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SFD (09-0671)61305 LIVING STONE DR 09-0671 Owner: SHEA LA QUINTA APN: 764-280-999-6 -300236- C/O JEFF MCQUEEN Application description: DWELLING SINGLE FAMILY DETACHED - ... 8800 N GAINEY CENTER Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 8525 Application valuation: 123721 Contractor. Applicant: Architect or Engineer: SHEA - HOMES , INC. 60800 TRIL Y WA 35 Ad Tom''/`A-14" - VOICE (70) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 OCT 19 2809 Date: 10/07/,09 I OG PARK Y LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm and r penalty of perjury th I am licensed unde provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section • 001 of D ' ' n 3 of the B mess and Profession 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 Lic s C Lice No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ' at on ractor: i 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 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 'n any manner so as to become subject to he 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 a ree that, if I should becomes bject to th worker f compensation provisions of Section License Law (Chapter '9 -(commencing, with Section 7000) of Division 3 of the Business and Professions Code) or e Labor Code, I II fort with ith t ose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by (/^1 / any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: a `" pli nt: - (_ 1 1, 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 WORKER - CO PENSATION 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 PE A ES 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.). - APPLICANT ACKNOWLEDGEMENT 1 _ 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; (_) 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 Ouinta its officers agents and employees for any actor omission related to the work being .. 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 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 ave read thi application and state that the above i formation is corr I agree to comply with all city an cQQQunt ordinances and state laws relating to building c s uction, and her by a thorize representatives Of this urhy o e r p -- above-mentioned property fo m 'ecti purposes. ate: (U t pplicant or Agent): - Application Number . . . . .. 09-00000671 Permit BUILDING PERMIT - Additional desc '. Permit Fee 723..50 Plan Check Fee 470.28 Issue Date 7/28/09 Valuation . . . . 123721 Expiration Date 3/31/10 1 Qty Unit Charge Per Extension BASE'FEE 639.50 24.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-50.0,000 .84.00 Permit MECHANICAL Additional desc:. Permit Fee . . . . 81:50 Plan Check Fee 20.38 Issue Date 7/28/09 Valuation . . . . 0 Expiration Date .: .3/31/10 'Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1:00 16.5000 EA MECH B/C >3-15HP/>1O0K-500KBTU 16.50 5.00 6.5000 EA MECH VENT'FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 72.82 Plan Check Fee 18.21 Issue Date 7/28/09 Valuation 0 9. Expiration Date 3/31/10 Qty Unit Charge Per Extension BASE FEE 15.00 1381.00 .0350 ELEC NEW RES'- 1 OR 2 FAMILY 48.34 474.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.48 Permit PLUMBING Additional desc . Permit Fee. 122.25 Plan Check Fee 30.56 Issue Date 7/28/09 Valuation 0 Expiration Date 3/31/10 Qty Unit'Charge Per Extension - BASE FEE 15.00 9.00 6.00.00 EA PLB FIXTURE 54.00 1.00 15.0000 EA " •PLB BUILDING SEWER 15.00 LQPERNIIT ". LQPERMIT Application Number . . . . . 09-00000671 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 7.0.0 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 . . . . 7/28%09 Valuation 0 Expiration Date 3/31/10 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 . . . . 7/28/09 Valuation `.•. 123721 'Expiration Date 3/31/10 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 -------------- ------ - - Special Notes and Comments SFD - LOT 6, PLAN 4210A, 1381 SF, - INCLUDES BOX BAY Q MBR (26 SF) PHOTOVOLTAIC SYSTEM (1.1A-3KW). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES.. CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR. OF RECORD. ---------------------------------------------------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 5..00 CHANGE OF CONTRACTOR 4.50 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 47.03 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 LQPERMIT Application Number . . . . . 09-00000671 -------------------------------------------------------------------------- Other Fees DIF PARK MAINT FAC -'RES 22.00 ----- DIF PARKS/REC - RES 892.00 STRONG MOTION.