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SFD (09-0703)Application: 09-00000703 61314 LIVING STONE DR 09-0703 764-280-999-195 -300236- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 187396 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION - affirm u der penalty of per" x that I am licensed under provisions of Chapter 9 (commencing with 7 001 o Divjsion 3 of the et�sirlesi and Professional Cid , and my License is in full force and effect. sa .,UU ��\��\ \\ A ice.Na._ 672285 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 _) 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 ISec. 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.). (_ 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.). (_ f 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 lendingagency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 i/ Contractor: SHEA HOMES, INC. 60800 TRILOGY PARK AY LA QUINTA, CA 922 (760)777-6005 LiC. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/07/09 WORKER'S COMPENSATION DECLARATION 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 soas to become su ject to the workers' compensation laws of California, and agr that, if I shou bec a subje(to the the compensation provisions of Section 370 th Labor Cc , I s all fort wi comply ith those provisions. WARNING: JAILURE TO SECURE WORK R COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 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 te re Id this application and state that the above inform i n is correct. I agree to comply with all city and cou din nces and state laws relating to bu' ingconstructi , and hereby authorize representatives ofthi c tnt r u on the above-mentioned pro y for inspec ' u ses. - te: ture (Applicant or Agent)' Application Number 09-00000703 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 2001 CBC FIRE SPRINKLERS. NO, GARAGE SQ -FTG .478.00 PATIO SQ FTG 178.00 NUMBER OF UNITS 1.00 IST FLOOR SQUARE FOOTAGE 2174.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 926.50 Plan Check Fee 602.20 Issue Date 7/29/09 Valuation . . 181091 Expiration Date 3/24/10 Qty Unit Charge Per Extension BASE FEE 639.50 82.00 13.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000, 287.00 Permit MECHANICAL Additional desc Permit Fee" . 77•.00' Plan Check Fee 21:60 Issue Date 7/29/09 Valuation- 0 Expiration Date 3/24/10 _ Qty Unit Charge. Per Extension BASE -FEE, 15.00 r 2.00 9.0000 EA MECH FURNACE <=100K 18.00 .00 11.0000 EA MECH FURNACE >100K .00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 .00 16.5000 EA MECH B/C,>3-15HP/>100K-500KBTU .00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL, Additional desc . Permit Fee 100.65 Plan Check Fee '. 3.77 Issue Date 7/29/09, Valuation 0 Expiration Date 3/24/10 - Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT - - Application Number . . . . . 09-00000703 Permit . . . . . . .ELEC=NEW RESIDENTIAL Qty Unit Charge Per: Extension 2174.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 76.09 478.00 .0200 ELEC.GARAGE OR NON-RESIDENTIAL 9.56 , Permit . . . PLUMBING Additional desc . Permit Fee 138.00 Plan Check Fee 34.48 Issue Date 7%29/09_ Valuation 0 Expiration Date 3/24/10 " Qty Unit Charge Per Extension BASE FEE 15.00 12.00 .6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING, -SEWER ) 15.00 1:00 7.5000 EA PLB WATER HEATER/VENT 7.50 1"00 9.0900 EA PLB LAWN SPRINKLER SYSTEM. 9.00 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 . . . . 7/29/09 Valuation . . 0 Expiration,Date 3/24/10 Qty Unit Charge `Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- i " Permit . . SOLAR PERMIT Additional desc .. Permit Fee . . . . 22.50 Plan Check Fee-. 5.60 Issue Date . . . . 7/29/09 Valuation 187396 Expiration Date 3/24/10 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 195 PLAN 5515C, 2174 SF, INCLUDES 26 SF BOX BAY @ MBR & 26 SF BOX BAY @ NOOK, PHOTOVOLTAIC SYSTEM LQPERMIT 4 - Application Number . . 09-00000703 ------------------------------I-----------------------------_----------------- Speciai Notes and -Comments (1:9C-.3KW). PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 2007 CODES. CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR OF RECORD. - Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 BLDG STDS ADMIN (SB1473)_ 8.00 CHANGE OF CONTRACTOR 4.50 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 60.22 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 18.73' r DIF STREET.MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1279.65. 