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SFD (09-0378)61285 Living Stone Dr 09-0378 APN: 76.4-280-999-5 -300236- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 159387 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Owner: SHEA LA QUINTA C/O JEFF MCQUE 8800 N GAINEY SCOTTSDALE,,AZ VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 4/28/09. Contractor. Applicant: Architect or Engineer: SHEA HOMES, INC. FApT�9 81260 AVENUE 62 LA QUINTA, CA 92253 (760)77V_6005 C=:,R SYjtAl Lic. No.: 672285 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm unde penalty of perjury that am licensed unde provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Sc 'a 7 00) of Di: sio of the Bus' d Professiona C e, 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 L�Le se CI i L• ' n 6 722 85 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: Cont tor: �. 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 WC1894819 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 anA agree that, if I d beco a s4 bject to theJa5gtons. ation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or o he Labor od� I s II or, with compl, 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).: at pp' ant: (_ 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 K RS' 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 CRIMINA ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself orherself 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 1, 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: Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety fora 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 re d this application and state that the above information i correct. I agree to comply with all city and cou ty ordina ces and state laws relating5perty n con truction, an here autho 'ze representatives' of this t n r o the -above-mentioned f r in ection purp e9? te: natu(Applicant or Agen Application Number 09-00000378 Permit BUILDING PERMIT, r , Additional desc Permit -Fee . . . . 849.50 'Plan Check;Fee 552.18 , • Issue Date, Valuation 159387 Expiration Date.. '10/25/09 , '- Qty Unit Charge Per Extension , BASE FEE 639.50.' 60.00 3.5000 THOU .BLDG 100,001-500,000 210.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . 65.50 Plan Check Fee 16.38 Issue Date . . . . Valuation . . . . -0 Expiration Date 10/25/09. �• ' Qty Unit Charge Per Extension BASE .FEE 15'.00 1.00' 9.0000 EA MECH FURNACE <=100K _ 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 „•� 4.00 6.5000 EA MECH VENT FAN. 26.00 ,. 1.00 6.5000'EA MECH EXHAUST HOOD ---------------------------------------------------------------------------y 6.50 Permit . . . ELEC-NEW RESIDENTIAL " Additional desc . 'Permit Fee 59.84, Plan Check Fee 22.46 Issue Date Valuation 0 '. Expiration Date •10/25/09 Qty Unit Charge Per Extension BASE ' FEE 15.00 1773.00 .0350 ELEC NEW RES"- 1 OR 2 FAMILY 62.06 639.00 .0200 ELEC GARAGE*OR NON-RESIDENTIAL '12.78 .' Permit , ,PLUMBING , Additional desc Permit Fee . . . 120.00 Plan Check Fee Issue Date . . Valuation . . . . 0 Expiration Date 10/25/09 1• 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 15.00 LQPERMIT ' .. .. .. LQPERMIT Application -Number . . ..�. 09-0000.0378 Permit . .'. . PLUMBING Qty Unit Charge Per Extension ' 1..00 7.5.000 EA PLB WATER HEATER/VENT 7.50 1.00 :.3.0000 EA •• PLB WATER INST/ALT/REP• 3.00 6.00 .7500.EA PLB,GAS PIPE >=5 4.50 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 10/25/09 f Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------.-----------=-- 15.00 Permit SOLAR PERMIT - Additional desc . Permit Fee 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 159387 ` Expiration Date 10/25/09 - 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 5, PLAN 4-515C, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BAY @ nook -- (24 SF.), PHOTOVOLTAIC SYSTEM (1.3C-3KW) PERMIT. DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 _ DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 Application Number .. . . 09-00000378 -------------------------------------------- -------------------------------- Other Fees . . . DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.0.0 l Fee summary Charged Paid Credited Due Permit Fee Total. 1162.34 .00 .00 1162.34 Plan Check Total 626.65 .00 .00 626.65 Other Fee Total 4573.15 .00 .00 4573.15 Grand Total 6.362.14 .00 .00 6362.14