SFD (09-0561)61425 Living Stone Dr
09-0561
Date: 6/03/09
Application Number: ! 09-00000561 Owner:
Property Address: 61425 LIVING STONE DR SHEA LA QUINTA
APN: 764-280-999-12 -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: 159387
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC. D
81260 AVENUE 62
Pt LA QUINTA, CA 92253 SUp�N 2 'tOU9
(760)777-6005
Lic. No.: 672285 QUINTA
OF LA
nEPT.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury t t 1 am licensed under provisions of Chapter 9 (commencing with
Section 7 00) of ivision 3 of the B me and Profess n Is Code, and my License is in full force and effect.
L,eclioo`e C7 icense No.: 672285
�te:VL Co tractor:
OWNER -BUILDER DECLARATION
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 155001.:
(_ 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 .
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 _ 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.).
(_ 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
7—
for -by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Kissued.
1 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
person in any manner.so as to become subject to the workers' compensation laws of California,
a d agree that, if I should becomes ject to the workers' compensation provisions of Section
3 1 the Labor Co e, I shall fort ith c ply with those provisions.
e: pplicant:
WARNING: FAILURE TO SECURE WORS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TOCRIMINAL 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 Ouinta, 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 th I have read this application and state that the above information is correct. I agreetocomply with all
city a my ord nances and state laws relating to building construction, and hereby authorize representatives
of t e- a ,upon he above-mentioned propertylor inspect' n urposes.
te: g ture (Applicant or Agent):
Application Number .
. . . . 09-00000561
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
849.50
Plan Check Fee
552.18
Issue Date . .
Valuation . . . .
159387
Expiration Date
11/30/09
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
11/30/09
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
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
89.84
Plan Check Fee
22.46
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/30/09
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
12.7.8
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . .
120.00
Plan Check Fee
30.00
Issue Date . . . .
Valuation . . .
0
Expiration Date
11/30/09 '
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
Application Number . . . . . 09-00000561
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
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 .11/30/09
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 11/30/09
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 12, PLAN 4515C, 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-
007ENERGY
ENERGYCODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . 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
DIF PARKS/REC - RES
892.00
LQPERMIT - -
Application Number
. . . . .
09-000.00561
---
-----------------------------------------------------------------------------
OtherFees .
-- -Other
. . . . . .
STRONG MOTION (SMI) - RES
15.93
DIF STREET MAINT"FAC-RES
67.00
DIF TRANSPORTATION - RES
193"0.00
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
4553.15
.00 .00
4553.15
" Grand Total
6342.14
.00 .00
6342.14
LQPERMTT