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SFD (05-2475)60885 Living Stone Dr 05-2475 Application Number: '—.05=00002475' - Property Address: - 60885'"LIVING- STONE DR APN: 764-270-999-29 -300234- Application description: DWELLING SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 186889 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 . VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/20/05 Contractor: i D /A\ II Applicant:chitect or Engineer: SHEA HOMES, INC. tr �J 81260 AVENUE 62 LA QUINTA, CA 92253 ;UL 15 2005 (760)777-6005 C/0_1 Lic. No.: 672285 , CITY OF LA QUINTA FINANCE DEPT. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 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 Class: B License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �„ �� issued. /ate: _�7�actor: :4NGh I Wi�`� �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 workers' 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, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / t any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: ] � w pplicant: n -:;F . r (_ 1 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 WORKERS' COMPENSATION COVERAGE 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 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. 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.). (_) 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.). (_ ) I am exempt under Sec. 8.&P.C. for this reason Date: Owner: 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: LQPERAIIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permitsubject to the conditions and restrictions set forth on this application. r. 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 building construction, and hereby authorize representatives of this co my o enter upon the above-mentioned property for inspection purpo [)attr_�' ignature (Applicant or Agent): LQPERAIIT Application Number 05-00002475 ------ Structure Information SFD PLAN 5505 W/CASITA MBR GAR & PAT EXT ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE .SPRINKLERS "NO GARAGE SQ FTG 539.00 PATIO SQ FTG 536.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE. 2094.00 Permit BUILDING PERMIT Additional desc .. Permit Fee 944.00 Plan Check Fee 613.60 Issue Date . . . . Valuation . . . . 186889 _ Expiration Date 12/17/05 Qty Unit Charge Per Extension BASE FEE 639.50 87.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 304.50 Permit MECHANICAL Additional desc . Permit Fee, . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation. 0 Expiration Date . 12/17/05 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 6.5.000 EA MECH VENT FAN 26.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC2NEW RESIDENTIAL Additional desc . Permit Fee . . . 99.07 Plan Check Fee 24.77 Issue Date . . Valuation ". 0 Expiration Date 12/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 2094.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY 73.29 539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.78 LQPERMIT Application Number . . . . . 05-00002475 :=y . . . PLUMBING LQPERMIT Application Number . . . . . 05-00002475 Permit' . . . PLUMBING Additional desc . Permit Fee . . . . 133.50 Plan Check Fee 33.38 Issue Date Valuation . . . . 0 Expiration Date 12/17/05 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 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 12/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - Plan 5505B Lot 29 w/casita (24'7 sqft), MBR box bay (26 sqft), ext garage (83 sqft), ext patio (315 sqft), 2094" SF. Permit does not include block wall, pool or driveway approach. ---------------------------------------------------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -RES :00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 61.36 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAZNT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 18.68 DIF STREET MAINT FAC -RES_ 15.00 DIF TRANSPORTATION - RES 109.8.00. Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- ----.------ Due J 'fes. -Application Number . . . . . 05-00002475 Permit Fee Total. 1275.07 .00 .00' 1275.07 Plan Check Total 692.63 .00 .00 „ 692.63. Other Fee Total 2485.04 .00 '.00 2485.04- Grand'Total 4452.74 .00 .00 4452.74• LQPERDIIT' ,