1279.65 .00 .00 Plan Check Total 667.65 667.65 .00 .00 Other Fee Total' 4566.45 4561.95 .00 4.50 Grand Total 6513.75 6509.25 .00 4.50 -P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: Application description: 'Property Zoning: Application valuation: Annlicant: BUILDING & SAFETY DEPARTMENT t 09-00000703 61314 LIVING STONE DR 764-280-999-195 -300236- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 187396 Architect or.Engineer: 01A BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionWfivision of the Bu 'Hess and Professionals Code, and my License is in full force and effect. rise Lice No.: 855368 LPDate:ractor: 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 (5500).: (_) 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.). 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 constructionlendingagency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). .Lender's Name:' y ' Lender's Address: t4 V111 LQPERMIT Owner: . SHEA LA QUINTA C/O JEFF MCQ'''U���E!!! 8800 N GAINE:� �- SCOTTSDALE, �� Contractor: SHEA HOME 60800 TRI LA QUINTA (760)777- Lic. No.: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/28/09 WORKER'S COMPENSATION DECLARATION I hereby affirm und6r 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 WC1894819, I certify that, in the performance of the work for which this permit is issued, I shall not employ any lerson in any manner so as to become subject to the workers' compensation laws of California, agree that, if I should beco subject to the workers' compensation provisions of Section of the La r C e, I hall o thwith comply with those provisions. —tcantYti� WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 restrictionssetforth 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 t at I have read this application and state that the above information is correct. 1 agree to comply with all ci d c unty or inances and state laws relating t uilding construction, and hereby authorize representatives of thi co my o ter upon a above-mentioned p operty for�oection.purposes. a✓ td gnature (Applicant or Agent): V�r �` Application Number 09-00000703 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•• .2001 CBC FIRE SPRINKLERS• NO GARAGE SQ FTG 478.00 .PATIO SQ FTG 178•.00 ' NUMBER OF'UNITS 1.00 a ------------------------------------------------------------------------------ 1ST FLOOR -SQUARE FOOTAGE 2174.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee-•. 926.50 Plan Check Fee 602.20 Issue Date Valuation . . 181091 ' Expiration Date 1/24/10 Qty Unit Charge Per Extension BASE FEE 639.50 82.00 3.5000 THOU BLDG 100,001-500,000 287.•00 . . Permit . . . MECHANICAL Additional desc . Permit Fee• . . . . 77.00 Plan Check Fee 21.60 Issue Date Valuation 0 Expiration Date 1/24/10 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA 'MECH FURNACE <=100K 18.00 .00 11.0000 EA MECH FURNACE >100K .00 2.00' 9.0000 EA MECH.B/C <=3HP/100K BTU 18.00 '-.00 16.5000 EA MECH.B/C >3-15HP/>100K-500KBTU .00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 100.65 Plan Check Fee 3.77 Issue Date Valuation 0 Expiration Date 1/24/10 Qty Uriit Charge Per Extension BASE FEE 15.00 - LQPERMIT Application Number . . . . 09-00000703 • Permit . . . . . . ELEC-NEW RESIDENTIAL. Qty Unit Charge. 'Per Extension 2174.00 .0350 ELEC•NEW RES - 1 OR 2 FAMILY 76.09 478..00... .0200 ELEC GARAGE OR NON-RESIDENTIAL ------------------------------------------------------------------------- 9.56 Permit . . . PLUMBING Additional desc . Permit Fee 138.00 Plan Check Fee 34.48 Issue Date . . . Valuation . . . . 0 Expiration Date 1/24/10 ' Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1..00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 9.•0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 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 1/24/10 Qty Unit Charge Per Extension BASE FEE 15.00 Permit . . . . . SOLAR PERMIT Additional desc Permit Fee . . 22.50 Plan Check Fee 5.6'0 Issue Date Valuation . . . . 187396 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 195 PLAN 5515C, 2174 SF, INCLUDES 26 SF BOX BAY @ MBR & 26 SF BOX BAY @ NOOK,. PHOTOVOLTAIC SYSTEM ` LQPERMIT Application Number . . . . . 09-00000703 ------------------------------------------------------------ Special Notes and Comments ' (1.9C-3KW)_ PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY - APPROACH. 2007 CODES- Other Fees ------ ART IN PUBLIC PLACES -RES ----------- .00 BLDG STDS ADMIN (SB1473). 8.00 - DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 60.22 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. 18.73 DIF STREET MAINT FAC -RES 67.00, DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1279.65 -- ---------- ---------- :00 -00 1279.65 Plan Check Total 667.65 .00 .00 667.65 Other Fee Total 4561.95 .00 .00 4561.95 Grand Total. 6509.25 l .00 -00 6509.25