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SFD (05-1323)60575 Living Stone Dr 05-1323 IJU1LDING & SAFETY DEPARTMENT ti (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 C_5 0000132.3) Date 4/08/05 60575 LIVING STONE DR 764-270-999-6 -300234- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 139594 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) 777-6005 WCC: NTL UNION INS WC: 6436568 08/01/05 CSLB: 672285 06/30/05 CCC: B ------ Structure Information SFD PLAN 4510 W/MBR BAY 26SF ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . .. DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 4.79.00 PATIO SQ FTG° 337. 0 0 `NUMBER OF UNITS �. ..1.00 1ST FLOOR SQUARE FOOTAGE 1556.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -i • Additional desc.. Permit Fee . . . . 779.50 Plan Check Fee 12.6.67 Issue Date . . . . Valuation 139594 Qty Unit Charge Per Extension BASE FEE 639.50 40.00 3.5000 THOU BLDG 100,001-500,000 . 140.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 83.50 Plan Check Fee-. 5.22 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.. 0000 EA • .''MECH FURNACE <=100K t ,. y 18.00 2.00 9.000'0' EA—- ,MECH .B/C <=3HP/100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 P.O. BOX 1504' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 i VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7[53 BUILDING & SAFETY DEPARTMENT — Application Number: D — 3�3 Date: �•$• OS Applicant: Architect or Engineer: Applicant's Mailing Address:,—Architect or Engineer's Address: IC. No.: t3UIL.UINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I 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 Co nd my License is in full force and effect. % /fin cense Class i� cense No. Y� ?.GC� S ,,�Date D•S ds OS ntractor_ n 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 fora 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 WukKtMS• GUMPENSATION DECLARATION 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 _kof the work for which this permit is issued. hhave 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 w4ers' compensation in nce carrier;dgly' ny r rEM Ca`merN4 UN 1"A iMl olicy Number (2 3 ((Dp I certify that, in the performance d the work for which this permit is issued, I s all 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. /gate�S a Applicant Qtr( 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.). Lenders Name Lenders Address P UA 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 Ouinta, 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 ¢uilding construction, and hereby authorize representatives of this county to enter upon the above -menti a property for insp 'on purposes. Date 65 OS O Signature (Applicant or Agent): Page 2 Application Number . . . . . .05-00001323 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 . . . . 79.04 Plan Check Fee 4.94 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1556.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 54.46 479.00 --------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.58 Permit ------------------------------------------------------------- . . . . PLUMBING Additional desc Permit Fee . . 123.00 Plan Check Fee 7.69 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 .6.0000 EA PLB FIXTURE 54.00 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 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 Qty Unit Charge Per Extension BASE FEE, 15.00 Special Notes and Comments SFD - Lot 6 Plan 4510C (1556 sgft) w/MBR Box Bay (26 sqft). Permit does not include block wall, pool or driveway approach. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC ------------------------------------------------------------------------------ Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00. Page 3 Application Number r 05-00001323 Date 4/08/05 Other Fees . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE .12.67 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAI,NT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 13.95 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1080.04 .00 .00 1080.04 Plan Check Total 144.52 .00 .00 144.52 Other Fee Total 2431.62 .00 00 2431.62 Grand Total 3656.18 .00 .00 3656.18