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09-0560 (SFD)414 Qumm P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/03/09 Application Number: clz X09-00000560 Owner: Property Address: -81346RUSTICCANYON DR SHEA LA QUINTA APN: 764-280-999-175 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N. GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSL)ALE, AZ 85258 D d Hpplleail6h valuation: 127702 a Contractor: JUN 2 2 2009 .Applicant: Architect or Engineer: SHEA HOMES, INC. U J 81260 AVENUE 62 OF LA LA QUINTA, CA 92253 CFA QUINTA (760) 777-6005 ��PT. Lic. No:: 672285 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION. DECLARATION I hereby off m and 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 01 of Di ision 3 of the Busin nd Professi aLs 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 LicenCI cense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: ontractor: 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! erson in any manner so as to become s 'ect 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 State an agree that, if I should b ome subje [ o th workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 7 the Labor Code, I h II forthwi m y with those provisions. that he or sheds 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).: to scant: (_ 1 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 WARNIN FAILURE TO 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 N 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 (5100,000). 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY _ ermit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I cert*tha"llthave d this application and state that the above infor anon is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city ances and'state laws relating to buil g . nstru t on, and hereby authorize representatives of thi ([a the above-mentioned prope for' sp purposes. Lender's Name: -D tot re (Applicant or Agent): Lender's Address: LQPERMIT Application- Number . . . . . .09-00000560 Structure Information SFD 4210A W/BOX BAY, EXT GAR, EXT PAT Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . ... DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2007 CBC ## BEDROOMS 3.00 FIRE SPRINKLERS - NO. GARAGE SQ FTG 557.00 PATIO SQ FTG 391.00 NUMBER OF TTNTTS 1:00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1381.00 Permit BUILDING PERMIT Additional desc . Permit Fee 737.50 Plan Check Fee 479.38 Issue Date . . . Valuation . . . . 127702 -Expiration Date 11/30/09 Qty Unit Charge Per Extension BASE FEE 639.50 28.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 98.00 Permit MECHANICAL -Additional desc . Permit Fee 65.50 Plan Check Fee 16.38 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 74.48 Plan Check Fee 18.62 Issue Date . . Valuation . . . . 0 Expiration Date 11/30/09 Qty Unit Charge Per Extension BASE FEE 15.00 1381.00 0350 ELEC NEW RES- 1 OR 2 FAMILY 48.34 557.00. .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.14 LQPERMIT Application Number -. 09-00000560' Permit' . . . PLUMBING Additional desc Permit Fee . . 122.25 Plan Check Fee 30.56 Issue Date . . . . Valuation 0 Expiration Date . 11/30/09 Qty Unit Charge Per Extension BASE FEE 15.00 0.00 G.0000 DA PLD FIXTURE 54.00 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 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 . . . . 127702 Expiration Date 11/30/09 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 175, Plan 4210A,(1381 sft) " w7box bay (26 sqft),'ext. garage (83 sqft) & patio ext. (177 sgft) PHOTOVOLTAIC SYSTEM (1.1A-3KW). Permit does not include block wall, pool or driveway approach. LQPERMIT LQPERMIT Application Number . . 09-00000560 ------------------- ---- Special Notes and Comments ------------------------- ------- 2007 CBC, CMC, CPC, 2004 CEC, 2007 ' ENERGY CODES Other Fees . . . .. ART IN PUBLIC PLACES -RES .00 BLDG STDS ADMIN (SB1473) 6.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 47.94 DIP PIRD PROTBCTION REG, 110:00 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 12.77 DIF STREET MAINT FAC -RES 67.00 -DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1037.23 .00 .00 1037.23 Plan Check Total 550.57.. .00 .00 550.57 Other Fee Total 4541.71 .00 .00. 4541.71 Grand.Total 6129.51 .00 .00 6129.51 LQPERMIT