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08-0023 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: t Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 08-00000023 81418 GOLDEN POPPY WY 764-280-999-96 -300236- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 202829 - Tity/ 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 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 000) of ivisi n 3 of the Busines and Professionals Code, and my License is in full force and effect. Lice a lass: B i(c(e�nse No�.: 672285 ate onvactor: t+ 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 _ 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.). (_ I 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.). ( 1 1 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.I. Lender's Name: Lender's Address: LQPERMIT Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKW LA QUINTA, CA 92253 (760)777-6b05 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/03/08 JAN 231008 ID 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 CA 1593364 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, find agree that, if I should become su ect to the workers' compensation provisions of Section 700 of the Labor Co e, I shall f ith,comply with those provisions. /��[l u ate: plicant: Al WARNING: FAILURE TO SECURE RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA ENALTIES 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 certif that I have read this application and state that the above information' correct. I agree to comply with all cit a county rdinances and state laws relating to building construction, hereby authorize representatives of hi county ter upon the above-mentioned propert r ins ecti es. ature (Applicant or Agent): Application Number . . . . . 08-00000023 Permit . . . . . BUILDING PERMIT Additional desc . . Permit Fee 1000.00 Plan Check Fee 650.00 Issue Date . . . . Valuation 202829 Expiration Date 7/01/08 Qty Unit Charge Per Extension BASE FEE 639.50 103.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 360.50 Permit' . . . MECHANICAL Additional desc . Permit Fee . . . . 75.50 Plan Check Fee 18.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/01/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 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 EA MECH EXHAUST HOOD 6.50 Permit . . . ELECrNEW RESIDENTIAL Additional desc . Permit Fee . . . . 107.34 Plan Check Fee 26.84 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/01/08 Qty Unit Charge Per Extension I BASE FEE 15.00 2365.00 .0350 ELEC NEW RES -1 OR 2 FAMILY 82.78 478.00 -------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL ------------------------- 9.56 Permit ... . PLUMBING Additional desc . Permit Fee . . . .' 141.00 Plan Check Fee 35.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/01/08 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERDIIT Application Number . . . . . 08-00000023 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 96, PLAN 5515B, 2365 SF. INCLUDED 191 SF EXERCISE ROOM, 26 SF. BOX BAY @ MBR & 26 SF. BOX BAY Q NOOK. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH ------------------------------------------------------------=--------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF•CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 65.00 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 20.28 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 1338.84 .00 .00 1338.84 Plan Check Total 730.97 .00 .00 730.97 Other Fee Total 4580.28 .00 .00 4580.28 Grand Total 6650.09 .00 .00 6650.09 LQPEINIIT