SFD (09-0383)61386 Living Stone Dr
09-0383
Application Number: 09-00000383
Property Address: �1 61386 LIVING STONE DR
APN: 764 -280 -999 -192 -300236 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 225179 :
Applicant:
Architect or Engineer:
Owner:
SHEA LA QUINTA
C/O.JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
Contractor: r"J
SHEA HOMES, INC.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/09
81260 AVENUE 62
LA QUINTA, CA 92253
�((✓� (760) 777-6005 ��� 222889
Lic. No.: 672285
C!
FSA �AQI111yT
C$PT A
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury/TNI am licensed nde provisions of Chapter 9 (commencing with
Section 74 00) of Division 3 of the Bu '' ]mss d Profession Is C de, and my License is in full force and effect.
Iir•.ensrrP-Ilrss• 13 1 r� r - - _ e : 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 _ 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
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 contractors) 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 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
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 WC1894819
I certify that, in the performance.of the work for which the permit is issued, I shall not employ any
person in any manner so as to become subject to the wo ers' co nsation laws of California,
)��a d agree that, if I should beco e s bject to the orkers' ompen a on provisions of Section
3 - of the Labor , I hall rt with comply 'th tho pro ns.
icant:
WARNING: FAIL RE TO SECURE WO K S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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. '
certify that I have read this application and state that the above information is correct. 1 agree to comply with all
city and cou ty ordi antes and state laws relating to bEWE
by author' a representatives
of thin n to nt r up the above-mentioned prop
ate: �•' - ign re (Applicant or Agent):
LQPERMIT
Application Number .
. . . . 09-00000383
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1080.50
Plan Check Fee
175.58 .
Issue Date...
Valuation . . . .
225179
Expiration Date
10/25/09
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
126.00 3.5000
-----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
441.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
74.50
Plan Check Fee
4.66
Issue Date
Valuation . . . .
0
Expiration Date
10/25/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE.<=100K
18.00
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 6.5060
EA MECH
EXHAUST HOOD
6.50
-------------------------------------------------------------------------=---
Permit . . .
ELEC-NEW RESIDENTIAL
' Additional desc .
Permit Fee
117.85
Plan Check Fee
7.37
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/25/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2599.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
90.97
594.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.88
Permit . . .
PLUMBING
Additional desc .
' Permit Fee . . . ..
160.50
Plan Check Fee
'10.03
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/25/09
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
LQPERMIT
Application Number . . . . . .09-00000383
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 10/25/09
Qty Unit Charge Per
Extension
BASE FEE
------=--------------------------•--------------------------------------------
15.00,
Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee . . . . 22.50 Plan Check Fee
1.41
Issue Date Valuation . . .
225179
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 192,.PLAN 5500A, 2599 SF. (149
SF. EXERCISE ROOM, 63 SF,BB, 83 SF.
GARAGE EXTENSION), PHOTOVOLTAIC SYSTEM
(1.7A-3KW). 75% REDUCTION TO PLAN CHECK
FEES DUE TO MULTIPLE ISSUANCE OF SAME
PERMIT TYPE. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY
APPROACH.
.2007 CODES.
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Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
62.94
BLDG STDS ADMIN (SB1473)
10.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
17.56
DIF FIRE PROTECTION -RES
140.00
Application'Number
. . . . .
09-00000383
Other Fees . . .
. . . . . .
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
22.51
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION -.RES
1930.00
Fee summary.
Charged
Paid Credited
---------- ---------- -----
Due
- ----
-----------------
Permit Fee Total
----------
1470.85
.00 .00
1470.85
Plan Check Total
199.05
.00 .00
199.05
Other Fee Total
4588.01
.00 .00
4588.01
Grand Total
6257.91
.00 ..00
6257.91