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07-0464 (SFD)4P.O. BOX 1504 ^' 78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING. PERMIT Application Number: 07-00000464 Owner: Property Address: 81676 RUSTIC CANYON DR SHEA LA QUINTA — APN: 764-280-999-133 -300237- C/O JEFF MCQUEEN D Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 35 Property Zoninq: MEDIUM HIGH DENSITY RES SCOTTSDALE, AZ 85258 Application valuation: 172739 Contractor: Applicant: zc^ct or Engineer: o SHEA HOMES, INC. 1 l5ri CLIVI �-E��� 60800 TRI LOGY PARKWAY s ZZ�gVI LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing. with Secti 70041 of Divisio�ct usiness and Profess'�Cde,y License is in full force and effect. Li slIasi: 672285 /6a e: 1llYYll / 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 therefrom and 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 ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 01 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 notintendedor 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 contractors) licensed pursuant to the Contractors' State License Law.).- ( I 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: 2/13/07 Fig 2 u 2007 cmr OF WORKER'S COMPENSATION DECLARATION I 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. 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 1247619 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject the workers' compensation provisions of Section �I X700 of the L bor dhall rthwith ly with those provisions. ate: I C"ll plicant�V1) 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 ($100,000). 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 Pave read this application and state that th above inform io ��s correct I agree to comply with all cit an c n ordinances and state laws relating to b o struc" , an hereby th nze representatives o th - upty o e r upo he above-mentioned pr erty or ' ection rp e . te: (�,j�! ignature (Applicant or Agent). uQPERMIT Application Number . . . . . 07-00000464 Permit . . . - . . BUILDING-gEkMIr ` Additional deoc . . Permit Fee. . . . 895.uo PI Check Fee . . 581.75 Issue Date . . . . Valuation . . . . 172739 Ex�iratino'oate . ' 8/12/07 . _ Qty Unit Charge . per ' Extension � BASE FEE '639.50 73.00 3.5VV0 ------------------------------------------------------- THOU BLDG 100.001-500.000 '--------_----,-_-_ Pezmdt . . , . . . MECHANICAL Additional deoc . . Permit Fee . . . . 60.00 eIao Check Fee . . 15.00 Issue Date Valuation . . . . O Expiration Date . . 8/12/07 Qty Unit Charge Per Extension BASE ' FEE 15.00 ' 1.00 *-ooVo EA MoCo FnzonaCE x~100o 9.00 1.00 16.5000 Eu MoCH*B/C ^3-15HP/^100K-500000z 16.50 2.00 6.5000 Eu MECH vEoxr sAux 13.00 1.00 6.5000 ------=------------------------------ EA mECa EXHAUST HOOD -------------------------------- 6.50 ------- eezmit . . . ' ELEC7NEW RESIDENTIAL Additional deoc Permit Fee . . . . 95'44 eIao Check nee 23.86 zoaoeDate . . . . Valuation . . . . O Expiration Date . . 8/12/07 "Qty Unit Charge Per Extension BASE FEE 15.00 1969.00 .o3sU ELoC NEW RES - 1 OR 2 smunzLY 68.92 576.00 .ozoo -----------~---------------------------------------------------------------- ELoc GARAGE OR NON-RESIDENTIAL 11.52 Pezmit . . . . . . PLUMBING Additional deeo . . Permit Fee . . . ` 153.25 gIau Cbecb.Fee 38.06 z000e Date . . . . Valuation ` . . - O Expiration Date.. . 8/12/07 Qty Unit Charge Per. Extension BASE FEE 15.00 14.00 ` 6.0000 EA PLB z'ZXznaE ` . 84.00 1.00 15.0000 EA ` pLa BUILDING SEWER 15.00 . Application Number 0.7-00000464 - 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 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 . "Check Permit Fee 15.00 Plan Fee .00 Issue Date .. . . . Valuation . . . . 0 -Expiration Date 8/12/07 Qty Unit Charge Per Extension BASE FEE 15.00. - - - - ------------------------------7-------------------------- Special Notes -and Comments SFD - LOT 133, PLAN 4520C, 1969 SF. (INCLUDED 255 SF CASITA, 26 SF. BOX BAY Q MBR & 26 SF BOX BAY @'NOOK), 4' (88 SF.) GARAGE. -EXTENSION. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 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 58.18 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 17.27 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due ----------- ----- ----- ---------- Permit Fee Total"„ 1217.69 .00 .00 1217.69 Plan Check Total 658.67 .00 .00 658.67 Other Fee Total 4570.45 .00 .00 4570.45 Grand Total 6446.81 ."00• .00 6446.81 LQPERMIT" - -