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08-1198 (SFD)S _5 _ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: f r � . BUILDING & SAFETY DEPARTMENT BUILDING PERMIT L08=00001198 81466 RUSTIC CANYON DR 764-280-999-165 -300236- DWELLING - SINGLE FAMILY DETACHED . MEDIUM HIGH DENSITY RES 150034 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALF, A7 85258 Contractor: 110 Applicant: , Archit6ct or Engineer: SHEA HOMES, INC. \( 81260 AVENUE 62 LA QUINTA, CA 92253 (760)777-6005 rl Lic. No.: 6.72285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)777-7153 Date: 7/15/08 1 D 10 � 2 � Zp06 1-p'Q`u A OF DEP-11 -----------------'----------------------------_---- LICENSED CONTRACTOR'S DECLARATION - ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under 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: Sectio 7000) f Division 3 of the in s and Professionals 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 Lic lass:. License No.: 672285 _ - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: mractor: 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 AMERICAN HOME - Policy Number CA 1593364 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 _ 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' person in any manner so as to beco subject to the workers' compensation laws of California, ... agree that, if I,s ould become sybl ct to th workers' compensation provisions of Section 0 of t�earor o , I shall fortliwi h C611Tp1 those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 4nd any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D e. t. - 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL ' .Contractors' State License Law does not apply to an dwner of property who builds or improves thereon, SUBJECT AN 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 ($100,0001. 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 1, 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 r Date: Owner: 1 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: 211. Lender's Address: LQPERMIT 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 be above informat is correct. I agree to comply with all c' �nd my ordi nces and state laws rela ' gto b 1 in constr trio , a d hereby horize representatives of th{Jt�en/ r upo he above -menti ned propeity fa inspe ion pur ses. ate: �:/ `' Si re (Applicant or I - LQPERMIT Application Number . . . 08-00001198 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 2.001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATTO SO FTC 177 nn NUMBER OF UNITS 10.00 1ST FLOOR SQUARE FOOTAGE 1688.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 818.00 Plan Check Fee 132.93 Issue Date . . . . Valuation 150034 Expiration Date 1/11/09 Qty Unit Charge Per Extension BASE FEE 639.50 51.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 178.50 Permit . . MECHANICAL Additional desc . Permit Fee . . . . 64.00 Plan Check Fee 4.00 Issue Date . . . . Valuation 0 Expiration Date 1/11/09 Qty Unit Charge Per Extension BASE FEE - 15.00 ' 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 1.00 6.5000 EA- MECH VENT FAN 6.50 1.00 6.5000 -------------------------- EA MECH EXHAUST HOOD ----------------------------------- 6.50 ---------- - - - - -" Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 85.60 Plan Check Fee 5.35 Issue Date . . . . Valuation 0 Expiration Date 1/11/09 Qty. Unit Charge Per Extension BASE FEE 15.00 1688..00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59.08 LQPERMIT . -I Application Number . . . . . 08-00001198 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension" 576.00" .0200 ELEC GARAGE OR NON-RESIDENTIAL ------------------------------------------------------------=----- 11.52 ---------- Permit . . . PLUMBING Additional desc . Permit Fee . . . . 128.25 Plan Check Fee 8.02 Issue Date . . . . VA1iiati(-)n 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 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 1/11/09 Qty Unit Charge Per Extension BASE FEE 15.00 --.-------------------------------------------------------------- Special Notes and Comments ------------ SFD - LOT 165, Plan 4520C 1688 SF/ BOX BAY Q MASTER (26SF) & 4' EXT. GARAGE (88SF).PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES Other Fees . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 13.29 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 LQPERMIT i LQPERMIT Application Number . . . ., 08-00001198 Other Fees . . . - . . . . . . ----------------- - - DIF LIBRARIES -'RES.. ------ 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES .15.00 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES. 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1110.85 .00 ..00 1110.85 Plan Check Total - 150.30 .00 .00 150.30 Other Fee Total 4503.29 .00 .00 4503.29 Grand Total 5764.44 .00 .00 5764.44 i LQPERMIT