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08-1410, 09-0819 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C-8-00001470 Property Address: 81385 RUSTIC CANYON DR ` APN: 764-280-999-42 -300236- Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 225179 Applicant:. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby a irm and r penalty of perjury t at I am license nder provisions of Chapter 9 (commencing with Sectio 7 1 of visi n 3 of the e s and Profe sio Is Code, and my License is in full force and effect. Licl s No.: 672285 ate: tractor: f ' 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 ($5001.: (_) 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.). i 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 Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/15/08 WORKER'S COMPENSATION DECLARATION - V 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 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 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any pers n in any mariner so as to become subject to the workers' compensation laws of California, a d gree that, if I should become bject to the workers' compensation provisions of Section 7 "t abor Code, I shall fo with comply with those provisions. i Date: icant: WARNING: FAI RE TO SECURE WOR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION T 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 theapplicant, 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 tat I hav read this application and state that the above inform on is correct. I agree to comply with all cit �nndl u4nto ina ces and state laws relating to building construct , and hereby auhorize representatives o t 11 o �r on the above-mentioned grope y for inspec i rp ses. ateignature (Applicant or Agent): Application Number 08-00001410 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1080.50 Plan Check_ Fee 702.33 Issue Date . . . . Valuation 225179 Expiration Date 2/11/09" Qty Unit Charge Per Extension BASE FEE 639.50 126.00: 3.5000 THOU BLDG 100,.001-500,000 441.00 Permit MECHANICAL Additional desc.. Permit Fee . . 74.50 Plan Check Fee.. 18.63 Issue Date . . . . Valuation 0 Expiration Date*. 2/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 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 117.85 Plan Check Fee 29.46 Issue Date . . . . Valuation . . . . 0 Expiration Date - 2/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 2599.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.97. 594.00 .0200 ---------------------------- ELEC ------------------------------------------------ GARAGE OR NON-RESIDENTIAL 11:88 Permit . . . PLUMBING Additional desc . Permit Fee . . . 160.50 Plan Check Fee 40.13 Issue Date . . Valuation . . . . 0 Expiration Date 2/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 6.0000 EA PLB FIXTURE 90.00 •1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . 08-00001410 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 8.00 .7500 EA PLB GAS'PIPE >=5 6.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit GRAUiNG- 1JERMl'1' Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date". 2/11/09 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 . . . . 225179 Expiration Date 2/11/09' 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 42, PLAN 5500A, 2599 SF. (149 SF. EXERCISE ROOM, 63 SF,BB, 83 SF. GARAGE EXTENSION), PHOTOVOLTAIC SYSTEM_ (1.7A-5KW) PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN.PUBLIC PLACES -RES 62.94 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 70.23 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 LQPERMIT ' In I I � O\ IP H I n 00 m J A I LQ W W kn - I (D �om0 I Q• I lMHOD I H OD OD Ul I Iro t Fl- 0c) l , N• , GL I 0000l 0000l 1 Fi I N 0000 I ¢ 00001 I I I m IP H I Oo0,--3 t tj 1 ww< t r. �l 0 U1 0 t (D �701HI00 I H 00 OD Ln I I I t)t)cn H H H I O I Htnz I Ha I Pd V]LIJO roHHI O HI H z HHCl) I O XI z71H 1 I I (� v I I I I � � I t=] CrJ rd I Cf) m n CO H W 01 N O�7N o O Ln 0 0 H 0 00 I 0 0 0 0 H H O 'rJ O a dro : m rt ri rt H (D 1 (D �r 0(D0 n R. H H. : G rt H 'rJ � I ((D rt (D n(D I n m w PV (D t H H t O H H i rt O O Ql Irt ct I H Ql Ql I HH t In I I � O\ IP H I n 00 m J A I LQ W W kn - I (D �om0 I Q• I lMHOD I H OD OD Ul I Iro t Fl- 0c) l , N• , GL I 0000l 0000l 1 Fi I N 0000 I ¢ 00001 I I I m IP H I Oo0,--3 t tj 1 ww< t r. �l 0 U1 0 t (D �701HI00 I H 00 OD Ln I I I t)t)cn H H H I O I Htnz I Ha I Pd V]LIJO roHHI O HI H z HHCl) I O XI z71H 1 I I (� v I I I I � � I t=] CrJ rd I Cf) m n CO H W 01 N O�7N o O Ln 0 0 H 0 00 I 0 0 0 0 H H O P.O. BOX 1504 78-495 CALLE'TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 414 BUILDING & SAFETY DEPARTMENT *�M)4" 