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06-0544 (SFD):i P.O. OX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: �_06-00000544 Property Address: 81910 GOLDEN STAR WY APN: 764-280-999-102 -300235- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 127604 ,�// Applicant: 1Archjtect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) 9L Division 3 of the Bu iness and Profe ' nals Co, and my License is in full force and effect. e I s: LicensedeNo.: 672285 11-10 Date: Victor: 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 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, 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(sl 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.). Lender's Name: ' Lender's Address: LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 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 Date: 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 Numr 1247619 I certify that, in the performance of the work fo which this permit is issued, I shall not employ any p rson in any manner so as to come subj� to the workers' compensation laws of California, a d agree that, if I sho I be sub' ct the workers' compensation provisions of Section 3 0 of a labor Cod all rth c ply wit visions. at licant: 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 ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 ORTHE 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 beco s null and void if work is not commenced within 180 days from date ojissua a of such per , or cessation of work for 180 days will subject permit to cancellation. I certify hat I ha read this application ant e abov information is correct. I agree to comply with all city and ounty o inances and state lawsto Iding c nstruction, and hereby authorize representatives of t ' t to n upon the above-merop ty f r spection purposes. g ature (Applicant : Application Number . . . . . 06-00000544, ------ 'Structure Information SFD 4210A W/BOX BAY, EXT GAR, EXT PAT ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 _ Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO - GARAGE SQ FTG 557.00 PATIO SQ FTG 391_.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1381.00 Permit . . . BUILDING PERMIT Additional.desc . Permit Fee 737.50 Plan Check Fee 119.85 Issue Date . . . . Valuation . . . 127604 Expiration Date 8/05/06 Qty Unit.Charge Per Extension BASE FEE 639.50 28.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 98.00 Permit . MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date Valuation . . . . 0 Expiration Date 8/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 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 . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 1381.00 .0350 557.00 - .0200. LQPERMIT ELEC-NEW RESIDENTIAL 74.48 Plan Check Fee . Valuation 8/05/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY ELEC GARAGE OR NON-RESIDENTIAL 4.66 0 Extension 15.00 48.34 11.14 Application Number 06-00000544 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 122.25 Plan Check Fee 7.64 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/05/06 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 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 .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 4210A Lot 107 (1381 sqft) w/box bay (26 sqft), ext. garage (83 sqft) & patio.ext. (177 sqft) Permit does not include block wall, pool or driveway approach.2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ----------------7----------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 47.94 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 12.77 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1098.00 LQPERMIT "! Application Number . . . . . 06-00000544 Fee summary Charged Paid I Credited Due Permit Fee Total 1014.73 .00 .00 1014.73 Plan Check Total 136.25 .00 .00 136.25 Other Fee Total 3188.71 .00 .00 3188.71 Grand Total 4339.69 .00 .00 '4339.69 LQPERMIT