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SFD (04-8367)60495 Living Stone Dr 04-8367 Applicatioih Number -, . �' 04, 0.0.0083-67 Date 4/08/05 Property Address ... . . : 60495 LIVING STONE DR APN: 764-270-999-2 -300234= Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM HIGH DENSITY RES Application valuation 170639 1 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 85258 (760) 777-60.05 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/LONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 57:6.00 PATIO SQ FTG.177:00 `, • ` `'NUMBER "OF UNITS ' 1.00 ------------------------ 1ST FLOOR SQUARE FOOTAGE 1943.00 7 -----------------------.---------------------------- Permit . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . .888.00 Plan Check Fee 577.20 Issue Date _ Valuation . . 170639 Qty ' Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 THOU BLDG 10.0,001-500,000 248.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee 70.50 Plan Check Fee 17.63 Issue Date . . . . Valuation 0 Qty Unit Charge Per - Extension BASE FEE 15.00 2.00 9.0000 EA � MECH FURNACE <=TOOK ti,�. 18.00 2.00 9.0000•,EA - .MECH- B/,C '<=3HP/100K BTU' -" '' 18'.00 2.00 6.5000 EA MECH VENT FAN 13.00 P.O. Boa 1504 VOICE (760) 777-7012 78-495 CALLS TAn-tPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04 -)5z*7 Applicant: Applicant's Mailing Address: Architect or ,--Architect or ht1 // f ,14 f�ea'12_ O.: _ CC2rp 1/01 Date: J�•Jr• U S Engineer: Engineer's Address: t$UILUINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that, I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and my Licent is in full force and effect. ^� License Class nse No. G L ,Date WAS OS Contractor �/1 Dl. bJ of ,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 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.). U I•am exempt under 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. 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 mer WItsu�,(yly w ��rs' compensation ' ance carrier anp i mperpr� oh olicy Number (011,0510 I certify that, in the performance of the work for which this permit is issued. I s I 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. 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 eriter up n the above -menti ed p perty for inspection purposes. oSSignature (Applicant or Agent): Page 2 Application.Number . . ... . 04-00008367 Date- 4/08/05 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL, Additional desc Permit Fee . . . . 94.53 Plan Check Fee 23.63 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension w _ BASE FEE 15.00 1943.00 .0350 ELEC NEW'RES - 1 OR 2 FAMILY 68.01 576.:00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 ---------- =----------------------------------------------------------------- t, Permit PLUMBING 0. Ai Additional desc ' Permit Fee . . . . 152.25 Plan Check Fee 35.81 Issue'Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00, 6.0000 EA PLB FIXTURE 84.00 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.-0000 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 .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 2, PLAN 4520A, 1943 SF/ 255 SF CASITA,BOX BAY @ MBR -26.SF 4' GARAGE EXT - 88 SF.PERMIT DOES NOT'INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH Other Fees . . . . . . . . .. ART IN'PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 Page 3 Application Number . . 04-00008367 Date 4/08/05 Other Fees . . . . . . DIF CIVIC,CENTER - RES 366.00 ENERGY REVIEW FEE 57.72 DIF FIRE PROTECTION -RES, 97.00 GRADING PLAN CHECK FEE .00 DI_F LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI),- RES 17..06 DIF STREET MAINT.FAC-RES 15.00 DIF.TRANSPORTATION - RES 1098.00, Fee summary Charged- Paid Credited Due Permit Fee Total 1220.28 .00 .00. 1220.28 Plan Check'Total 654.27 00 .00 654.27 Other Fee Total 2479.78 :00 .00 2479.78 Grand Total 4354.33 .00 00 4354.33 i