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08-0047 (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: Tit!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 08-00000047 81437 GOLDEN POPPY WY 764-280-999-116 -300236- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 223553 Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION J I here y affirm under penalty of perjury th 1 am licen ed under provisions of Chapter 9 (commencing with Se ti 7000) f Division 3 of the sines and Prole io als Code, and my License is in full force and effect. Lic s B cense 672285 ate: UJBLbntractor: 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 Secfion.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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and .00 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.). ( 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/08/08 8800.N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 D Contractor: O SHEA HOMES, INC. �` 81260 AVENUE 62 ,A+`► LA QUINTA, CA 92253 (760) 777-6005 Lic. No.: 672285 C`�ONCE��PT• F1Np` ------------------ iL 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 a work for whicRthis permit is issued, I shall not employ any person in any manner �o as to be me subject to the workers' compensation laws of California, a�agree that, if I s Id becom u ect to the workers' compensation provisions of Section 00 of the Labor I sh h comply withlthbse•provisions. scant: CCCCCC��// WARNING: AILURE TO SECURE W RKERS' 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 Quints, 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 essation of work for 180 days will subject per it to cancellation. I certify hat I h e read this application and state that the above info tion is correct. I agree to comply with all city county r�dtnan'es and state laws relating to building constru , and hereby authorize representatives of th ty to e pon the above-mentioned pr erty for ins c o rposes. ate: o ature (Applicant or Agent). LQPEnITT Application Number . . . . . 08-00000047 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1073.50 Plan Check Fee 697.78 Issue Date . . Valuation . . . . 223553 Expiration Date 7/06/08 Qty Unit Charge Per Extension BASE FEE 639.50 124.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 434.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 74.50 Plan Check Fee 18.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000.EA MECH FURNACE <=100K 18.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA - MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 116.19 Plan Check Fee 29.46 Issue Date Valuation . . . . 0 Expiration Date 7/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 2599.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.97 511.00 -------=--------------- .0200 -------- ELEC --------------------------------------------- GARAGE OR NON-RESIDENTIAL 10.22 Permit . . . PLUMBING .Additional desc . Permit Fee 160'.50 Plan Check Fee 40.13 Issue Date Valuation . . . . 0 Expiration Date : 7/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 .6.0000 EA PLB FIXTURE 90.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00- LQPEnITT Application Number 08-00000047 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 7/06/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 116, PLAN 5500B, 2599 SF. (149 SF. EXERCISE ROOM, 63 SF,BB.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 62.94 DIF'COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 69.78 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 22.51 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1439.69 .00 .00 1439.69 Plan Check Total 786.00 .00 .00 786.00 Other Fee Total 4630.23 .00 .00 4630.23 Grand Total 6855.92 .00 .00 6855.92 LQPEn11T