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06-0542 (SFD)•A7A OX 1504 784495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: L06-00000542_ i 81890 GOLDEN STAR WY 764-280-999-104 -300235 DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 147334 Tdtt44vQ" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 rchitect or Engineer: 519- C ons --------------------------------------------------- LICENSED ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury hat I am licensed under provisions of Chapter 9 (commencing with Se cti 700 of Division 3 of the Bu ss and Profession Is Code, and my License is in full force and effect. Lice�ns Class. nse No.: 672285 /09Ce: ontractor: 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.). 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.). ( 1 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.1. Lender's Name: Lender's Address: LQPERMIT Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 2/06/06 — — — — — — — — — — — — — — — — — — 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 N ber 1247619 _ I certify that, in the performance of the wor for which this permit is issued, 1 shall not employ any person in any mann so to becomes iect to the workers' compensation laws of California, and agree that, if I b ome ubj to the workers' compensation provisions of Section 7 0 of the bor e, all fo itIfcomply with those provisions. e: pplicant: 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. 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 oid if work is not commenced within 180 days from date of issuance such permit, or cessa n of work for 180 days will subject permit to cancellation. I certif that I have read this application and state that he a ve information i correct. I agree to comply with all cit an count ordinances and state laws relating t ildi onstructi n, a represent rives. o th nt t �upon above-mentioned o erty f inspec ' n pur ses.(Applicant or Ag ;. Application Number . . . . . 06-00000542 ------ Structure Information SFD 4210B W/CASITA, BOX BAY, EXT GARAGE ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 557.00 PATIO SQ FTG 318.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1636.00 Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 807.50 Plan Check Fee 524.88 Issue Date . . . . Valuation 147334 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 639.50 48.00 3.5000 ----------------------------------------------------------------------------- THOU BLDG 100,001-500,000 168.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation 0 Expiration Date 8/05/06 Qty Unit Charge Per. Extension BASE FEE 15.00 2.00 9.00'00 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 83.40 Plan Check Fee 20.85 Issue Date . . . . Valuation 0 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1636.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 557.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.14 LQPERMIT 4:-A LQPERMIT Application Number . . . . . 06-00000542 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 146.25 Plan Check Fee 36.56 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EAPLB 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 de_sc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00' ------------ --------------------------------------------------------------- Special Notes and Comments SFD - Plan 4210C Lot 104, 1636 sf. w/casita (255sgft), MBR box bay (26 sqft), ext garage (83 sqft). Permit does not include block wall,. pool 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 480.00 ENERGY REVIEW FEE 52.49 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 14.73 DIF STREET MAINT FAC -RES 67.00 Application Number . . . . . 06-00000542 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1142.15 ---------- .00 -------------------- .00 1142.15 Plan Check Total 604.79 .00 .00 604.79 Other Fee Total 3763.22 ..00 .00 3763.22 Grand Total 5510.16 .00 .00 5510.16 LQPEPNIIT