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09-0701 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00000701 Property 9-00000701Property Address: 81334 RUSTIC CANYON DR APN: 764-280-999-176 -300236- Application description: DWELLING SINGLE FAMILY Property Zoning; MEDIUM HIGH DENSITY RES Application valua.on; 170639 I Tiat 4 4 Q�m& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED'. 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 P/r,_ (760) 777-6005 t Lic. No..: 672285 - ---------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DE...-..,...,,..,. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: - Section 7o o) of Division 3 of the as'l(��ess and Pr f'ssionaIs 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 se Cla B- �1 Li_ cense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is n161V'i�� issued. ,j Xntr.ctor.QN 1I 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 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 any manner so as to becope subject to the workers' compensation laws of California, permit to file a signed statement that he or sheds licensed pursuant to the provisions of the Contractor's State and agree that, if I should become ublect to the workers: compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 6 3700 of the L or( de shall for hwithcomply with those provisions.. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 11 /` any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: f� licant: (_ 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: FAILURETO SECURE WORKERS' COMPENSATION 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 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 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(sl licensed pursuant to the Contractors' State License Law.). (_) 1 am exempt under Sec.. , B.&P.C. for this reason VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater ' 11/06/09 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 I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives 4thisxt to enter upon t e above-mentioned pro erty for �ispection purposes. Si ature (Applicant or Agent) LQPERMIT Application Number . . . . . 09-00000701 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 2007 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177..00 NUMBER OF UNITS 10.00 ---------------------------------------------------------------------------- 15'1' .N'LUUK S�UXK}�+ P'UU'1'Xl3r i943.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 888.00 Plan Check Fee 144.30 Issue Date . . . . Valuation 170639 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 639.50 71.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 248.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 70.50 Plan Check Fee 4.40 Issue Date Valuation 0 Expiration Date 2/03/10 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 . Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 94.53 Plan•Check Fee 5.90 Issue Date Valuation 0 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 LQPERMIT LQPERMIT Application Number . . . . . 09-00000701 Permit . ... ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 Permit . . . PLUMBING Additional desc Permit Fee . . . . 152.25 Plan Check Fee ... 8.95 Issue Date Valuation 0 Expiration Date 2/03/10 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 m 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 2/03/10 Qty Unit Charge Per Extension. BASE FEE 15.00 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . 22.50 Plan Check Fee 1.40 Issue Date . . . . Valuation . . . . 150034 Expiration Date 2/03/10. 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 176, Plan 4520A 1943 SF, 255 S.F. CASITA, BOX BAY @ MASTER (26SF) & `- 4' EXT. GARAGE (88SF), PHOTOVOLTAIC LQPERMIT Application Number . . . . . 09-00000701 ------------------------------------"---------------------------------------- Special Notes and Comments SYSTEM (1.4A & 3KW). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2007 CODES ---------------------------------------------------------------------------- Other Fees ART IN PUBLIC PLACES -RES .00 BLDG STDS ADMIN (SB1473) 7.00 DIP COMMUNITY CENTERS -RES 74.00 Ulr' l21Vll2 VENTER - RES 995. UU ENERGY REVIEW FEE 14.43 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 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1242.78 .00 .00 1242.78 Plan Check Total 164.95 .00 .00 164.95 Other Fee Total 4513.49 .00 .00 4513.49 Grand Total 5921.22 .00 .00 5921.22 LQPERMIT