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SFD (09-0695)Application Number: -09-00000695 Owner: Property Address: 61242 09-0695 Owner: SHEA LA QUINTA APN: 764-280-999-198 -300236 C/O JEFF MCQUEEN Application description: DWELLING SINGLE FAMILY DETACHED $800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY . RES SCOTTSDALE, AZ 85258 /\ Application valuation: 223553 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/05/09 . I" Contractor. J/ Applicant: Architect or Engineer: SHEA HOMES, INC. 60800 TRILOGY PARK Y LA. QUINTA, CA 9225 1 (760) 777-6005 LJ O�Q n Lic. No.: 672285 F/dl�� --------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I 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, 000) of Division 3 of the Bu 'rtes` and Professio Is ode, 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 Lice I ss: I Lic oe fY 6722$5 for by Section 3700 of the labor Code, for the performance of the work for which this permit is . jj V� lrw nvta� issued. Date:V ID ontractor: fl 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 workerscompensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: 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 WC6987825 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 becomer ubject 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 VV3r� gree that, if I sh ul``d become su c 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 , of the Labor C de,71 IMII fo Imply 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 ($500).: ate. l plicant. (•_ 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 WO ERS' 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 improvementsare 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 (_ 1 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 application is 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, 1 _ 1 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 within 180 days from date ofissuance of such permit, or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. 1 I hereby affirm under penalty of perjury that there is a construction lendingagency for the performance of the I certify that 1 have read this application and state that the above in rmation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city an county ordinances and state laws relating. to building const coon, and hereby authorize representatives - �: Oft 1 oupty to. enter upon the above -mention rope I �purposes. Lender's Name: Ill. - ate:V S' nature (Applicant or Ag Lender's Address: . LQPERMIT .i Application Number 09-00000695' 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 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . 09-00000695 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 1.00 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 15.00 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 220402 Expiration Date,2/03/i0 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 ------------ Special Notes and Comments SFD - LOT 198, PLAN 5500A, 2599 SF., 149 SF EXERCISE RM, BOX BAY @ MBR(63 SF) & 4' GARAGE.EXT. (83 SF). PHOTO VOLTAIC SYSTEM ( 1.7A&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 Application Number . . . . . 09-00000695 ------------- 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 1930.00 Fee'summary Charged Paid Credited Due Permit Fee Total 1471'.19 .00 .00. 1471.19 Plan Check Total 198.35 00 .00 r 198.35 'Other Fee Total 4582.68 00 00 4582.68 Grand Total 6252.22 .00 + .00 6252.22 LQPERMIT