The URL can be used to link to this page

SFD (09-0572)61665 Living Stone Dr 09-0572 Application valuation: Applicant: T4&t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 09-00000572 ` 61665 LIVING STONE DR 764-280-999-21 -300236- DWELLING - SINGLE FAMILY DETACHED MEDIUM HIGH DENSITY RES 159387 Architect or Engineer: AIR ----------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 •) of Division 3 of the Busine Professionals Code, and my License is in full force and effect. License las L' ense No.: 672285 D ate: n actor: 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 _ 11, 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/09 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 D n a SCOTTSDALE, AZ 85258 X11 JUN UN 2 2 2009 SHEA HOMES, INC., CITY OF (/j 81260 AVENUE 62 OFL QUINT4 LA QUINTA, CA 92253 �.�EPT (760)777-6005 LiC.. No.: 672285 ------------------ WORKER'S COMPENSATION. DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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. Y 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 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, nd agree that, if I should become biect to the workers' compensation provisions of Section /late:: 0 of the Labor Code, hall fo h1 comply with those provisions. licant: / WARNING: FAILURE TO SECURE WORK E ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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. certify that I have.read 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 constructio and hereby authorize representatives of/tt�� c%�' t e er upo the above-mentioned pro pert r i pectin urposes: Dat' e:"l gnature (Applicant or Agent). ' Application Number . . . . . 09-00000572- 9-00000572Permit Permit BUILDING PERMIT Additional desc . Permit Fee 849.50 Plan Check Fee.. 138.05 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 4.10 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 5.62 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 12.78 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 120.00 Plan Check Fee 7.50 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 - 1 Application Number . . . . . 09700000572 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 15.001 Permit GRADING PERMIT Additional desc " Permit Fee 1500 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 1.41 Issue Date Valuation . . . . 159381 Expiration Date 11/30/09 Qty Unit Charge Per Extension BASE FEE 15'.00 1.00 4.50.00 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 Special Notes and Comments SFD -'LOT 21, PLAN 4515C, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BAY Q nook (24 SF.), PHOTOVOLTAIC SYSTEM (1.3C-3KW). 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. PERMIT DOES NOT INCLUDE POOL,. SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . BLDG STDS ADMIN (SB14.73) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 13.81 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 LQPERMIT Application Number .. . . . 09-00000572 a -------------------- ----------------------------------------- Other Fees Other -------------------------------------- --------------------------------------- DIF PARKS/REC -RES 892.00 STRONG MOTION (SMI) - RES 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1162.34 .00 .00 1162.34 Plan Check Total 156.68 .00 .00 156.68 Other Fee Total 4511.74 .00 .00 4511.74 Grand Total 5830.76 .00 .00 5830.76 LQPERMIT