SFD (09-0699)Application Number: 09-00000699 �s
Property Address: 6194 Living Stone Dr
09-0699
APN: 764-280-999-200 -300236-
Application description: DWELLING - SINGLE-FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: .170639
Architect or Engineer:
�1 a
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) f Division 3. of the Busines and Professi na� Code, and my License is in full force and effect.cens
License ass: B ie No.: 672285
ate: ntractor:
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).:
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
Contractors' State License Law does not applyto 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 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—) 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:'
Ap
Lender's Address:
LQPERAIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:' 11/05/09
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER �\
SCOTTSDALE, AZ 85258
Contractor:
$HEA HOMES, INC �oY
60800 TRILOGY P KWAYC/� d�
LA QUINTA, CA 922 ,t,•�/� ��
(760)777-6005
Lic. No.: 672285
---------------------------=--=--- ------------
WORKER'S COMPENSATION DECLARATIO
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.
)—(-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
insurance carrier and policy number are:
Carrier NTL UNION INS Policy Number WC6987825
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,
IA.n agree that, if I should be a subject to the workers' compensation provisions of Section
Labor.Code, I sh I forthwith comply with those provisions.
applicant:
WARNING: FAILURE TO SECURE O KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI L 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 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 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.
1 certify that I have read this application and state that the above i ormation is correct. I agree to comply with all
city and count ordinances and state laws relating to buIIding con ruction, and hereby authorize representatives
of is c ty o enter upon the above-mentioned prop for ins i n purposes.
Date. ature (Applicant or Agent):
J
Application Number .
. . . . 09 -00000699 -
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 2007 CBC
FIRE SPRINKLERS NO
-
GARAGE SQ FTG
576.00
PATIO SQ FTG
177.00
NUMBER OF.UNITS
.1.00
1ST FLOOR SQUARE FOOTAGE
-1943.00
Permit .. . . . . .
BUILDING PERMIT
Additional desc .
Permit Fee
858.00 Plan Check'Fee
144.30
Issue Date
Valuation
170639
Expiration Date-.
2/03/10
Qty Unit Charge
Per
Extension
BASE FEE
639.50
71.00 3.5000
THOU BLDG 10-0;001-500,000
248.50
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . . .
70.50 Plan Check Fee
4.40 .
Issue Date . . . .
Valuation . . .
0
Expiration Date
2/03/10
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
2.00 6.5000
EA MECH VENT FAN
13.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST.HOOD
6.50
Permit ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
94.53 Plan Check Fee
5.90
Issue Date . . .
-Valuation . . . .
0.
Expiration Date
2/03/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1943.00 .0350
ELEC NEW RES - 1 OR'2 FAMILY
68.01.
576.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
11.52
LQPERMIT ..
LQPERMIT
Application Number 09-00000699
Permit PLUMBING
Additional desc .
Permit Fee 152.25 Plan Check Fee
8.95
Issue Date ... - Valuation
0
Expiration Date 2/03/10
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
T:-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 2/03/10
Qty Unit Charge Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00
Permit. . . . . . SOLAR PERMIT
Additional desc .
Permit.Fee 22.50 Plan Check Fee*.
1.40
Issue Date . Valuation
170639
Expiration Date 2/03/10 .
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
.1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
3.00
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Special.Notes'and Comments
SFD - LOT 200, PLAN 4520C; 1943 SF/ 255
SF CASITA,BOX-BAY Q MBR -26 SF 4' GARAGE
EXT - 88 SF., PHOTOVOLTAIC SYSTEM,
_
(1.4C-3,KW). 75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE ISSUANCE OF SAME
PLAN TYPE. PERMIT DOES.NOT INCLUDE BLOCK
WALLS,POOL, SPA OR DRIVEWAY APPROACH..
4
Application Number
09-0.0000699
`
-----------------------------------------------------------------------------
Special Notes and
Comments
2007 CODES
- Other.Fees
ART IN PUBLIC'PLACES-RES
00
BLDG STDS ADMIN (SB1473)
7.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
14.43
DIF FIRE PROTECTION -RES
140.00
"
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355:00.,:
DIF PARK MAINT FAC - RES
22.00,
_ - ._. ... ------ _..:-..,
_
DIF PARKS/REC --RES.
892.00
STRONG MOTION (SMI) - RES
17.06
DIF STREET MAINT FAC -RES
67.'00
-
DIF. TRANSPORTATION - RES
1930.00
Fee summary
:Charged
Paid Credited
Due
Permit Fee Total
1242.78•
.00 .00
1242.78 .-
Plan Check Total
164.95•
.00 .00
164.95
Other Fee Total
4513.49
.00 .00
4513.49
Grand -Total
5921.22
.00 .00
5921.22
LQPERMIT