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08-0884 (SFD)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: 5/16/08. Application Number: 08-00000884 Owner: Property Address: t 81541 RUSTIC CANYON DR SHEA LA QUINTA APN: 764-280-999-53 -300236- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8.600 N GAINEY CENTER 350 Property Zoninq: MEDIUM HIGH DENSITY RES SCOTT. IDALF. A7 89298 a Application valuation: 170639 Contractor: Applicant: Architect or Engineer: SHEA HOMES, INC. .81260 AVENUE 62 LA QUINTA, CA 92253 of �,gQuIP1TA. (760) 777-6005 CSF pNCEDEPT ^I Lic. No.: 672285 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: Section 7000) of 'vision 3 of the Business 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 License C ss: B License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. at tractor: Y. 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, 1 shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the .person in any manner so as to become subject 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 and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 370f of the Labor Code, I shall forth ith comply with those provisions. 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 acivil penalty of not more than five hundred dollars (5500).: ate: licant: , (_ 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 WARNING: FAILURE TO SECURE WORK ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner 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 ($100,000). 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 (_) 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, O 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 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: 4 1A Lender's Address: LQPERMIT 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 relating to building construction, and hereby authorize representatives of this scco my to Onter upon the above-mentioned property for inspectio purposes: Daid ( - Si we (Applicant or Agent): oo Application Number . . . 081-00000884 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 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1._00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee. 888.00 Plan Check Fee 144.30 Issue Date, Valuation . . . . 170639 Expiration Date 11/12/08 Qty Unit Charge "Per Extension BASE FEE 639.50 71.00 3.5000 THOU BLDG 100,001-500,000 248.50 Permit MECHANICAL Additional desc . Permit Fee 70.50 Plan Check Fee 4.41 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/12/08• 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 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 `. EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 94.53 Plan Check Fee 5.91 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 11/12/08 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 68.01 576.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 LQPERMIT .. . Application Number . . . . . 08-00000884 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 152.25 Plan Check Fee 8.95 Issue Date- Valuation . . 0 Expiration Date 11/12/08 Qty, Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00 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 11/12/08 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 53, PLAN 4520C, 1943 SF/ 2'55 SF CASITA,BOX BAY Q MBR -26 SF 4' GARAGE EXT - 88 SF.PERMIT DOES NOT INCLUDE BLOCK WALLS,POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTLIPLE 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 14.43 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. 17.06 LQPERMTT . Application Number . . . . .. 08-00000884 -------------------- Other Fees ._. . . . . . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1220.28 .00 .00 1220.28 Plan - Check Total 163.57 .00 .00 163.57. Other Fee Total 4506.49 00 .00 4506.49 Grand Total 5890.34 .00 .00 5890.3.4