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SFD (09-1175) plan type changed61465 Living Stone Dr 09-1175 _ Date: 11/06/09 Application Number. --.09_-00001175 -- . 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 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 179990 J Contractor: Applicant: Architect orEngin6er. SHEA HOMES, INC. 60800 TRILOGY PARKWAY I� LA QUINTA, CA 92253 (760)777-6005 Lic.' No.: 672285 \ ------------ ` --------------- LICENSED CONTRACTOR'S DECLARATION WORK 'S CO PENSATIO CLAR TION 1 hereby ffirm un er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one o ' 1 wing"larati s: Section 00 ) of ivisi 3 of the Bu '4?�s and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certif' ate o onse self -ii s�ce fo workers' compensation, as provided Li n e la j ) License No.: 672285 for by Section 3700 of the abor. de, fW1N3qFk pe anc of the work for which this permit is issued. CC a to,: ` I have and will maintain wo pensagQ ins g�s required by Section 3700 of the Labor Code, for the performa a work tto -whi i mit is issued. My workers' compensation OWNER -BUILDER DECLARATIONe - insurance carrier and licy n Per a t„a' Q q7 r I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier NTL UNION INS PolikVumb •f 6987825 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that,in the pe Orman of th��rork f �iC i his 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 in any man to become sub' `tQ w ers' 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 a subjec FI orke s' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of thp Labor I fo it com wi h s 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)-: a . W Applicant: (_ ) 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 SECURW RKERS' COMPENS ION 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 CRI INAL 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 burdenof 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, 1 _) 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 Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Date: Owner: - 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.I city an4 conn{y ordinances and state laws relating to buil i g construction, and hereb a thorize representatives of i5 ou1t enter u n the above-mentione prope o i spection pur oses. Lender's Name: I IIV � ' Date: ignature (Applicant or Agent Lender's Address: LQPERMIT LQPERAIIT Application Number 09-00001175 Permit . . BUILDING PERMIT Additional desc . Permit -Fee . . 919.50 Plan Check Fee 597.68 Issue Date. _. Valuation . . . . 179990 Expiration Date 5/05/10 Qty Unit Charge Per Extension BASE FEE 639.50 80.00 3.5000 ------------------------------------------------------------------------------ THOU BLDG 100,001-500,000 280.00 Permit MECHANICAL Additiona•1 desc . Permit Fee . . . . 90.00 Plan Check Fee 16.38 Issue Date . . . Valuation . . . . 0 Expiration Date 5/05/10 Qty Unit,Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 .2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 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 .98.76 Plan Check Fee 22.46" Issue Date Valuation 0 Expiration Date 5/05/10 Qty Unit Charge Per Extension BASE FEE 15.00 2028.00 ..0350 ELEC NEW RES - 1 OR 2 FAMILY 70.98 639.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.78 PermitPLUMBING Additional desc ". Permit Fee . . . . 152.25 Plan Check Fee 30.00 Issue Date . . . . Valuation . . 0 Expiration Date 5/05/10 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 1.00 15.0000 EA PLB BUILDING SEWER 15:00 -..Application Number . . . 09-00001175 - Permit . . . . . PLUMBING z Qty Unit Charge Per" Extension 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 7.00 .7500 EA PLB GAS PIPE >=5 5.25 �Y•" 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 5/05/10 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 159387 Expiration Date 5/05/10 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 4515C, 2028 SF.INCLUDES 255 SF. DETACHED CASITA WITH 4' GARAGE EXT. (103SF) & BAY @ NOOK (24 SF.), PHOTOVOLTAIC SYSTEM (1.3C-3KW). 1 PERMIT. DOES NOT INCLUDE POOL, SPA, ' BLOCK WALLS OR DRIVEWAY APPROACH. 2007 • ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 8.00 • DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 59.77 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 1 892.00 LQPERM[T LQPERMIT Application Number . . . . . 09-00001175 --------------------------------------------------- OtherFees . . -- --------------.-------------------------------Other . . . . . .. STRONG MOTION (SMI) - RES 7 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Fee Total ---- 1298.01 ---------- ---------- ---------- .00 .00. 1298.01 Plan Check Total 672.15 Ob .00 672.15 Other Fee Total 4558:70 .00 .00 4558.70 Grand Total 6528.86 .00 .00 6528.86 a