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09-0415 (SFD)i 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: 5/04/09 Application Number: 09-00000415\--- Owner: Property Address:. 81349 RUSTIC CANYON DR SHEA LA QUINTA APN: 764-280-999-39 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 157447 Contractor: O Applicant: Architect or Engineer: SHEA HOMES,' INC. I� 81260 AVENUE 62 LA QUINTA, CA 9225 I (760)777-6005 C _ J Lic. No.: 672285 10, �G �Op9 ------------------------------------------------------------------------------- Q��A -- ------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License ass: B LcenseNo.: 672285 t ' �i . 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 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 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 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(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 WORKER'S COMPENSATION DECLA mofQ /�h, I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for work ' c,as provided for by Section 3700 of the Labor Code, for the performance of thew khis 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 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 become'subject to the workers' compensation laws of California, and agree that, ou if I s ld bec me subject to the orker ' compensation provisions of Section 00 of the L r C I sh 1 fo hwith comply With those provisions. at 2,�. �1pli n WARNING: FAILURE TO SECURE WORKERS' 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 agree to comply with all city and county ordinances and state laws relatingV'ngconslruction, and here authorize representatives of this ty toe ter upon the above -mention pro coon urpo s. Da S ature (Applicant or A _ Application Number . . . . . 09-00000415 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 842.50 Plan Check Fee 547.63 Issue Date Valuation . . . 157447 Expiration Date 10/31/09 Qty Unit Charge Per Extension BASE FEE 639.50 58.00 3.5000 ----------------------------------------------------------------------------- THOU, BLDG 100,001-500,000 203.00 Permit MECHANICAL Additional desc . Permit Fee 73.00 Plan Check Fee 18.25 Issue Date Valuation. 0 Expiration Date 10/31/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . . . 89.00 Plan Check Fee 9.34 Issue Date . . . Valuation . . . . 0 Expiration Date 10/31/09 Qty Unit Charge Per Extension BASE FEE 15.00 1749.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 61.22 639.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit . . . . . . PLUMBING \ Additional desc . Permit Fee . . . . 129.00 Plan Check Fee 32.25 Issue Date Valuation . . . . 0 Expiration Date 10/31/09 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 Application Number . . . . 09-00000415, 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 Yelwnit . . . GRA151NG PERMIT Additional desc . Permit Fee . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/31/09 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 . . 157447 Expiration Date 10/31/09 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 39, PLAN 4515A, 1749 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK . WALLS OR DRIVEWAY APPROACH. 2007 CBC. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 54.76 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 15.74 DIF STREET MAINT FAC -RES 67.00 LQPERMIT. Application Number . . . . . 09-00000415 -- Other Fees . . . . . . . ----------------- ------------- DIF TRANSPORTATION - RES ---------- 1930.00 Fee summary Charged Paid Credited Due - ----------------- Permit Fee Total ---------- 1171.00 ------------------------------ .00 .00 1171.00 - Plan Check. Total .613.10 .00 .00 613.10 Other Fee Total 4572.50 .00 .00 4572.50 Grand Total 6356.60 .00 .00 6356.60