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09-0714 (SFD)P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00000714 Owner: Property Address: 81337 RUSTIC -CANYON DR SHEA LA QUINTA APN: 764-280-999-38. -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINE.Y CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 166943 Contractor: .Applicant: Architect or Engineer: SHEA HOMES, INC. 60800 TRILOGY. PARKWAY LA QUINTA, CA 92253 PIP(J (760)777-6005 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 9) of Division 3 of the B sand Prof ssi nals Code, and my License is in full force and effect. Lice s las B r/- Licens No.: 672285 ate ontraCtOr: 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 (5500).: (_ I 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.). (_ I 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 contractorls) licensed pursuant to the Contractors' State License Law.). ( I 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: pip LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/05/09 WORKER'S COMPENSATION DEISI,' I hereby affirm under penalty of perjury one of the following declarations:+�i�O7. �/� `�•d/ I have and will maintain a certificate of consent to self -insure for wdtkers' compensate n, as provided for by Section 3700 of the Labor Code, for the performance of the for whitis 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 WC6987825 I 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 be com subject to the, workers' compensation laws of California, and agree tha , if I shout becomes j ct to the workers' compensation provisions of Section /���.f" I� 8700 oft Labor Cod sh ford 'ih�comply with those provisions. aD te"t V Applicant: �U WARNING: FAILURE TO SECURE WORT -E S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES 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 inf rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building cons ction, and hereby authorize representatives of t, is -�re 'the above-mentioned grope f f r ins a do purposes. at ( (Applicant or Agent): Application Number 09-00000714 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 2001 CBC FIRE SPRINKLERS NO GARAGE -SQ FTG 539.00 PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00 IST FT -OOP SQTTAPF FnnTB rF, l sa 7 nn _..:.. _._.... __..__...._ Permit .` . . . . .: BUILDING PERMIT Additional desc . Permit Fee . . . . 856.50 Plan Check Fee 556.72 Issue Date . . . . Valuation. . . . . 161587 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 639.50 62.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 217.00 Permit. . MECHANICAL -Additional desc . Permit Fee . . . . 86.50 Plan Check Fee.. 21.60 Issue Date. Valuation . . . . 0 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 -------------------- -------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional.desc . Permit Fee 81.19 Plan Check Fee 15.04 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 LQPERMIT LQPERMIT Application Number . . . . . 09-00000714 Permit . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1847.00.. .0300 ELEC NEW RES - MULTI FAMILY 55.41 539.00. .0200 ELEC GARAGE OR NON-RESIDENTIAL.- ---------------------------------------------------------------------------- 10.78 Permit . . . PLUMBING Additional desc - Permit Fee. 120.00 Plan Check Fee 16.48 Issue Date Valuation _ 0 Expiration Date 2/03/10 ' 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 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 -----------------------------------------------'----------------------------- 15.00 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 5.60 Issue Date . . . . Valuation . . 166943 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 38, PLAN 5505A, 1847 sf 26 SF BOX BAY @ MBR, 83 SF. GAR. EXT.,315 SF PATIO EXT. & PHOTOVOLTAIC LQPERMIT LQPERMIT _ Application Number . . . . . 09-00000714 Special Notes and Comments --------------------- SYSTEM (1.7A&3KW). PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. 2007 ENERGY CODES Other Fees . . . . ... . ----------------------- ART IN PUBLIC PLACES -RES .00 BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 EbTER aY REVIEW FEE - 55.67• ' 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 16.15 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1181.69 .00 .00 1181.69 Plan Check Total 615.44 00 .00 615.44 Other Fee Total 4553.82 .00 .00 4553.82 Grand Total 6350.95 .00 .00 6350.95 LQPERMIT