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10-1165 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t!t 4 4t Qu & BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: r_ 10-00 00 1165_ - Property Address: 81199 LAGUNA CT APN: 764-280-004-19 -35996 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 180549 Applicant: Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 1 o Division 3 of th usi ss and Professions Code, and my License is in full force and effect. Licens s : L ense No.: 672285 at ontracto . 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 awn 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.). (_) 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: SHEA LA QUINTA 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/03/10 Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6032 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 LIBERTY MUTUAL .Policy Number WA266DO66115030 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor CA I shall forthwith comply with those provisions. date cant: 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 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 I have read this application and state that the above information is correct. I agree to comply with all city and cou ty prdinances and state laws relating to building construction, and hereby authorize representatives of thi un t enter upon he above-mentioned property for inspection purposes. ate: ignature (Applicant or Agent): Application Number . . . . 10-00001165 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . ... 923.00 Plan Check Fee 149.98 Issue Date Valuation . . . . 180549 Expiration Date 5/02./11 Qty Unit Charge Per Extension BASE FEE 639.50 81.00 ---------------------------------------------------------------------=------ 3.5000 THOU BLDG 100,001-500,000 283.50 Permit . . . MECHANICAL Additional desc.. Permit Fee . . . . 110.50 Plan Check Fee 6.90 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/02/11 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 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500K3TU 16.50 6.00 6.5000 EA MECH VENT FAN 39.00 2.00 --------------------------------------------7------------------------------- 6.5000 EA MECH EXHAUST HOOD 13.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . 98.76 Plan Check Fee 6.17 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 2028.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 70.98 639.00 ----------------------------------7----------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 147.75 Plan Check Fee 9.23 Issue Date . . . . Valuation 0 Expiration Date 5/02/11 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 LQPERMIT Application Number 10-00001165 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 7.00 .7500 EA PLB GAS PIPE >=5 5.25, 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 19, PLAN 4515C,.2028 SF. INCLUDES 255 SF. DETACHED CASITA,24 SF .BAY Q NOOK & 103 SF. GARAGE EXTENSION. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 755.1- 5$REDUCTION REDUCTIONTO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2007/2008 CODES. 2010 PLAN UPDATE. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 8.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 15.00 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 STRONG MOTION (SMI) - RES 18.05 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited --------------------------------------------------------= Due Permit Fee Total 1295.01 .00 .00 1295.01 Plan Check Total 172.28 .00 .00 172.28 LQPERMIT Application Number 10-00001165 Other Fee Total 5800.05 ..00 .00 5800.05 Grand Total 7267.34 .00 .00 7267.34 LQPERMIT .. Bin # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: \ ^ (� Owner's Name: A. P. Number: "r 35� (p Address:10 / - Legal Description: City, ST, Zip: Contractor: ���. `ll^ec�> Telephone: >3-r:::>•>::<::«:::::::>:>:<;::z::>;>:<:>::>:>.<;::>;.: <>.<:r:rr:;:>:;:;::>::;::»:<;:;:>r:<>.•;:»: Address: �, O �� &�. &L, Project Description: City, ST, Zip: 1 Telephon State Lic. # : City Lie. #; Arch., Engr., Designer: cV Address: City, ST, Zip: Telephone: �`��>`><v> ��>a`:�:::;:<:»:::;.;:;::s< €.:ti.:;:<.;:.�;•,.:,.,::;:::. •.a: State Lic. #:<<;;:sy.;::>.:<<:».<.<:«..;; Name of Contact Person: Q � C) 6A4X� Construction Ty e: Occupancy: project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person-'] �"� �—{p v3Z Estimated value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees PL ` ➢ �- -NI t —�I F -------- BAY '7306 I I ,a I I PL 5,1 LOT 6 15' I 11 6,509 SF PL I 4515B "', I PRODUCT 1 I n FF=475.37 PE -474.7 I I _I I I . I ✓ �I I 4' GARAGE 7606_ e. GF=474.77 f a � � o C-4 S R/W BC S/W —s — —s— — LAGUNA COURT CITY OF LA QUINTA BUILDING & SAFETY DEPT, APPROVED" FOR CONSTRUCTION DATE!- �' i I BYJ (� TOP —j TOE — 00 N — t —�I F -------- BAY '7306 I I ,a I I PL 5,1 LOT 6 15' I 11 6,509 SF PL I 4515B "', I PRODUCT 1 I n FF=475.37 PE -474.7 I I _I I I . I ✓ �I I 4' GARAGE 7606_ e. GF=474.77 f a � � o C-4 S R/W BC S/W —s — —s— — LAGUNA COURT CITY OF LA QUINTA BUILDING & SAFETY DEPT, APPROVED" FOR CONSTRUCTION DATE!- �' i I BYJ (