(SMI) --RES 12.37' DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 • :Fee summary Charged Paid Credited Due 'Permit Fee Total -- 1037.57 ---------.-------------------- 1037.57 .00 .00 ` Plan Check Total 545.06 545.06 .00 .00 Other Fee Total 4543.90 4539.40 .00 4.50 Grand Total 6126.53 6122.03 .00 4.50 f: P.O. BOX 1504. VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/28/09 Application Number: 09-00000671 Owner: Property Address: L 61305 -LIVING STONE .DR SHEA LA QUINTA APN: 764-280-999-6 -300236'- C/O JEFF MCQUEEN _ Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE,, AZ 85258 Application valuation: 123721 Contractor: rRec Applicant: Architect or Engineer: SHEA' HOMES LIMITED PSHIP 60800 TRILOGY PKWY a(Y` LA QUINTA, CA 92253 JUL 2 8 1009 (760)777-6032 . Lic. - No.:' 855368 OF LSA U N A FINANCE DEPT. y Bunt 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: Sectio 7000) f Division 3 of the Bus' es and Professi nal Code, and my Li nse is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided I.iceL se as : B L cense No.: 8 8 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is // Q issued. Dat ontractor: -d 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, 1 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 kbegomeje! ,ubiject 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 becoct 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 W37010 of the Labor C , I halh 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 ($500).: ate: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 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 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 pr6ject (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 contractsforthe projects with a contractor(s) licensed pursuant to the Contractors' State License Law.l. (_ 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: r - Lender's Address: T LQPERAIIT 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 information is correct. I agree to comply with all city andounty o' inances and state laws relating to building construction, and hereby authorize representatives of is r {o', ter up n the above-mentioned property or in pec ion purposes. Xe L nature (Applicant or Agent): ..Application Number 09-00000671 Permit . . . : . BUILDING PERMIT Additional desc " Permit Fee. 723.50 Plan Check Fee.. 470..28 Issue* Date. Valuation . . 123721 Expiration Date 1/24/10 Qty Unit"Charge Per Extension BASE FEE 639.50. 24.00 3.5000 THOU BLDG 100,001-500,000 84.00. Permit . . . MECHANICAL Additional desc . Permit Fee . . . 81.50 Plan Check Fee 20.38 Issue Date . . . . Valuation 0 Expiration Date -: `.. 1/24/10 . Qty Unit'Charge Per Extension BASE _FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 5.00 6.5000 EA MECH VENT FAN 32.50 `. 1.00 6.5000 ----------------------------------------------------------------------------- -EA MECH EXHAUST HOOD 6.50 Permit .. ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . -72.82 Plan Check Fee 18.21 Issue Date Valuation . . . . 0 Expiration'Date 1/24/10 Qty Unit Charge Per Extension BASE FEE 15.00 1381.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 48.34 474.00 .0200• ELEC GARAGE OR NON-RESIDENTIAL 9.48 Permit . . . PLUMBING Additional desc . Permit Fee 122.25 Plan Check Fee 30.56 Issue Date Valuation . . . . 0 Expiration Date 1/24/10 Qty Unit Charge Per Extension BASE FEE 15.00 . 9.00 6.0000 EA PLB FIXTURE 54:00 - 1.00 15..0000 EA PLB BUILDING SEWER 15.00 LQPERMIT _ .- '. -Application Number 09-0000067.1 -_ Permit PLUMBING ."Qty Unit Charge Per Extension 100 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EAPLB 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 1/24/10 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 . . . . 123721 Expiration Date 1/24/10 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 ----------------------------------------------------------- Special Notes and Comments SFD - LOT 6, PLAN 4210A, 1381 SF, INCLUDES BOX BAY Q MBR (26 SF) PHOTOVOLTAIC SYSTEM (1.1A-3KW). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES. Other Fees . . . . . --------------------------------- . . . . BLDG STDS ADMIN (SB1473) 5.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE. 47.03 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 7 STRONG MOTION.(SMI) - RES 12.37 DIF STREET MAINT FAC -RES 67.00 . LQPERMIT Application Number 09-00000671 Other .Fees DIF TRANSPORTATION- RES 1930:00 _ Fee summaryCharged Paid Credited Due ----------------- Permit Fee Total ---- ------ 1037..57 ---------- .00 - - ----------- .00 1037.57 Plan Check Total 545.0.6 .00 ,.00 545.06 Other Fee Total 4539.40 .00 .00 453.9.40 Grand Total 6122.03 .00 .00 6122.03