The URL can be used to link to this page

05-2270 (SFD)a T-4ht 4 P.O. BOX 1504. ^v VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT-. INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 61/10,/OS Application Number: '05-00002270'"- Owner: .Property Address: ---81273. VICTORIA LN SHEA LA QUINTA APN: 764-270-999-133 -300234-®. C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY D 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 200916 JUN 2 3 2005 Contractor: Applicant:in er- chitect or En . CPPY OF G� IC16RTA SHEA HOMES, INC., Engin {t"CE®EPT. 81260 AVENUE 62 M LA QUINTA, CA 92253 1 ` (760)777-6005 1 Lic. No.: 672285 ----------——----—--------------------------------------—--——----------——---—--------------—------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION _ I 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 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: License No.: 6722285 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is G a3 �. - �'�-1 L! �J issued. Date: ontractor: 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 OWNER -BUILDER DECLARATION insurance 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, NTL UNION INS Policy Number 6436568 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 w Zs' 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, 1 all forthwith com {{ ifft those provisions. that he or she isexempttherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / //7 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: (O -Z5 & pplicant: (_) 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 - WARNING:. FAILURE TO SECURE WORKE OVERAGE 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 A D 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, 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 ofconditions 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, 1 _ 1 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 _ performed under or followingissuanceof this permit. Date: - Owner: - - 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 CONSTRUCTION LENDING AGENCY - permit to cancellation. I hereby affirm under penalty of 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. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). ' city and county ordinances and state laws relating to building construction, and hereby author' resentatives of this codnty tcy enter upon the. above-mentioned property for inspe purposes. Lender's Name: - �+•>J/ _ `� - ate: Signature (Applicant or Agent): Lender's Address: i•/ ' LQPERMIT F Application.Number 05-00002270 ' Permit. = BUILDING PERMIT Additional desc . Permit Fee' 993.00 Plan .Check .Fee 645.45 Issue Dat - Valuation 200916 Expiration•Date 12/07/05 Qty Unit Charge -Per Extension BASE FEE 639.50 101.00 3.5000 THOU BLDG 100,001--500,000 353.50 Permit' . . MECHANICAL Additional desc . Permit'Fee . . . . 83.50 Plan Check Fee 20.88. 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 <=100K 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 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 106.85 Plan•Check Fee 26.71 Issue Date Valuation 0 Expiration Date 12/07/05 Qty Unit.Charge Per Extension BASE FEE 15.00 .2315.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 81.03. 541.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.82 Permit PLUMBING Additional desc ,. Permit Fee . . 171:00 :Plan Check Fee ., 42.75 Issue•Date Valuation 0 Expiration Date 12/07./05 Qty. Unit :Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 " 1.00 15.0000 EA, PLB BUILDING SEWER 15.00 LQPERMIT - _ -_ - ,• ... 1 ' Application Number 05-00002270 _ Permit PLUMBING " Qty _ Unit Charge Per Extension 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 . 12/07/-05. Qty Unit Charge Per Extension BASE FEE 15.00 - ---------------------------------------- Special Notes and Comments SFD -'Plan 5320A Lot 133 w/Casita (255 sqft), MBR Box Bay (26 sqft) & Garage Ext. (83 -sqft). Permit does not include block wall, -.pool or driveway approach. . - ---- - --------------------------------- 'Other'Fees ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER _.RES 366.00 ENERGY REVIEW FEE 64.55 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 20.09 DIF STREET MAINT FAC -RES 15.00 DIF. TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due - Permit Fee Total 1369.35 .00 ..00 1369.35 Plan Check'Total 735.79 .00 .00 .735.79 Other Fee Total 2509.64. .00 .00 2509.64 Grand Total 4614.78 .00 .00 4614.•78 " LQPERMIT