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SFD (05-2478)60905 Living Stone Dr 05-2478 Application Number: 05-00002478, Property Address:' . 669-0-5—LIVING' STONE DR APN: 764-270-999-31• -30'0234- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES - Application valuation: 150034 Applicant: Architect or Engineer: (a --------------------------------------------------- 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 Code, and my License is in full force and effect. , License Class: B License No.: 672285 / Date: " (/ontractor. J Y��=�l t—� OWNER -BUILDER DECLARATION ' I hereby affirm under penalty of perjury that 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, 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 -)- j ) 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: LQPER1111T Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760) 777-7153 'Date: 6/21/05 Contractor: tJUL SHEA HOMES, INC.81260 AVENUE 62 2005 15 C LA QUINTA, CA 92253 (760)777-6005 CITY OF LIC. No.: 672285 crrd.•� QUINTA ------------------ 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 1 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 bor Code,, I��shall forthwith Comply with those provisions. ;ate: /q� pplicant: ��/tGlit ✓(/dNr!S WARN NG: 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 1$100,000). IN ADDITION TO'THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and d 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 ntatives of this co my o enter upon The above-mentioned property spection purp €s. Date: 1 -/-Signa Applicant or Agent). Application Number . . . . . 05-00002478 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 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG .576.00 PATIO SQ -FTG 177.00 NUMBER OF UNITS 10.00 1ST FLOOR SQUARE FOOTAGE 1688.00 Permit BUILDING PERMIT Additional desc . Permit Fee 818.00. Plan Check Fee 13.2.93 Issue Date. Valuation . . . . 150034 Expiration Date 12/18/05 Qty Unit Charge Per Extension BASE FEE 639.50 51.00 3.5000 THOU BLDG 100,001-500,000 178.50 Permit . . MECHANICAL Additional desc . Permit Fee 64.00 Plan Check Fee 4.00 Issue Date Valuation . . . . 0 Expiration Date 12/18/05 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 1.00 6.5000 EA MECH VENT FAN 6.50- 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc.. Permit Fee 85.60 Plan Check Fee 5.35' Issue Date Valuation 0 Expiration Date 12/18/05 - Qty Unit Charge Per. Extension BASE FEE 15.00 •1688.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59.08 -LQPERIIIIT � Application Number 05-00002478 Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 576.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 Permit . . PLUMBING Additional desc - Permit Fee 128.25 Plan :Check. Fee 8.02 Issue Date . . . Valuation .0 Expiration Date 12/18%05 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 7.5.000 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 Expiration Date.. 12/18/05 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------- Special Notes and Comments SFD - LOT 31,'Plan 4520C 1688 SF/ BOX BAY @ MASTER (2SFf) & 4' EXT. 'GARAGE (88SF).PERMIT DOES NOT INCLUDE POOL; SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO.PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE -----------------_- Other Fees . . ART IN PUBLIC PLACES-RES .00 , DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 13.29 DIF FIRE PROTECTION-RES 97.00 GRADING PLAN CHECK FEE .00 -DIF LIBRARIES - RES 225.00 DIF PARK MAINT.FAC - RES 5.00 Application Number 05-00002478. ------------------------------------------------------------ Other.Fees . . --------------- DIF PARKS/REC RES 502.00 STRONG MOTION (SMI) - RES 15.00 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due • Permit Fee Total 1110.85 .00 00' 1110.85 Plan Check Total 150.30 .00 .00 150.30 Other Fee Total 2433.29 .00 .00 2433.29. 'Grand Total 3694.44 ."00 .00 3694.44