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08-0024 (SFD)Aa- P.O. BOX 1504 78-495 CALLE TAMPICO LA-QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: ` 08-00000024,— Property Address: C 81407 GOLDEN POPPY WY APN: 764-280-999-111 -300236- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 142817 Applicant: Architect or Engineer 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 Vivision 3 of the Business and qPrfessionals Code, and my License is in full force and effect. Licen' lass: El I License No.: 672285 ate: 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).: (_) 1, 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, 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: Lender's Address: LQPERn1IT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 0 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 i (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/03/08 :JA:N2 3 2008 CITY OF LA QUINTA WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the followingdeclarations: 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 Vkissued. 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 CA 1593364 I certify that, in the performance of the work for which this permit is issued, 1 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 beco subject to the workers' compensation provisions of Section 37, of the Lobar C de, I sh 11 , h ith comply with those provisions. at pl;c - WARN NG: FAILURE T 0 O SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 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 per it to cancellation. I certif t at I ha a read this application and state that the above inform ion is correct. I agree to comply with all city a ou I finances and state laws relating to building construct' , and hereby authorize representatives of this er upon the above-mentioned propert or in pecti p rposes. ate: S'ature (Applicant or Agentl: Application Number . . . . . 08-00000024 Permit . . . Additional desc . . Permit Fee . . Issue Date Expiration Date . Qty Unit Charge 1556.00 .0350 562.0.0 .0200 LQPERDIIT ELEC-NEW RESIDENTIAL 80.70 Plan Check Fee Valuation 7/01/08 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 5.05 0 Extension 15.00 54.46 11.24 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 562.00 PATIO SQ FTG 457.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1556.00 Permit . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 790.00 Plan Check -Fee 128.38 Issue Date Valuation. . . . . 1.42817 Expiration Date 7/01/08 Qty Unit Charge Per Extension BASE FEE 639.50 43.00 3.5000 --------------------------------------------------------- THOU BLDG 100,0017500,000 ------------------ 150.50 Permit MECHANICAL Additional desc . Permit Fee 77.00 Plan Check Fee 4_.81 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/01/08 Qty Unit Charge Per Extension BASE FEE 15. GO - 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 . . . Additional desc . . Permit Fee . . Issue Date Expiration Date . Qty Unit Charge 1556.00 .0350 562.0.0 .0200 LQPERDIIT ELEC-NEW RESIDENTIAL 80.70 Plan Check Fee Valuation 7/01/08 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 5.05 0 Extension 15.00 54.46 11.24 .a • 31r► Application Number . . . . . 08-00000024 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 123.00 Plan Check Fee 7.69 Issue Date Valuation . . 0 Expiration Date 7/01/08 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 7/01/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 111 PLAN 4510A, 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. 75%.REDUCTION TO PLAN CHECK FEES DUE TO MULITPLE 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 995.00 ENERGY REVIEW FEE 12.84 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 LQPERNIIT I LQPERn1[T Application Number . . . . 08-00000024 ----------------------- Other Fees . . . ------------ . . . . . . -------------------------- DIF STREET MAINT FAC -RES --------------- 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1085.70 .00 .00 1085.70 Plan Check Total 145.93 .00 .00 145.93 Other Fee Total 4502.12 .00 .00 4502.12 Grand Total 5733.75 .00 .00 5733.75 I LQPERn1[T