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SFD (09-0696)61218 09-0696 Application description: Property Zoning: Application valuation: %09-0000-0696- - 61218 LIVING STONE DR 764-280-999-199 -300236- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 223553 -WA 0 / I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 35 SCOTTSDALE, AZ 85258 Applicant: Architect or Engineer: . QIP ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) o Division 3 of the B iri ss and Profe sio als Code, and my License is in full force and effect. License C ss: License No.: 672285 Date: a ontractor: 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 't c. 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.). (_) 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 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: LQPERMIT Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/05/09 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 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 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 subje to he workers' compensation provisions of Section �y 3700 of the Labor Code �h II orthw' co ply with those provisions. ate:' Q KTOSCF t-.WARNING: FAIU7URE WOR ER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). JN 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. I certify that I have read this application and state that the above in;ormation is correct. I agree to comply with all city and dun y ordinances a state laws relating to building cons r ction, and hereby authorize representatives oftc unty�to ent r upo the above-mentioned pr ert` for ins ion purposes. 66ate: I J ignature (Applicant or Agent): LQPERA4IT Application Number . . . . 09-00000696 Permit . . . . BUILDING PERMIT Additional desc . Permit Fee 1073.50 Plan Check. Fee 174.44 Issue Date Valuation. 223553 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE _ 639.50'.. 124.00 3.5000 - -- - ---------------------------------------------------- THOU BLDG 100,001-500,000 434.00 Permit MECHANICAL - Additional desc .. Permit Fee . . . . 83.50 Plan Check Fee 5.22 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 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 116.19 Plan Check Fee 7.26 Issue Date Valuation 0 Expiration Date 2/03/10 '. Qty Unit Charge Per Extension BASE FEE 15.00 2599.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.97 511.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 10.22 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 160.50 Plan Check Fee 10.03 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/03/10 Qty- Unit Charge Per Extension BASE FEE 15.00 15.00 6.0000 EA PLB FIXTURE 90.00 1.00 15.000.0 EA PLB BUILDING SEWER 15.00 LQPERA4IT LQPERMIT Application Number . . . . . 09-00000696 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 1.0.0 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA PLB GAS METER 15.0.0 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 220402 Expiration Date 2/03/10 Qty Unit Charge Per 4 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 --------------------------------------------- --------------------------------- Special Notes and Comments SFD - LOT 199, PLAN 5500B, 2599 SF., 149 SF EXERCISE RM, BOX BAY @ MBR(63 SF) & 41.GARAGE EXT. (83 SF). PHOTO VOLTAIC SYSTEM"( 1.7B&3KW). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. - - ------------------------------------------ Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 58.88 BLDG STDS ADMIN (SB1473) 9.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER = RES 995.00 ENERGY REVIEW FEE 17.44 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 LQPERMIT LQPERAIIT Application Number . . 09.-00000696 - --------- Other Fees . . .. . ----------- . . ----- .DIF PARK MAINT FAC - RES -----22-00' DIF PARKS/REC -.RES 892.00 : STRONG MOTION (SMI) - RES 22.36 'DIF STREET MAINT FAC-RES 67.00 -DIF TRANSPORTATION RES 19.30.:00 Fee summary Charged Paid Credited Due : Permit Fee Total -- ----- 1471.19 ------------- ------ ---------- .00. .'00 1471.19 Plan Check Total 198.35 .00 .00 198.35 Other Fee Total 4582.68 .00 .00 4'582.68 Grand Total 6252.22 .00 .00 6252.22 LQPERAIIT