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SFD (05-2562)60890 Living Stone Dr 05-2562 Application Number: 05-00002562 Property Address: 60890 LIVING STONE DR APN: 764 -270 -999 -124 -300234 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 194201 Applicant: Architect or Engineer: vot- ---------------------------- LICENSEDCONTRACTOR'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 Code, and my License is in full force and effect. License C ass: B License No.: 672285 /Date: G actor: OWNER -BUILDER DECLARATION I hereby affirm under penalty ofperjurythat I am exempt from the Contractor's 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 Contractor's 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).: (_) 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 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.). - 1 _ 1 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.). I—) I am exempt under Sec. , B.&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: A LQPERn11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/23/05 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 0 Q Contractor: SHEA HOMES, INC. JUL 15 2005 81260 AVENUE 62 LA QUINTA, CA 92253 CITYOF (760) 777-6005 FINAN QUINTA No.: 672285 EDE Lic. WORKER'S 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. 1 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 insurance carrier and policy number are: Carrier NTL UNION INS Policy Number 6436568 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 700 of the Labor Code, I shall forthwith comply with those provisions. ,oe%t'e: 40om pl(cant: J!/` lid Q/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. 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. 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby thorize representatives of this co4Aty enter upon the above-mentioned property fo spection purposes! % L &rt e: t75 gnature (Applicant or Agent): LQPERDiIT Application Number . . . . . 05-00002562 Permit . . BUILDING PERMIT Additional desc ". Permit Fee . . . . 972.00 -Plan Check Fee . 631.80 J Issue Date Valuation 194201 Expiration Date 12/20/05 Qty Unit Charge Per Extension BASE FEE 639.50 95.00 3.5000 THOU BLDG 100,001-500,000 332.50 Permit MECHANICAL Additional desc . Permit Fee. . . 65:50 Plan Check Fee 16.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/20/05 Qty Unit Charge, Per Extension BASE FEE 15:00 1.0,0 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K'BTU 9.00 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 105.07 Plan Check Fee 26.27 Issue Date Valuation -0 Expiration Date 12/20/05 Qty Unit Charge Per Extension BASE FEE 15.00, 2215.00 .0350 ELEC NEW RES -.1 OR 2 FAMILY 77.53 627.00 .0200 ELEC GARAGE OR -NON-RESIDENTIAL 12,54 Permit PLUMBING Additional desc.. ..Permit Fee 147.00 Plan Check Fee 36.75' Issue Date . . . . Valuation 0 Expiration Date 12/20/05 Qty. Unit Charge Per Extension BASE FEE 15.00 13..00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA" PLB BUILDING SEWER 15.00 LQPERDiIT Application Number . . . . . 05-00002562 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 ., 12/20/05 Qty Unit.Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - Plan 5210C Lot 124 w/ Box Bay MBR (26sf) & Kitchen•(26sf) and Garage Ext. (109sf). Permit does not include block wall, poor 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 .63.18 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 19.42 DIF STREET MAINT FAC=RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit.Fee Total 1304.57 .00 .00 1304.57 Plan Check Total 711.20 .00 .00 711.20 Other Fee Total 2507.60 .00 .00 2507.60 Grand Total 4523.37 .00 .00 4523.37 LQPERMIT