SFD (05-2479)60915 Living Stone Dr
05-2479
NIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/21/05
Application Number: 05=00002479 Owner:
Property Address:' 6099115�LIVING STONE DR SHEA LA QUINTA
APN: 764-270-999-32 -300234- C/O JEFF MCQUEEN
Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350
Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ' 85258
Application valuation: 150034
Contractor, D �-
Applicant: SHEA HOMES
/ Architect or Engineer: ,, INC- tr
% v 81260 AVENUE 6.2
LA QUINTA, CA 92253 JUL 15 ZOOS
(760)777-6005
Lic- No.: 672285
LIC)
I C ITYOF
FINANCE DEPT. QUINTA
----------------------------------------------------=-------•-------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury that I am licensed underprovisions 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
I�iL AAJ� �/ issued.
/ Date: y � Contractor: >�`— / — v� V` 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 700 of the Labor Code, 1k,11 forthwith co ply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by F��a ,c
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: Date: /� plicant: ) w�w'�✓
1 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.). APPLICANT ACKNOWLEDGEMENT
() I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building.and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application..
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this applicationis made, each person at whose request and for "
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ ) I am exempt under Sec. , B.&P.C. for this reason - - - 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. "
Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced
r _ within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY - permit to cancellation. "
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).. city and county ordinances and state laws relating to building construction, and he uthorize representatives
of this co my to enter upon the above-mentioned propert spection purp es.
'Lender's Name:l!�/Signature (Applicant or Agent):
� Lender's Address: 1`/ n
i
LQPERMrT '
J
j.
Application Number
05-00002479
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
# 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 .,
132.93
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 r-
Extension
BASE FEE
15.00
" 1688.00 .0350
ELEC NEW RES - 1 OR 2"FAMILY
59.08
LQPERAIIT
'
" Application Number . . . . ., 05-00002479
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
15.0.0
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP -
3.0.0
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 32, Plan 4520A 1688 SF/
BOX BAY Q 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 PIAN 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
LQPERMTT
Appl-ication Number
. .
05-00002479
-----------------------
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