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SFD (09-0686)61465 Living Stone Dr 09-0686 Date: 7/28/09 Application Number: 09-00000686 Owner: Property Address: 61465. LIVING STONE DR SHEA LA QUINTA APN: 764-280-999-14 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 D Application valuation: 166943 Contractor: Applicant: Architect or Engineer: 'SHEA HOMES LIMITED TN SHIq 60800 TRILOGY PKWY JULdJ 2009 LA QUINTA, CA 92253 P, (760) 777-6032 CITY OF LA N Lic. No.: 85.5368 �NAIYCEPEPT. C mount LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pen6lty of perjury that I am licensed and r provisions of Chapter 9 (commencing with Section0001 of D vision 3 of the B i and Profes 'onals ode, and my License is in full force and effect. cense A, B Li nse No.: 55 T ate: ?ntractor: . 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 (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, 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 contractorls) 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: LQPER111IT 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 foi 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 person in any manner so as to become subject to the workers' compensation laws of California, a d agree that, if I should become sub' ct to the workers' compensation provisions of Section 00 of the Labor C de, I shall forth th comply with those provisions. ' at plicanc WARNING: FAILURE TO SECURE WORD RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 . conditionsand 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 certif that I have read this application and state that the above information is correct. I agree to comply with all ci an c my rdinances and state laws relating to building construction, and hereby authorize representatives of th u y ter up the above-mentioned property f01 nspection purposes. ate nature (Applicant or Agent) Application Number . . . . . 09-00000686 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 539.00 " PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00 --------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1847.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 856.50 Plan Check Fee 556.73 Issue Date Valuation . . . . 161587 Expiration Date 1/24/10 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 ----------------------------=----------------------------------------------- THOU BLDG 100,001-500,000 217.00 Permit MECHANICAL Additional desc . Permit Fee . . . 86..50 Plan Check Fee 21.63 Issue Date Valuation . . . . 0 Expiration Date 1/24/10 Qty Unit Charge Per Extension BASE FEE .15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . 81.19 Plan Check Fee 3.76 Issue Date . . . Valuation . . . . 0. Expiration Date . . 1/24/10 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT LQPERA11T Application Number . . . . . 09-00000686 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 184'7.00 0300 ELEC NEW RES - MULTI FAMILY 55.41 539.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL ----------------------------------------------------------------------------- 10.78 Permit . . . . . PLUMBING Additional desc . Permit Fee 120.00 Plan Check Fee 16.50 Issue Date Valuation . . 0 Expiration Date 1/24/10 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 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 .0.0 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 166943 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 14, PLAN 5505A, 1847 sf 26 SF BOX BAY @ MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. & PHOTOVOLTAIC LQPERA11T Application Number. . . . . . 09-00000686 --------------- i, Special Notes and Comments SYSTEM (1.7A&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) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 55.67 DIF FIRE PROTECTION -RES 140.00 _... GRADING PLAN CHECK FEE .00 3 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC .- RES 892.00 - STRONG MOTION (SMI) - RES 16.15 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged ---------- ---------- Paid Credited -------------------- Due ----------------- Permit'Fee Total 1181.69 .00 .00 1181.69 Plan Check Total 604.25 00 .00 604.25 Other Fee Total 4553.82 .00 .00 4553.82 Grand Total 6339:76 .00 .00 6339.76 LQPERDIIT - - P.O. BOX 1504 78-495 CALLE TAMPICO LA` QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application- description: Property Zoning: Application valuation: Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 09-00000686'- 14 65 900000686:_1465 LIVING STONE DR 764-280-999-14 -300236- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 166943 Architect or Engineer: PIA - Owner: SHEA LA QUINTA C/O JEFF MCQUEEN. 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ.85258 Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285, VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/07/09 Q'A i OCT 19 2059 , CITE/ Cf -I, ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION enalty of perjury t I am licensed under prov ions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ion of the Busi s a� Professionals de, nQ my license is in full force and effect. 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lic se 01 672285 jW _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ntra tor:I issued. 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 whit 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 'anner so as to become s bject to t e 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 if 1 should become subj to the orkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or bor Cod , s all fort w' comp) with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by a any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:J, -date: (_ 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: COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL AILURE TO SECURE WORURS'LTIES Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL 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.). (_) 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.). - ( ) 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 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 requestandfor 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. certify tha I have read this application and state that the above information i correct. 1 agree to comply with all city and co my ordi ances and state laws relating to building construction, a hereby authorize representatives Oft is ou en r u on the above-mentioned prope or ins ection S. a� ture (Applicant or Agent): LQPE"IrT Application Number . . . . . 09-00000686 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 539.00 PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00, ------------------------------------------ 1ST FLOOR SQUARE FOOTAGE ---------------------------------- 1847.00 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . 856.50 Plan Check Fee 556.73 Issue Date . . . . 7/29/09 Valuation 161587 Expiration Date .1/25/10 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000, ----------------------------------------------------------------------------- THOU BLDG 100,001-500,000 217.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . 86.50 Plan Check Fee 21.63 Issue Date . . . . 7/29/09 Valuation 0 Expiration Date 1/25/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00• 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . . . 81.19 Plan Check Fee 3.76 Issue Date . . . . 7/29/09 Valuation . . . . 0 Expiration Date 1/25/10 . Qty Unit Charge Per Extension BASE FEE 15.00 LQPE"IrT Application Number . . . . 09-00000686 " Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge. Per Extension 1847.00 0300 ELEC NEW RES - MULTI FAMILY' 55.41 539.00 .0200 ----------------------- ------------------------------------------------------- t ELEC GARAGE OR NON-RESIDENTIAL 10.78 " Permit... . . . . . PLUMBING Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee 16.50 Issue Date . . . . 7/29/09 Valuation . . . . 0 Expiration Date 1/25/10 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 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 . . . 7/29/09 Valuation 0 Expiration Date 1/25/10 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 . . . . 7/29/09 Valuation . . . . 166943 Expiration Date 1/25/10 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 --------------------------------------------------- ---------- Notes and Comments SFD - LOT 14, PLAN 5505A, 1847 sf 26 SF BOX BAY Q MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. & PHOTOVOLTAIC ,• LQPERMIT Application Number . . . . . 09-00000686 Special Notes and Comments SYSTEM (1.7A&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) 7.00 CHANGE OF CONTRACTOR 4.50• _ _.�. ._ _.....,. . , , -• DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 55.67 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 16.15 DIF STREET.MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due. ----------------- Permit Fee Total ---------- 1181.69 ------------------------------ 1181.69 .00 .00 Plan Check Total 604.25 604.25 .00 '.00 Other Fee Total 4558.32 4553.82 .00 4.50 Grand Total 6344.26 6339.76 .00 4.50 LQPERAIIT