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08-1202 (SFD)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: __08-00001202 -- Owner: Property Address: 81454 RUSTIC CANYON DR SHEA LA QUINTA APN: 764-280-999-166 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER Provertv ZDninq: MEDIUM HIGH DENSITY RES SCOTTSDALF. A7 R525R Application valuation: 159387 Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 92253 --.—---- (760) 777-6005 LiC. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I hereby ffirm unffer penalty of perju that I am licensed under provisions of Chapter 9 (commencing with Section 000) of ivision 3 of the si ,ss and Pr ess' n Code, and my License is in full force and effect. s (i sG(Vo.: 672285 ate: 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 therefromand 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).: 1 _ 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 (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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/15/08 WORKER'S COMPENSATION DECLARATION 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. 0. 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 AMERICAN HOME Policy Number CA 1593364 I certify that, in the performance of the work for which this permit is issued, I shallnot employ any person in any manner so as to become subs ct to th rkers' compensation laws of California, T agree that, ' sti ul ome s bject t t w rkers' compensation provisions of Section 04 he bor Cod I s II fo ith'c mply ith - os provisions. X)efe: cant, 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 1$100,0001. 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 otheaformatio i orrect. ree to comply with all ci[ a d unty ord an es and sta a laws relatingtructi and reby a th rize representatives of i c to en er, nth ove-mentionedection rpose: i tura (Applicant ar Agent Application Number . . . . 08-00001202 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 849.•50" Plan Check Fee 552.18 Issue Date . . . . Valuation 159387 Expiration Date .1/11/09 Qty Unit Charge Per Extension BASE FEE 639.50 60.00 3.5000 ----------------------------------------------------------------------------- THOU BLDG 100,001-500,000 21.0.00 - Permit . . . MECHANICAL Additional desc . Permit Fee 65.50 Plan Check Fee 16.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00. 9.0000 EA MECH FURNACE <=100K '19.00 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 1/11/09. 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 1/11/09 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 r LQPERMIT -Application Number . . . . . 08-00001202 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 rRAT)TT\T(; PFRMTT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/11/09 Qty Unit Charge Per Extension BASE FEE ------- 15.00 ----------------------------------------------------------- Special Notes and Comments ---------- SFD - LOT 166,.PLAN 4515C, 1773 SF. WITH 4' GARAGE EXT. (103SF) & BAY @ nook (24 SF.).. PERMIT DOES NOT INCLUDE POOL; SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 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 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 1139.84 .00 .00 1139.84 Plan Check Total 621.02 .00 .00 621.02 Other Fee Total 4566.15 .00 .00 4566.15 Grand Total 6327.01 .00 .00 6327.01 LQPERMIT ..