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10-1152 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, 'CALIFORNIA 92253 T4ht . 4 4 Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00001152 Owner: Property Address: 81163 LAGUNA CT SHEA LA QUINTA APN: 764-280-004-16 35996 - 60800 TRILOGY PARKWAY Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 174086 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/03/10 Contractor: V Applicant: Architect or Engineer: SHEA HOMES, INC. rr n 1 �,p10 60800 TRILOGY PARKWAY `� V LA QUINTA, CA 92253 (760) 777-6032 cisQEPT�/� Lic. No.: 672285 C+��t.3,' pl LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70 01 o Division 3 of the Busine s and Professionals ode, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice�a-: is seNo.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.' Dattor: _X_ 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 OWNER -BUILDER DECLARATIONinsurance carrier and policy number -are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LIBERTY MUTUAL Policy Number WA266DO66115030 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. 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 155001.: Dateplicant: 1 _ 1 1, 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 WARNING: F ILURE TO SECURE WORQ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold. within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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 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: lI�1. Lender's Address: /' LQPERMIT 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 certify that have read this application and state that the above information is correct. I agree to comply with all city and cou tyrdinances and state laws relating to building construction, and hereby authorize representatives offtthi cy t e1nter upon the above-mentioned property for inspection purposes. Date: y $ v gnature (Applicant or Agent): 64 n.. Application Number . . . . . 10-00001152 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 902.00 Plan Check Fee 146.57 Issue Date . . . . Valuation . . . . 174086 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 639.50 75.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 262.50' Permit. . . MECHANICAL Additional desc . . Permit Fee . . . . 82.00 Plan Check Fee 6.09 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/02/11 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 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU' 16.50 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 95.54 Plan Check Fee.. 5.97 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 1972.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 69.02 5.76.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 Permit . . PLUMBING Additional desc . Permit Fee . . . . 153:00 "Plan Check Fee 9.56 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 D LQPERMIT A _ " LQPERMIT Application Number . . . . . 10-00001152 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 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 . . 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 4, PLAN 4520B, 1972 SF. INCLUDES 255 SF. CASITA. 26 SF. BOX BAY @ MBR & 88 SF. GARAGE EXTENSION. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.75% REDUCTION _ TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2007/2008 CODES. 2010 PLAN UPDATE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 • DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 14.66 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 MULTI-SPECIES.(MSHCP) FEE` 1284.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC'- RES 892.00 DIF STREET MAINT FAC -RES 67.00 . DIF TRANSPORTATION - RES 1930.00 Fee summary Charged ----------------- ---------- Permit Fee Total 1247.54 Plan Check Total 168.19 Other Fee Total 5780.66 Paid Credited Due ---------- ---------- ---------- .00 .00 1247.54 .00 .00 168.19 .00 .00 5780.66 Application Number . . . . . 10-00001152 Grand Total 7196.39 .00 00 7196.39