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/08/09 09-0000081-9— Owner: 81385 RUSTIC CANYON DR SHEA LA QUINTA 764-280-999-42 -300236- C/O JEFF MCQUEEN DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 . MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 159387. Contractor: �`� Architect or Engineer: SHEA HOMES, INC. u •—�--�FF �f 60800 TRILOGY PARKWAY LA QUINTA,92253 OCT1` 2009 W ` "--- ""—� (760)777-6005 L Lic. No.: 672285 •y, CE t a� A 0iW IA 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 Professio als ode, and my License is in full force and effect. Lic nse lass: Lic a No.: 672285 Da mractor: 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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 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.). ( ) 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 (Sea 3097, Civ. C.). Lender's Name: Lender's'Address: LQPERMIT WORKER'S COMPENSATION DECLARATION 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 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �issued. Fhave 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 beco a ubject to the workers' compensation laws of California, ' a d agree that, if I should become s bj ct to the workers' compensation provisions of Section (//�; 00 of the LabJWOK hall fo w h c ply with those provisions. at �- 1. pplicant: WARNING: FAILURE TO SECURS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CNALTIES 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 Ouinta, 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 hat I have read this application and state that the above information is correct. 1 agree to comply with all city and Rtpnancesd state laws relating to building constructio nd hereby authorize representatives oft sce above-mentioned property for inspection u poses: PeM (Applicant or Agent): Application Number . . . . . 09-00000819 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 849.50 Plan Check Fee 552.18 Issue Date . . . . 8/14/09 Valuation 159387 Expiration Date 2/21/10 Qty Unit Charge Per Extension BASE FEE 639.50 60.00 3.5000 THOU BLDG 100,001-500,000 210.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 16.38 Issue Date . . . . 8/14/09 Valuation . . 0 Expiration Date 2/21/10 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 4.0.0 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 . . . . 89.84 Plan Check Fee 22.46 Issue Date . . . . 8/14/09 Valuation 0 Expiration.Date 2/21/10 Qty Unit Charge Per Extension BASE FEE 15.00 1773.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.06 639.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 'Permit. . . PLUMBING Additional desc . Permit Fee . . . . 120.00 Plan Check Fee 30.00 Issue Date . . . . 8/14/09 Valuation . . . . 0 Expiration Date 2/21/10 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.000.0 EA PLB FIXTURE 60.00 1.0.0 15.0000 EA PLB BUILDING SEWER. 15.00 Application Number . . . . 09-00000819 - 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15:00 Permit . . .. GRADING PERMIT Additional. dpar. Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . 8/14/09 Valuation 0 Expiration Date 2/21/10 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 i . . . 8/14/09 Valuation . . . . 159387 Expiration Date 2/21/10 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 42, PLAN -4515A, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BAY @ nook (24 $F.), PHOTOVOLTAIC SYSTEM (1.3A-3KW) PERMIT. DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES CHANGE OF CONTRACTOR FEE ASSESSED TO INSERT SHEA HOMES INC. AS NEW CONTRACTOR, OF RECORD. ------------------------------------------------------------------- Other Fees . . . . . .BLDG STDS ADMIN (SB1473) 7.00 CHANGE OF CONTRACTOR 4.50 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER = RES 995.00 ENERGY REVIEW FEE 55.22 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 LQPERMIT Application Number . . . . . 09-00000819 --------------------------------------------------------------------------.-- Other Fees-,. . . . . DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC -_ RES 892.00 - STRONG MOTION (SMI),- RES 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due . Permit Fee Total ---1],62.34 1162.34 .00 .00 • Plan Check Total 626.65 626.65 .00 .00 Other Fee Total 4557.65 4553.15 .00 4.50 Grand Total 6346.64 6342.14 .00 4.50 A Heatingand?,Cdol',.9 Systems Heating1ii 1PMi– ne U- wriace: 0.81 ,.--- Cooling Equipment Split,* 14 0 t HVAC System Duct SeaTi—ng— Passed nstallation of Thermostatic I Expansion Val7e7l (TXV), Passed gjFj.igfL-gne gyJ. i iencyRatio.