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SFD (09-0569)61605 Living Stone Dr 09-0569 Date: 6/03/09 Application Number: 09-00000569---- Owner: Property Address: 61605 LIVING STONE DR SHEA LA QUINTA APN: 764=280-999-18 -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: 149689 Contractor: a Applicant: ' Architect or. Engineer: SHEA HOMES, INC. O 81260 AVENUE 62 S I �C LA QUINTA, CA 92253 1'tpt �2 `to�9 1_ (760)777-6005 JU1� Lic. No.: 672285 Qr,�INTA► CITY DF LA �;1ID vE ID PT------------------------------------------------------------------------------------------------- _ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby aff' r and r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70 1 of D inion 3 of the Busin and Professio a Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice M�Zntractor:' L enseNo.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is !\ issued. Date: —� ,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 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 WC1894819 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 which 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 person in anymanner so as to become subject to the 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 Statean agree that, if I should become subjecyAo the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Sectior0000) of Division 3 of the Business and Professions Code) or ✓ the Labor Code, I s II forthwit mply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ',1} v - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e: (/ jicant: ! • (_) 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: FAILU E TO SECURE WORKERS' CO PENSATION 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 CRIMINAL PENA T S 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.). (_ 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 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 1 have ead this application and state that the above information is correct. I agree to comply with all city and co my ord ances and state laws relating to building c struction, and hereby authorize representatives of this cou to e eel upon the above-mentioned property for ' ' ction purposes. e ySi ture IApplicant or Agent Application Number . . . 09-00000569 Permit . . BUILDING PERMIT Additional desc . Permit Fee 814.50 Plan Check Fee 529.43 Issue Date Valuation . . . . 149689 Expiration Date.. 11/30/09 Qty Unit Charge Per. Extension BASE FEE 639.50 50.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 175.00 Permit . . . MECHANICAL Additional desc . Permit Fee 90.00 Plan Check Fee 22.50 Issue Date- Valuation . . . . 0 Expiration Date 11/30/09 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 83.40 Plan Check Fee 20.85 Issue Date Valuation . .. . . 0 Expiration Date 11/30/09 Qty Unit Charge Per Extension BASE FEE 15.00 1636.00 ..0.350 ELEC NEW RES - 1 OR 2 FAMILY 57.26 557.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.14 Permit PLUMBING Additional desc . Permit Fee . . . 146.25 Plan Check Fee 36.56 .Issue Date . . . . Valuation 0 Expiration Date 11/30/09 Qty Unit Charge Per Extension BASE FEE - 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT LQPERMIT Application Number . . . . . 09-00000569 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 5.00 .7500 EA PLB GAS PIPE >=5 3.75 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 . . . Expiration Date 11/30/09 _149689 Qty Unit Charge Per Extension BASE FEE 15.00 s 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 -------------------------7-------------------------------------------------- Special Notes and Comments SFD - LOT 18, Plan 4210C. 1636 S.F. w/Casita (255sf), MBR Box Bay (26sf), Ext Garage (83sf) & Ext Patio (177sf), 1.1C & 3KW PHOTOVOLTAIC SYSTEM Permit -does not include block wall, pool or driveway approach. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES -------------------------- ------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 BLDG-STDS ADMIN (SB1473) 6.00 DIF COMMUNITY CENTERS -RES 74..00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 52.94 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 Application Number . . . . . 09-00000569 Other Fees . . . . . . . DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 14.96 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited- Due Permit Fee Total 1171.65 .00 .00 1171.65- 171.65Plan PlanCheck Total 614.97 .00 .00 614.97 Other Fee Total 4568.90 .00 .00 4568.90 Grand .Total 6355.52 .00 .0.0 6355.52 LQPERMIT .