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07-0463 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 07-00000463 81652 RUSTIC CANYON DR' 764-280-999-28- -300237- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 210828 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY'CEN SCOTTSDALE, AZ 85 rct�itect,11�` or Engineer: IM59- Coil sLV�q Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA QUINTA, CA 922 (760) 77'1-6005 Lic. No.: 672285 50 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 FEB 2 0 2007 Crry Date: 2/13/07 ----------------------------------------------------------------•----------------------•----------— LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereb affirmunder 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 of Division 3 of the Mss ess and of ssionals 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 _ PI ss: License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: U V1 ntractor:.! 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 1247619 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 person in any manner so as to becomes Nect 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 a agree that, if I shoul b me subje o the wor s' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) orOQ�f the labor C al forth] h c ply W' se provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by I p any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.: Date: ` plicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' 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.). 1 _ 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 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'sName: I F4 Lender's Address: LQPERMIT 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 tI at I h@@ve read this application and state that the a ve inform0ionrrect. I gree to comply with all city and c unty ordinances and state laws relating to bui in structireby au orize representatives of th' oVerttat upon th bove-mentioned prop ty r ins echo tt Da S' ature (Applicant or Agent): Application Number . . 07-100000463 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 FTG478.00 ._ PATIO SQ FTG 178.00 NUMBER OF UNITS 1.QQ -------------.---------------------------------------------------------------. 1ST FLOOR SQUARE FOOTAGE 2464.00 Permit . . . BUILDING PERMIT` Additional desc Permit Fee . . . . 1028.0.0 Plan Check Fee 668.20 Issue Date . . Valuation 210828 Expiration Date 8/12/07 Qty Unit Charge Per Extension BASE FEE 639.50 111.00 3..5000 ------------------------------------------------------------------------- THOU BLDG 100,001-500,000 388.50 - Permit . . . MECHANICAL Additional desc . Permit Fee 77.00 Plan Check Fee 19.25 Issue Date . . . . Valuation 0 Expiration Date 8/12/07- /12/07Qty QtyUnit 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . 110.80 Plan Check Fee 27.70 Issue Date Valuation 0 Expiration Date 8/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 2464.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 86.24 4.78.00 .0200 ELEC GARAGE'OR NON-RESIDENTIAL 9.56 LQPERMIT - .. Application Number . . . . 07-00000463 Permit PLUMBING Additional •desc •. Permit Fee . . . . 165.•00 Plan Check Fee 41.25 Issue Date . . . Valuation 0 Expiration Date 8/12/07 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 8/12/07 Qty Unit Charge Per Extension BASE FEE 15:00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 28, PLAN 5515C, 2464 SF" INCLUDES 290 SF GUEST SUITE, BOX BAY Q MBR -26 SF &NOOK -26 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, -SPA OR DRIVE WAY APPROACH. 2001 CBC,,CMC, CPC, 2004 CEC, 2005 ENERGY CODES ` ---------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 27.07 DIF COMMUNITY CENTERS -RES 74.00 " DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 66.82 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 21.08 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION,- RES 1930.00 LQPERMIT Application Number 07-00000463 Fee summary Charged Paid Credited Due Permit Fee'Total. 1395.80- ..00 .00 1395.80 Plan Check Total 756.40 00 .00 756.40 Other Fee.Total 4589.97 .00 .0.0 4.589.97 Grand Total 6742-.17 .00 .00 6742.17