=100K —_ 18.00 .00 11.0000 EA MECH FURNACE >100K .00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU --18.00 P.O. Box 1504�� VOICE (760) 777-7012 T44f 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253. INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: �' t0 (o`J Date: (• -0'4 Applicant: Rhtl�Engr: Applicant's Mailing Address. Architect or Engineer's Address: No.:V C - Zq(--, BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm un er pe Ity of perjury that I am licensed under provisions of hapter 9co ncing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licens full force and effect. (` _ cense Class cense 'bate ontractor OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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 centractor(s).licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason WORKERS' 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 n 1vill maintain rkers' compensation insurance, as required by S ion 37�e Labor Code, for the performance of the work for which this permit is ;sue 1 workers' c persation ins nce cam r aan pol)c r�mb e olicy Number k `�' ��p ,7 � _ I certify tha , in the performance of the work for whi 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 f should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those p ovisio S. _—DateA" ' p scant 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. 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 f f 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 aneto, 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 b in perforned under or following issuance of this permit. 2. Any permit issued as a result of this application beco s null and void if w i not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to ca el ion. I certify that I have read this application and state that the above ilaIrrmakri is corre gree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this co y to r pon th" ve-mentioned property for inspection purposes. e'� :�6ignature (Applicant or Agent ` t Page 2 Application Number . . . . . 04-00006765 Date 10/14/04 Qty Unit Charge Per Extension .00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU .00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 93.62 Plan Check Fee 5.85 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE, 15.00 1917.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.10 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 ---------------------------------------------------------------------------- Permit ... . . . . PLUMBING Additional desc . . Permit Fee . . . . 152.25 Plan Check Fee 9.52 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE .FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD LOT 100 PLAN 4520C, 1917 SF - 255 SF CASITA, 88 SF GARAGE EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEE.DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 'v Page 3 Application Number 04-00006765 Date 10/14/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 98.00 DIF CIVIC CENTER.- RES 366.00 ENERGY REVIEW FEE 14.32' DIF'FIRE PROTECTION -RES 98.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 503.00 STRONG MOTION (SMI) - RES 16.85 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- '1212.37 ------------------------------ .00 .00 1212.37 Plan Check Total 163.53 .00 .00 163.53 Other Fee Total 2439.17 .00 .00 2439.17 Grand Total 3815.07 .00 .00 3815.07