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07-0514 (SFD)rA P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application Valuation: Applicant: VIP 07-00000514 81700 RUSTIC CANYON DR 764-280-999-131 -300237- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 186889 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 -SCOTTSDALE, AZ SS258 rchitect or Engineer: 21Q.LJO I Contractor: SHEA HOMES, INC. 81260 AVENUE 62. LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/16/07 . rl MAR % 2 2007 OF LA ------------------=-----------------------------------------------------------------------------— 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 7000I of Division 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 Lic a Iass:J B License No.: 672285 for by Section 3700 of the Labor Code, for.the performance of the work for which this permit is issued. �. v tractor: 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 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 theworkers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the or I shall forthwith co ply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section'7031.5 by ci-7 �- _ any.applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e: plica (_ 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herselfthrough his or her own employees, provided that the improvements are.not intended or 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 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , BAP.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: 4 1- Lender's Address: IVIR LQPERMIT 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 have read this application and state that the above information is correct. I agree to comply with all city and count ordinances and state laws relating to building construction, and hereby authorize representatives oft o t enter upon the above-mentioned r e inspection ur osesQ.//y�/—, - pore: tri nature (Applicant or Agent � Ly: Application Number . . . . 07-.00.000514 ------ Structure Information SFD PLAN 5505 W/CASITA MBR GAR'& PAT EXT ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . DWELLG/LODGING/LONG <=10 Other struct info . . ... . CODE EDITION 2001 .#. BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 536.00 NUMBER OP TTNTTS ' 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 Daee< 8/15/07 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 8/15/07 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 8/15/07 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 LQPERM T - - - J Application Number . . . . . 07-00000514. Permit . . . PLUMBING Additional desc . Permit Fee 133.50 Plan Check Fee 33.38 Issue Date Valuation . . . . 0 Expiration.Date 8/15/07 Qty Unit Charge Per Extension RASR FFR 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 8/15/07 Qty Unit'Charge Per, Extension BASE FEE 15.00 ----------------------------------------------------------------------------' Special Notes and'Comments i SFD - Plan 5505A', 2094 SF, Lot 131 w/casita (247 sqft) , MBR box bay (26 •sgft)', ext garage (83 sgft)', 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 995.00 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 892.0'0 STRONG MOTION (SMI) - RES 18.68 DIF STREET MAINT FAC-RES 67.00 DIF TRANSPORTATION - RES 1930.00 Application Number . . . . . 07-00000514 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 6522.7.4 .00 .00 6522.74