(EEP) I i A i twe Tnsu#Vgnogg!jItion P edl CIF -4R CERTIFICATE OF FIELD, VERIFICATION & DIAGNOSTIC TESTING December, 9 2009 This CF -411 Issued by CalCERTS@, is for thetome located at: 81385 Rustic .Ca nyon Drive" La Quinta CA, 92253 Certificate Number: Date Inspected: CC3-1798482365 December, 7 2009 jvf t CalCERTS Rater: a William Irvine' CC2004075 A •5,2p"'dZ� HERS Analyst:. Chinh Nguyen Builder/ Developer- Shea Homes, Inc. Project: Trilogy in La Quints (658) Phase: xRelease 909 -Plan Name4 4515 Lot Number: 6042 Specifids'a bout thii.M m'e:, General Infbrmation Conditioned Floor Area: °4 '1773 Square Feet. Conditioned Volume: 17878 Cubic Feet Testing ting & Verification Results Front Orientation: i Cardinal Number of Stories: I:: Sample # 141778 A Heatingand?,Cdol',.9 Systems Heating1ii 1PMi– ne U- wriace: 0.81 ,.--- Cooling Equipment Split,* 14 0 t HVAC System Duct SeaTi—ng— Passed nstallation of Thermostatic I Expansion Val7e7l (TXV), Passed gjFj.igfL-gne gyJ. i iencyRatio.(EEP) I i Passed i twe Tnsu#Vgnogg!jItion P edl HVAC Air Disto ,Duct LocatA"UN . M, M10,011.1e, RW lu Duct U 2 Water Heatifig.s cy Distribution 5a, Water. Heating System Actual t-I.V. QTY !e Fuel, I EF Distribution Standard .4 The energy efficiency rating of -this home is determined using California Home Energy Rating System (C -HERS) rules. The rating considers heating, cooling and. water heating and assumes average weather, thermostat settings and uarltities of hot water -for a typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary provided only after the features listed have been verified and approved by the CalCERTS Certified Rater shown above. If vou ave a concern or complaint regarding this. report of the services, used in* obtaining it, you may contact: CalCERTS - Customer Service 31 N:atoma St Suite 120, Folsom,..CA 95630. t P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -09-00000819 Property Address: `81385 RUSTIC CANYON DR APN: 764-280-999-42 -300236 Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES ,aPollcation Valuation: 159381 Applicant: T4bf 4 4. Qz i & BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA' C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER SCOTTSDALE, AZ 85258 Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and Profes io als Code, and my License is in full force and effect. Licen L' ense No.: 855368 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 ($500).: (_ 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.). (_ 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_ ) I am exempt under Sec. B.&P.C. for this reason, Date: Owner: CONSTRUCTION LENDING, AGENCY Ihereby 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: Apk LQPERI%IIT Contractor: SHEA HOMES LIMITED PAR 60800 TRILOGY PKWY LA QUINTA, CA 92253 (760)777-6032 Lic. No.: 855368 VOICE (760) 777-7012 FAX. (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/30/09 ------------------------------------------------ . WORKER'S COMPENSATION DECLARATION 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 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 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, arid agree that, if I should beco a subject to the worke compensation provisions of Section the Labor Code, I shat fo hwjjb comp) wit a provisions. ate: D Y lica .. �V%�1 WARNING: FAILURE TO SECURE WORKEBS' 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 tt at I h ve read this application and state that the above information is correct. I agree to comply with all city and c unty rdinances and state laws relating to bui ding construction, and hereby authors representatives of this rl , M upon the above-mentioned prop rt for i pe tion purposes/ ate:/te/ U ature (Applicant or Agentl: 1/►//I i=-Application'Number . . . . . 09-00000819 Permit BUILDING PERMIT' - Additional desc . Permit Fee . . . . 849.50 Plan Check Fee 552.18 Issue -Date. . . . . Valuation . . . . 159387 - Expiration Date 1/26/10 Qty Unit Charge Per Extension BASE'FEE. 639'.50 60.00 3.5000 THOU BLDG 100,001-500,000 210.00 Permit . . . MECHANICAL Additional desc . Permit Fee 65.50 Plan Check Fee -16.38 Issue Date . . . . Valuation . . . 0 Expiration Date 1/26/10 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 . . . . 89.84 Plan Check Fee 22.46 Issue. Date .. Valuation 0 Expiration Date 1/26/10 Qty Unit Charge Per Extension BASE FEE 15.00 1773.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.06 639.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit . . . PLUMBING Additional desc . Permit Fee 120.00 Plan Check Fee 30.00 Issue Date Valuation . . . 0 Expiration Date ; 1/26/10 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 LQPERMIT Application Number . . . 