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07-0636 (SFD)Y r • P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA,,CALIFORNIA 92253 . F• T 9 - ,tt!t 4�w BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000636 ` Property Address: 81781 RUSTIC :CANYON DR APN: 764-280-999-43 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: , MEDIUM HIGH DENSITY RES Application valuation: 170639 Applicant: Architect or Engineer kLC�L ` uqo Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800 N GAINEY CENTER 35.0 SCOTTSDAL-E, AZ 052�5'0 Contractor: SHEA HOMES, INC. D 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: 2/28/07 E r 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 (Seo. 3097, Civ. C.). Y'Lender's Name: Lender's Address: LQPERMIT 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 county ordinances and state laws relating to bui ding construction, and reby authorize representatives of ou�nt�j11to5i:5)1'05ature enter upon the above-mentioned pro t far ipe t�ijcrLpurpo Da \ `'A (Applicant or Age 1 CMN rem. •�- --'` ----------------------------------.------------------- 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 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 Licsofe lass: B - License No.: 672285 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is '7 issued. Dale: !� � ractor: var-•� " .. n[ 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 effirm 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 shall forthwith c p with those provisions. c..7 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:Date: pplica _ ' (_ 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: F (LURE 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'proying 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 workis performed under or pursuant to any permit issued as a result of this application, ( I I am exempt under, Sec. , B.&P.C. for this reason 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 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 (Seo. 3097, Civ. C.). Y'Lender's Name: Lender's Address: LQPERMIT 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 county ordinances and state laws relating to bui ding construction, and reby authorize representatives of ou�nt�j11to5i:5)1'05ature enter upon the above-mentioned pro t far ipe t�ijcrLpurpo Da \ `'A (Applicant or Age 1 Application Number . . . . . 07-00000636 LQPERMIT 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 FTG 576.00 PATIO SQ FTG 177.00 NUMBER OF UNITS 1:00 '00 7 ------------------------------------------------ 18T FLOOR SQUARE VOOTA08 -------------------- 154�.00 7 --- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 888.00 plan Check Fee 577.20 Issue Date Valuation . . . . 170639 Expiration Date 8/27/07 Qty Unit Charge. Per Extension BASE FEE 639.50 71.00 ---------------------------------------------------------- 3.*5000 THOU BLDG 100,001-500,000 ------------------ 248,50 Permit . .. . . . . MECHANICAL Additional desc Permit Fee 70.50 Plan Check Fee 17.63 Issue Date . . . . Valuation 0 Expiration Date 8/27/07 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 .2.60. 6.5000 EA MECH VENT FAN 13.00 1.00 ---------------------------------------------- 6.5000 EA • MECH EXHAUST HOOD 7 -------------- 6.50 --------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 94.53 Plan Check Fee 23.63 Issue Date Valuation 0 Expiration Date -8/27/07 Qty Unit Charge Per Extension BASE FEE 15.00 1943.00. .0350 ELEC NEW RES 1 OR 2 FAMILY 68:01' 576.00- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.52 LQPERMIT Application Number 07-00000636 ------------------------------------------------------------------------------ Permit . . . PLUMBING Additional desc . Permit Fee 152.25 Plan Check Fee 35.81 Issue Date Valuation 0 Expiration Date 8/27/07 Qty Unit Charge. Per Extension BASE_ FEF 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 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 . Permit Fee 15.00 Plan Check Fee 00 Issue Date . . . . Valuation 0 Expiration Date 8/27/07 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes. and Comments - SFD - LOT 43, PLAN 4520C, 1943 SF/ 255 SF CASITA,.BOX BAY @ MBR -26 SF 4' GARAGE EXT.- 88 SF.PERMIT DOES NOT INCLUDE - BLOCK WALLS,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 57.72 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 17.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 193040 LQPERMIT - Application Number, . . 07-00000636 Fee summary. Charged Paid Credited Due Permit Fee Total ------- 1220.28 ---- - ----- .00 ---------- .00 ---------- 1220.28 Plan Check'Total 654.27 .00 00, 654.27 Other Fee Total 4549:78 .00 .00 4549.78 Grand Total 6424.33 00 .00 6424.33