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06-0543 (SFD)BOX 1504 X18-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . —--- - - f Application Number: 06, 00000543 _J Property Address: 81900 GOLDEN STAR WY APN:- 764-280-999-103 -300235- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 150034 Applicant:Architect or Engineer: Q _ vlstv CC>IL CV- 2Ugo -------------------------------------------------- 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 'vision 3 of the Uss and Professi n�icense my License is in full force and effect. 'Li e I B 67,2285 / D �t 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).: (_) 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. , BAP.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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/06/06 Owner: SHEA LA QUINTA D C/O JEFF MCQUEEN d 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 r JZ18.2 � 2g66 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 ------------------ 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 Polic Number 1247619 1 certify that, in the performance of the ork for which this permit is issued, I shall not employ any person in any manner so as to beco subject to the workers' compensation laws of California, an agree that, if I sh ecome ject to the workers' ompensation provisions of Section 37 0 of the Labor sh rt it provisions. ate: icant: WARNING: FAILURE TO SECURE WO KERS' 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 d void if work is not commenced within 180 days from date of issuance of such permit, or c s tion of work for 180 days will subject permit to cancellation. I cern y that I ave read this application and state that e a e inform i is correct. I agree to comply with all city aid count ordinances and state laws relating to bu ing onstructi , and hereby authori a representatives o county enter upon the above-mentioned pr r nspec ' urposes. nature (Applicant or Age t Application Number . . . 06-00000543 t � Structure Information Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER.OF UNITS 10.00 ----------------------------------------------=----------------------------- 1ST FLOOR SQUARE FOOTAGE 1688.00 Permit . . . BUILDING PERMIT Additional desc . 4 - Permit Fee . . 818.00 Plan Check Fee 132.93 Issue Date . . . . Valuation . . . . 15.0034 Expiration Date 8%05/06 " Qty Unit Charge Per Extension BASE FEE 639.50 51.00 3.5000 -------------------------------- THOU BLDG 100,001-500,000 ----------------------------=--------------- 178.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 64.00 Plan Check Fee 4.00 Issue Date Valuation . . . 0 Expiration Date 8/05/06 Qty Unit Charge Per. Extension BASE FEE 15.00 2.00 9..0000 EA MECH FURNACE <=100K. 18.00 2.00 9:0000 EA MECH B/C <=3HP/100K BTU 18.00 1.00 6.5000 EA MECH VENT -,FAN 6.50 1.00 6.5000 ------------------------------------------------------------7---------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 85.60 Plan Check Fee 5.35 Issue Date . . . Valuation 0 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1688.00 .0350 ELEC NEW RES - 1 OR 2 -FAMILY 59.08 r LQPERMIT Application Number . . . . . 06-00000543 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ---------------------------------------------------------------------------- 11.52 Permit .. . . PLUMBING Additional desc . Permit Fee . . . . 128.25 Plan Check Fee 8.02 Issue Date Valuation . . . . 0 Expiration Date.. 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 ._0.0 Issue Date . . . . Valuation . . . . 0 Expiration Date'. 8/05/06 Qty Unit•Charge Per Extension BASE FEE 15.00 ----------------------------------------------------i------------------------ Special Notes and Comments SFD - LOT 103, Plan 4520C 1688 SF/ BOX -BAY @ MASTER (26SF) & 4' EXT. GARAGE (88SF).PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.75% REDUCTION.TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ' 2001 CBC, CMC, CPC, 2004SCEC, 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 13.29 DIF•FIRE PROTECTION -RES 1140.00 LQPERMIT Application Number . . . . . 06-00000543 `,,ZA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 15.00 DIF STREET MAINT-FAC-RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total 1110.85 ------------------------------ .00 .00 1110.85 Plan Check Total 150.30 .00' .00 150.30 Other Fee Total 3724.29 .00 .00 3724.29 Grand Total 4985.44 .00 .00 4985.44 LQPERMIT