09-00000819 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 6.00 .7500 EA PLB GAS PIPE >=5 •4.50 1.00 15.000.0 EA PLB GAS METER ---------------------------------------------------------------------------- 15.00 Permit GRADING PERMIT Hdditidnai desc '. • Permit -,Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 1/26/10 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 . . . . ; 159387 Expiration Date 1/26/10 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 42;PLAN 4515A, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BAY @ nook (24 SF.), PHOTOVOLTAIC SYSTEM (1.3A-3KW) PERMIT. DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES -------------------------- -------------------------- Other Fees BLDG STDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 1 ENERGY REVIEW FEE 55.22' 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 15.93 LQPERMIT . Application Number 09-00000819 --------------- Other Fees -- ---------------------------------------- DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION— RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1162.34 .00 00 1162.34 Plan Check Total 626.65 .00 .00 626.65 Other Fee Total 4553.15 .00 .00 4553.15 Grand Total. 6342.14 .00 00 6342.14 i LQPERN11T 0 P.O. Box 1504 •^ = rn �.�� . LA•QUINTA, CALIFORNIA 92247-1504 BUILDING &'SAFETY DEPARTMENT T'78-495. CALLE TAMPICO (760) 777-7012 ;.LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 January29; 2009 1 Mr. Kyle Tibbitts-1 .d Shea•Homes 60800 Trilogy Parkway , y La Quinta, CA 92253 Zt,F ' " .., RE: Building Permit Extension Requests — Rustic Canyon Drive.. - Dear Mr. Tibbitts: - " I have*reviewed�'your letter dated January 20, 2009, requesting,a time extension for the single family, dwellings permitted for construction at the above address under the Building Permits, noted below. Our records indicate the following status.for these homes. Last 180-day' 180-day. f, Successful Expiration Extension Permit # Address: Issued Inspection •• " Date Date 08-1414 81349 Rustic Canyon Dr 9/19/2008 None ,_ 3/18/2009 ' 9/14/2009. •+' ...08-1412 81361 Rustic Canyon Dr _ 9/19/2008 None 3/18/2009 '9/14/2009 8141181373 Rustic CanyonDr 9/19/2008 None 3/18/2009 _9/14/2009. +� ; .081410- 81385 Rustic Canyon Dr, 9/19/2008 None 3/118/2009 9/14/2009 08-1409 , 81397 Rustic Canyon Dr 9/19/2008 None 3/18/2009 9/14/2009 • .'" 08-1404 81409 Rustic Canyon Dr 9/19/2008 None 3/18/2009 9/14/2009 - .., 08-1403 81421 Rustic Canyon Dr _ 9/19/2008 None 3/18%2009 9/14/2009 - _08-1417 - 81394 Rustic Canyon Dr 9/19/2008 None 3/18/2009 ` 9/14/2009 a` - 08-1418 4" 81382 Rustic Canyon Dr 9/19/2008 None 3/18/2009 9/•14/2009 ; 08-1419. 81.370 Rustic_Canyon Dr 9/19/2008 None 3/18/2009 9/14/2009' 08-1420 81358 Rustic Canyon Dr 9/19/2008 None .,3/18/2009 9/14/2009 z Under the provisions of 2007 California Building Code, Appendix Chapter 1, Section 105:5;: : your request is herebygranted. Please be advised that unless each of these homes passes its next required inspection on or before Monday, September 14, 2009; its building permit will = expire automatically. r' Yours truly,'. � . - - '' . � , •• • . .• � -. Ria � . ; - • 4-. .. {L... ¢ _.• _ •,� - yrs ;4 ,', ''� L ,. •� - , •- - . .' .. Greg Butler',' ^ Building & Safety'Manager t o Trilo �J, gY At La Quinta January 20, 2009 To: City Of La Quinta Building & Safety Department Attn: Greg Butler From: SheaHomes for Active Adults Trilogy @ La Quinta Re: Permit's Extension Request We are requesting extension for eleven permits. These homes will be released in a later construction phase and have not been use and inspected. Permits are as follows in our 30023-6 tract map; #08-1414/Lot 39 - 81349 Rustic Canyon Drive #08-1412/Lot 40.81361 Rustic Canyon Drive #08-1411/Lot 41 - 81373 Rustic Canyon Drive #08-1410/Lot 42- 81385 Rustic Canyon Drive #08-1409/Lot 43 - 81397 Rustic Canyon Drive #08-1404/Lot 44 - 81409 Rustic.Canyon Drive #08-1403/Lot 45 - 81421 Rustic Canyon Drive . #08-1417/Lot 171 - 81394 Rustic Canyon Drive #08-1418/Lot 172 - 81382 Rustic Canyon Drive #08-1419/Lot 173 -.81370 Rustic Canyon Drive #08-1420/Lot 174 - 81358 Rustic Canyon Drive, Thank you for your quick cooperation in this matter. Kyle Tibbitts, Op rations Manager SheaHomes for Active Adults Trilogy @ La Quinta Where dreams take flight. 60-800 Trilogy Parkway La Quinta, CA 92253 P: 760-777-6100 / F: 760-777-6119 www.trilog'ylife.com Trilogy at La Quinta is a community by Shea LaQuinta, LLC, an -independent member of the Shea family of companies. Sales by Shea Homes Marketing Company- Broker. Homes at Trilogy are intended for occupancy by persons 55 years of age or older, with certain exceptions for younger persons as provided by law and the governing covenants, conditions and rvclrirtimia n �,