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05-2279 (SFD)^ �� l� ~`' t4 � ter' - '' • . •w ,t} • •• ,.. .. ' T , , . _� a{ j • ' ' c .. k. y - - P.O'-BOX 1504i.AMPICO VOICE (760)'777-7012 78-495 CALLS r `4 r FAX (760) 777-7011 ` �T� • � � •� • LA QUINTA, CALIFORNIA 92253 ,. , BUILDING & SAFETYDEPARTMENT INSPECTIONS (760)-777-7153 • BUILDING PERMIT Y Date: 6/10/05 Application Number: 05=000_02279 Owner: ' -: • Property Address: 81201 VICTORIA LN f ' SHEA - LA QUINTA' ' APN` 764-270=999-127 -300234,- C/O JEFF',MCQUEEN Application description: DWELLING• - SINGLE, FAMILY D ED ®' .6800 N GAINEY CENTER_ 350 j Property Zoning: • -MEDIUM HIGH .DENSITY RES ® SCOTTSDALE, AZ 85258 Application valuation: 182699 t • �� Contractor Applicant:. /Architect or Engineer ®��► SHEA HOMES, INC. 8'1260 AVENUE 62 - M,.SA LA QUINTA, CA 92253 (760)777-6005 ��IY GO.�fTtxQ l' FOOT Lic. No... 672285 ------- `-------------- ==------ =-------------------- ----- --------------------- ----------- ---`---------- LICENSED CONTRACTOR'S DECLARATION "" WORKER'S COMPENSATION DECLARATION t .. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9.Icommencing with . - I hereby affirm under penalty of perjury one of the following declarations: - e Section 7000) of Division 3 of the Business and Professionals Code, 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 License C ss: B License No.: 672285 " -? .for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ' • - issued. -/Date: �C% d� 0 ntractor. L J A I G r' 1 U /./ r e+y -�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 f +• i OWNER -BUILDER DECLARATION - - - - insurance carrier andpolicy number are: Y} .ry •. I hereby affirm under penalty. of perjury that I am exempt from the Contractor's State. License Law for the Carrier NTL -UNION INS... 'Policy Number' 6436568,E 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 sous 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 r 7�ofthe Labor Code all forthwith ply ith those provisions.that he or sheds exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicant fora permit subjects the applicant to acivil penalty of not more than five hundred dollars (5500).: te: /0�3cant: - ' - (•_ 1 .I, as owner of the property, or my employees with wages as their sole compensation, will do the work; and .. t the structure is not intended or offered for sale (Sec..7044, Business and Professions Code: -The ,' WARNING:'FAILURE TO SECURE WORK S' COMP TION COVERAGE IS UNLAWFUL, AND SHALL - ,. _ Contractors' State License Law does not apply town 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. 5. •• one year :of completion, the owner -builder will have the burden of�proving that he or she didnotbuild or " , A •4 ` improve for the purpose of'sale.). - - • ' APPLICANT ACKNOWLEDGEMENT _ (._ 1 1, as owner of the property, am.exclusively contracting with licensed contractors to construct theproject(Sec.. IMPORTANT' Application is hereby made to the Diiector 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 thisapplication, •I am exempt under Sec. , BAP.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, agentsandemployees for any act or omission related to the work being _ performed under or following issuance of this permit. Date: r Owner: - .. 2. , Any permit issuedasa result of-thisapplication becomes null and void if work is not commenced , ., •- i^ � ,- within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject - .. - • CONSTRUCTION LENDING AGENCY _ '" permit to cancellation. _ - I -hereby affirm underpenaltyof perjury that there is a construction lending agency: for. the performance,of the .I certify that I have read this application and state that the above information is correct. f agree to comply with all • - work for which this permit is issuedlSec. 3097, Civ. C.6 .. - - city and county ordinances and state laws relating to building constructio�herebyrize representativesof this c1nty tq enter upon t ove-mentioned property for i ction _ • y ... -Lender's Name:'6/ - , . _ .. • ,., r _ - Date. gnature (Applicant or Agent): 4 .Lender's Address: I QPERMIT t , :.:APPlication Number ... .: 05-00002279 Permit",: BUILDING PERMIT' Additional desc , Permit Fee'. :..: 930.00 Plan -Check Fee ': 151.13 Issue Date. Valuation 182699. Expiration Date'-. 12/07/05 y nit Charge Qt U Per Extension BASE.FEE 639.50 83:00 3:.5000 -------------------------------------------------------------------------- THOU BLDG"100, 001'-500, 000. 290.50 ;. Permit MECHANICAL. Additional desc . Permit Fee 83.50 : Plan Check Fee 5.22 Issue Date . . • Valuation . . 0' Expiration Date 12/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=LOOK 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18'.00 4.00 6.5000 EA MECH VENT FAN. 26.00 1.00 6.5.000 EA MECH EXHAUST HOOD 6'.50 = Permit ELEC-NEW-RESIDENTIAL Additional desc.. Permit Fee 99.07 Plan Check Fee': 6:19 Issue.Date 'Valuation p . Expiration Date 12/07/05 Qty Unit ,Charge Per Extension BASE -FEE 15.00 t - 2094.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 73.29: 539.00 .0200. ELEC GARAGE.OR NON-RESIDENTIAL 10.78 ` Permit PLUMBING nal desc AdditiPermit .' Fee 153:00 Plan Check. Fee 9..56 ' Issue Date Valuation p. Expiration Date 12/0.7/05 Qty Unit Charge Per _ Extension BASE FEE 15.00 14.00 '6.-00.00 EA PLB :FIXTURE , 84.00 1.00 15.0000 EA PLB BUILDING SEWER ' 15:00 _ ,LQPERMIT - ' .. . • '.. :... .: - - _ . , , _. ... ; - _ .. . 17 Application Number 05-'000'02279 :. PermitPLUMBING Qty Unit Charge Per -', :. .' Extension 1.0.0 7.500.0. 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 6.00 7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000. EA._ PLB GAS METER °15.0 0 ..Permit . . . GRADING PERMIT Additional desc - Permit Fee: 15.-00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 12/07/0.5 Qty .,Unit. Charge Per Extension BASE FEE' 15.00 - - ----------------- --------.------ Special Note's 'and Comments ------------- r, SFD — Plan 55050, Lot 127 w/Casita (247 sqft) , MBR. Box`.Bay ' (26 sqft) •Garage ` - .& Ext.'' (83 sgft) .'.Permit does - not include . block wall, pool or driveway approach.75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE.OF•SAME PLAN,TYPE Other`Fees, ART IN PUBLIC PLACES -RES 20.00--_-- DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER ='RES- 366.00 ENERGY, REVIEW FEE`. 1.5.11 DIF FIRE PROTECTION -RES ,97:00 GRADING, PLAN CHECK -FEE .00 DIF LIBRARIES-' RES 225.00,. DIF PARK MAINT FAC - RES 5:00 DIF PARKS/REC -'RES. 502..00' ,. STRONG MOTION `•(SMI) " - RES 18.26 DIF STREET MAINT FAC=RES .15:00 :DIF TRANSPORTATION - RES 1098..00 Fee summary Charged I I I Paid Credited Due= ' Permit Fee;Total- 1280.57, 00 ------ 1280'.57 ' Plan Check.Total ' 172.10 .00 .0;0 172.10 Other Fee Total 2458.37. .00 00 2458.37 Grand Total 3911. 0 4 : ; . . 00 ... . 00 3911.04 a