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07-0577 (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: C07-00000577 i 81661 RUSTIC•CANYON DR 764-280-999-33 -300237- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 186889 Tdy/ aF 4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA,LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER AC OTTSDAT R, A7 R575q rchitect or Engineer: �S)n.' ccsy,s Contractor: SHEA HOMES, INC. 81260 AVENUE 62 LA.QUINTA, CA 922 (760)777-6005. Lic. .No..: 672285 350 fU VOICE (760).777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 MAR 01290 7 CITy pF L,� Durr,.__ &I.. - - Date: 2/21/07 --——————————————————————————————————--——————————— 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 Division 3 of the Business and Profe sionaI Code, and my License is in full force and effect. License dlass- 13 License No.: 672285 _ 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 C_ Date: ` ` ontractor: _ issued. 'XI 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 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 that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ( 3700 of the Labo_de, I hall forthwith comply with those provisions. S J I any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): te: I icant: v L ( ) 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 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 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 doesnot 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 agencyforthe performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: 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 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 that I have read this application and state that the above information is correct. I agree to comply with all city and, ty ordinances and state laws relating t wilding construction, and hgreby authorize representatives of tlRt ylttoo enter up the above-mentioned opera \for ijpegtion puri pos4 I 1l1 —1 1 IVi•�-\' ate: G Signature (Applicant or Agent)' LQPERMrr Application Number 07-00000577. ------ Structure Information SFD PLAN 5505 W/CASITA MBR GAR & PAT EXT ----- 'Construction Type . . .. . TYPE V - NON RATED Occupancy Type . . . . . DWELLG/LODGING/CONG <=10 Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 536.00 NUMBER OF, UNITS 1.00 ---------------------------------------------------------------------------- ..1ST FLOOR SQUARE FOOTAGE 2094.00 Permit BUILDING PERMIT Additional desc . .Permit Fee 944.00 Plan Check Fee_ 613.60 Issue Date Valuation 186889 Expiration Date 8/20/07 Qty Unit Charge Per Extension BASE.FEE 639.50 87.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 304.50 Permit . . MECHANICAL Additional desc . Permit Fee .83.50 Plan Check Fee 20.88 Issue Date Valuation . . . . 0 Expiration Date 8/20/07 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 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 . . . . 99.07 Plan Check Fee 24.77 Issue Date Valuation . . . . 0 Expiration Date 8/20/07 Qty Unit Charge Per Extension BASE FEE 15.00 2094.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 73.29 539.00. .0200 ELEC GARAGE OR NON-RESIDENTIAL, 10.78 Application Number .'.07-00000577 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Feer 133.50 Plan Check Fee 33.38 Issue Date . . . Valuation . . . 0 Expiration Date.. 8/20/07 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 Permit GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 8/20/07 Qty Unit Charge Per Extension BASE FEE 15'.00 -----------------------------------------------------=---------------------- Special Notes and Comments SFD - Plan 5505C, 2094 SF, Lot 33 w/casita (247 sqft), MBR box bay (26 sqft), ext garage (83 sqft), ext patio (315 sqft). Permit does not include block wall, pool, spa or driveway approach , 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 9.95.00 ENERGY REVIEW FEE 61.36 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 18.68 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 LQPERMIT Application•Number . . . . 07-00000577 Fee summary Charged Paid Credited Due Permit Fee Total 1275.07 .00 .00 1275.07 Plan Check Total 692.63 .00 .00 692.63 Other Fee Total 4555.04 .00 .00 4555.04 Grand Total 6522.74 .00 .00 6522.74 LQPERMTT