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SFD (04-8345)60455 Living Stone Dr 04-8345 LA QUINTA, CALIFORNIA 92253 INSPEC N11MU,FS,TzS6760 -7153 -,,_BUILDING PERMIT CITY OF �UL/,44,,,;,..__ Application Number Property Address' . . . APN: Application description Property Zoning Application valuation �Q4�00_0.0.8.345 Date 3/29/05 60455 LIVING STONE DR 764-270-999-50 -300233- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 149793 Owner Contractor -------------------------: ------------ ----. SHEA LA QUINTA SHEA HOMES, INC. C/O JEFF.,-MCQUEEN 81260 AVENUE 62 8800 N GAINEY CENTER 350 LA QUINTA CA 92253 SCOTTSDALE AZ 85.258 (760) 777-6005 WCC: NTL UNION INS - WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B -----------------=-------- .Structure Information . ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone . . . NON -AO FLOOD ZONE Other struct info . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO' GARAGE SQ FTG 576..00' PATIO' <SQ- FTG 1:77.,00 NUMBER1OF UNITS 1.00 ------------------------------------ .1ST FLOOR SQUARE FOOTAGE 1685.00 Permit --------------------------------------- BUILDING PERMIT i.�` Additional deso 4 Permit Fee . . . . 814.50 Plan Check Fee 529.43 Issue Date Valuation . . . . 149793 Qty Unit.Charge Per Extension BASE FEE 639.50 50.00- 3.5000 --------------- THOU BLDG 100,001.500,000 175.00 --------------------- Permit . Permit. . . . . . . ----------------------- ----------------- MECHANICAL ------------------ -------- --- Additional desc Permit Fee . . 93.00 Plan Check Fee 23.25 Issue Date Valuation 0 Qty Unit. Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K �. 9.00 1.00 11.000'0 EA"_ MECH 'FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 4 -- 5345 Date: L •d Applicant: Architect or Engineer: Applicant's Mailing Address: rchtept or E}eine rs A ress: Ic. No.: 26gol BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under gcovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals o _. de, and my License i full force and effect. .11�Lic/ 72 Ln�S ense ClassLicense No. DateO D .ntractor Siil6e i, go s OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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(s) licensed pursuant to the Contractors' State License Law.). U I am exemplLnder Sec. , BA P.C. for this reason Date Owner. WORKERS' 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 ha 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 .1�ed. M�,er3 o pensation�rancecarrierand'pply nym r r /Gamer �{/ !A/'! /� /policy Number (O 1(/ D _ 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 Code, I shall forthwith comply with those provisions. ate OI OSpA plicant J�e& 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. 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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the ab e- tinned op for inspection poses. V d C Sire (Applicant or Agent): a7 AN Page 2 Application Number 04-00008345 Date 3/29/05 Qty, Unit Charge Per Extension 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 . . . . 85:50 Plan'Check Fee 3.77 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension " BASE FEE 15 '. 0 0 .1685.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 58.98 576.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 128.25 Plan Check Fee 32.06 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE. 60.00 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 9.000'0 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 Issue Date Valuation .00 0 Qty Unit Charge Per Extension ------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments ------------ SFD - LOT 50, 1685 SF PLAN 4520B.BAY @ MBR -23 SF, 88 SF GARAGE EXT. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . ART IN PUBLIC PLACES -RES .00 s Page 3 Application Number ---------------------------------------------------------------------------- 04-,00008345 Date 3/29/05 Other Fees DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00. ENERGY REVIEW -FEE 52.94 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 502.0.0 STRONG MOTION (SMI) - RES 14.97 DIF*STREET MAINT FAC -RES 15.00" DIF TRANSPORTATION - RES. 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1136.251' .00 .00 1136.25 Plan Check Total 588.51 .00 .00 588.51 Other Fee Total 2472.91 .00 .00 2472.91 Grand Total 4197,.67 .00 .00 4197.67 s