SFD (09-0481)61785 Living Stone Dr
09-0481
Application Number. C-09-00000481 '
Property Address: 61785 LIVING STONE DR
APN: 764-280-999-28 -300236-
Application description: DWELLING - SINGLE-FAMILY DETACHED
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 185294
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I herebyit under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7 001 of Division 3 of the si ess and Pr fes ionals Code, and my License is in full force and effect.
Lice se C ss:Fk� cense No.: 672285
Dat ..tractor:
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 _ 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 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 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
Owner:
SHEA LA,QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258
VOICE (760) 777-7012
FAX (760)'777-7011
INSPECTIONS (760) 777-7153
Contractor:
J
SHEA HOMES, INC.
60800 TRILOGY PAR At
t
LA QUINTA, CA 92 3UN O
(760)777-6005 1
Lic. No.: 672285
Date: 5/14/09
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.
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
1 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 orkers' c pensation laws of California,
and agree that, if I should become subject to the work s' comp sation provisions of Section
37050 of the Labor C e, I sh Ifo h ith comply 'th o e pr si
te: `Ap scant:
WARNING: FAILUR�ECURE ERS' 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 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 I have read this application and state that the above information is correct. I agr o comp) th all
city and•c. ty ordinances and state laws relating to building construction, and hereby thoriie, prese ati es
of un to enter upon the above-mentioned prop for inspe ion rposes.
ntl
nature (Applicant or Age:
Application Number .
. . . . 09-00000481
Permit _ .
BUILDING PERMIT
Additional desc .
Permit Fee
940.50
Plan Check Fee
611.33
Issue Date . . . .
Valuation . . .
.185294
Expiration Date
11/10/09
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
86.00 3.5000
THOU BLDG
_
100,001-500,000
301.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
75.00
Plan Check Fee
18.75 '
Issue Date
Valuation
0
Expiration Date
11/10/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 11.0000
EA MECH
FURNACE >100K
11.00
1.00 16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
A .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 . . . .
99.74
Plan Check Fee
24.94
Issue Date . . . .
Valuation . . . .
0
Expiration Date
11/10/09
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2148.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
75.18
478.00 .0200
----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
9.56
Permit
PLUMBING
Additional desc
a Permit.Fee
141.00
Plan Check Fee
35.25
Issue Date . . . .
Valuation
0
Expiration Date
11/10/09
Qty Unit Charge
Per
Extension -
BASE
FEE
15.00
12.00 6.0000
EA PLB FIXTURE
72.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
LQPERMIT -
Application Number
09-00000481
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
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
11/10/09
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 -
185294
Expiration Date
-11/10/09
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 28, PLAN 5515C,
2148 SF. BOX
BAY @ MBR 26 SF. PERMIT
DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY
APPROACH.PHOTOVOLTAIC
SYSTEM (1.9C-3KW).
2007 CODES
-------------------------------------------------------------------------------
Other Fees . . . . .
.". . . BLDG STDS ADMIN (SB1473)
8.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00'
ENERGY REVIEW FEE
61.13'
DIF FIRE PROTECTION -RES
140.00 .
DIF LIBRARIES.- RES
355.00
DIF PARK MAINT FAC -'RES
22.00
DIF PARKS/REC -RES
892.00
STRONG MOTION (SMI) - RES
18.53
DIF STREET MAINT FAC -RES
67.00
LQPERMIT -
Application Number
. . . . .
09-00000481
------------------------------------------------------------.----------------
Other Fees . .
. . . . . .
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged .
----------
Paid
----------
Credited
--------------------
Due
-----------------
Permit Feb Total
1293.74
.00
.00
1293.74"
Plan Check Total
695.90
.00
.00
695.90
Other Fee Total
4562.66
.00
.00
4562.66
Grand"Total
6552.30
.00
00
6552.30
LQPERMIT