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07-0609 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT i BUILDING PERMIT Application Number: C07-0 000 00609 _ (. Property Address: 81733 RUSTIC CANYON DR APN: 764-280-999-39 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning:. MEDIUM HIGH DENSITY RES Application valuation: 166943 Applicant: rchitect or Engineer: VOICE (760) 777 -7012 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/26/07 Owner: SHEA LA QUINTA C/O JEFF-MCQUEEN 8800 N GAINEY TER 350 ,grOTT9T)AT,FV9152�c;P�p Contractor:A SHEA HOMES,AR 12 2007 81260 AVENU LA QUINTA, qA a 922;1TY®FLAQUINTA (760) 777-60o FINANCE oEPT. Lic. No.: 672285 LICENSED CONTRACTOR'S DECLARATION - _-------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that 1 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 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 - Licenseass: B License No.: 672285 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is te.CA I ontractor: . issued. / have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor r _^I 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 - 13700 of the Labsha f hvjAh com ly 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 a civil penalty of not more than five hundred dollars ($500).: te: - pplicant: ,. (_ 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 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.). 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, 1 _) I am exempt under Sec. , B.&P.0 `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 - 1 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 of La Qumta, 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 cit cou ty ordinances and state laws relating to bu'Iding construction, and hereb I authorize representatives of t j�EfT�r upon above-mentioned pro nsp trio , os ate: nature (Applicant or, Agentl'�� Application Number 07-00000609 Structure Information Construction -Type . . TYPE V - NON RATED Occupancy Type., DWELLG/LODGING/LONG. <=10 Flood Zone . . . . NON -AO FLOOD ZONE Other struct info . . CODE EDITION 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 539.00 PATIO SQ FTG 537.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1847.00 Permit BUILDING PERMIT Additional desc . Permit Fee 856.50 Plan Check Fee 556.73 Issue Date . . . . Valuation . . . . 161587 Expiration Date 8/25/07 Qty Unit Charge Per. Extension BASE FEE" 639.50 62.00 3.5000 THOU BLDG 100,001-500,000 217.00 Permit MECHANICAL Additional desc . Permit Fee 86.50 Plan Check Fee 21.63 Issue Date Valuation . . . . 0 Expiration Date 8/25/07 Qty -Unit Charge Per Extension BASE FEE '15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 11.0000 EA ' MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 16.5000 EA MECH"B/C >3-15HP/>100K-500KBTU 16.50 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 81.19 Plari Check Fee 3.76 - Issue Date Valuation . . . . 0 Expiration Date 8/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 . ,. LQPERMIT . LQPERMIT Application Number . . . . 07-00000609 Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension' 1847.00 .030.0 ELEC NEW RES - MULTI FAMILY 55.41 539.00 .0200 --------=-------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 10.78 Permit . . . PLUMBING s Additional desc . Permit Fee 120.00-- Plan Check Fee 16.50 - - ".• Issue Date . . . . Valuation . . 0 Expiration Date 8/25/07 Qty Unit Charge Per Extension BASE FEE 15.00 10.00 6.0000 EA PLB FIXTURE 60.00 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 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 8/25/07 Qty.., Unit Charge Per Extension BASE FEE 15.00 -------------------- Special Notes and Comments ------------ SFD - LOT 38,PLAN 55050,1847 sf 26 SF BOX BAY Q MBR, 83 SF. GAR. EXT.1315 SF PATIO EXT. 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 55-67 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES -RES 355.00 Application Number 07-00000609 ----------------------------------------------------------- Other Fees DIF PARK MAINT FAG - RES' 22.00 DIF PARKS/REC - RES 892.00, STRONG MOTION (SMI) - RES-- 16.15 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee -summary Charged Paid .Credited Due -Permit.Fee--Total-__ -- - - - - - - -- 1159.19 ---- - - - - ------ - - - .00 -.00- - --- - - - - - -- - - 1159.19— 159.19 Plan Check PlanCheck Total •598.62 .00 .0.0 598.62 Other Fee Total 4546.82 .00' .00 4546.82 Grand Total 6304.63 '.00 .00 6304.63 LQPERMTT