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SFD (05-3433)60965 Living Stone Dr 05-3433 Application Number:05= OA003433 Property Address: 60965 LIVING STONE DR APN: 764-270-999-40 -300234- Application description: DWELLING SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 213593 BUILDING & SAFETY DEPARTMENT BUILDING -PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETAC ED �r v� CENTER 350 SCOTTSDALE, AZBS258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/04%05 G•r(G Contractor: Applicant: /Architect or Engineer: `�� SHEA HOMES, INC. e8126A Q 0 ( LAVENUE 62 'jN`�'aJ, �,(�t/ LA QUINTA, CA 92253 (760)777-6005 Lic.: No.: 672285 -------------------------------------------------------------------------------------------------- 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 Ucense.0 ssi B License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is 5;k& �Y 'r issued. ate: ontractor: IM�yJ � � 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 UNIQN 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 forth ith 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 - ►�./%� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001: ate: plicant: /1874 (_ 015 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.). - 1 _) 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.). (_ 1 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: Pf LQPERAfTT 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 tocancellation. 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 Jae by authorize representatives of this ounty owe/nter upon th above-mentioned property inspection pur se ' ate: �✓ S ature (Applicant or Agent): 7 -M Application Number 5-00003433 OS-00003433- Permit Permit BUILDING PERMIT Additional desc . Permit Fee. 1038.50 Plan Check Fee _ 675.03 Issue Date Valuation 213593. Expiration Date 1/31/06 Qty Unit Charge Per 'Extension BASE FEE 639.50 114.00 3.5000 ---------------------------------------------------------------------------- THOU. BLDG -100,001-500,000 399.00 Permit MECHANICAL Additional desc . _ Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation - 0 Expiration Date 1/31/06 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 6.5000 EA MECH VENT FAN 26.00 1.001 6.5000 EA MECH EXHAUST HOOD. 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc.. -Permit Fee . . . 113.47 Plan Check Fee 28.37 Issue Date _ Valuation 0, Expiration Date 1/31/06 Qty Unit Charge Per Extension . BASE FEE 15.00 ` 2455.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 85.93 627.00 .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 1/31/06 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 LQPERMIT - " Application Number . . . . . 05-00003433 Permit PLUMBING Qty Unit Charge. Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7:SO 1.00, 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.001, 9.0000 EA PLB LAWN SPRINKLER.SYSTEM 9.00 6..00 ..7500 EA PLB GAS PIPE >=S 4.SO - 1.00 15.0000 EA PLB GAS METER 15r00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 1/31/06 Qty Unit Charge Per Extension BASE FEE 15.00, Special Notes and Comments SFD - Lot 40, 24SS SF Plan 5210C w/Casita (266sf), MBR Box Bay (26sf), Ext Garage (109sf). Permit does not include block wall, pool or driveway approach. Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 33.98 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 67.50 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 .21.35 DIF STREET MAINT.FAC-RES 15:00 DIF TRANSPORTATION - RES 1098.00 Fee.summary Charged Paid Credited Due Permit Fee Total 1397.47 .00 .00 1397.47 Plan Check Total '7.61.03 .:00 .00 761.03 Other Fee Total 2527.83 .00 .00- 2527.83 ' Grand Total 4686.33. .00 .00 .4686.33 LQPERN11T - .