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07-0658 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: ^07-00000658`__1 Property Address: \8.1.7.84 --RUSTIC CANYON DR APN: 764-280-999-80 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Pronertv Zoning: MP.hTTTM HT•r T4 TIRTTSTTY _A,EC Application valuation: 163330 Applicant: - rchitect or Engineer: 2lQ t Cas,_ --------------- LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with . Section 7000) of Division 3 of the Business and Professionals Code, and my License- is in full force and effect. Lice lass. 13 License No.: 672285 Date. 1(, ontractoc: 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 the structure is not intended or offered for sale (Sec. 7044, Business and Piofessions 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 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, 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.). ' (_) 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 Owner: SHEA LA QUINTA C/O.JEFF MCQUEEN 8800 N GAINEY CENTER 350 SCOTTSDALE, AZ 85258 VOICE (760).777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: .3/01/07 Contractor: LAI\ u InI SHEA HOMES, INC. 1 81260 AVENUE 62 t LA QUINTA, CA 92253 -MA"{� I.2200° (760)7.77-6005 ---- -.. Lic. No.: 672285 CITY OFLAQUINTA FINANCE DEPT. WORKER'S'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 I 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 to the orkers compensation provisions of Section 3700 of the Labor C e, sh�11IL forthwith comply ith those provisions. ate:b^, plicantt . 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 anypermitissued 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 informkincorrect. I agree to comply with all city a d county ordinances and state laws relating td wilding onstructihereby authorize representatives of unt tosenter upon th . above-mentioned pr o sp'Qctioes. e: I 1 ' nature (Applicant or Ag\�!\ Application Number 07-00000658 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 863.50. Plan Check Fee.. 561.28 Issue Date . . . . Valuation . . . . 163330 . Expiration Date 8/28/07 Qty- Unit'Charge Per Extension BASE FEE - G39.50 -64.00. 3.5000 THOU :81DG i00,001-500,000 224..00 Permit MECHANICAL Additional desc . Permit Fee 83.50 Plan Check Fee 20.88 Issue Date . . . Valuation . . . . 0 Expiration Date 8/28/07 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 89.82 Plan Check Fee 22.46. Issue Date Valuation . . . 0 Expiration Date 8/28/07 Qty Unit Charge Per. Extension BASE FEE 15.00 1805:00 :0350 ELEC NEW RES.- 1 OR 2 FAMILY 63.18. 582.00 -.0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 11.64 Permit PLUMBING Additional desc . Permit Fee . . . . 147.00 Plan Check Fee 36.75 Issue Date . . . . Valuation 0 ' Expiration Date 8/28/07 Qty Unit Charge' Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00 15.0000EA PLB BUILDING SEWER 15.00 LQPERMIT - LQPERMIT _ Application Number . . . . . 07-00000658 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 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 Fee15.00 Plan Check Fee .00 Issue Date . . . . Valuation .. 0 ` Expiration Date 8/28/'07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special'Notes and Comments SFD - Lot '80,1805 SF.Plan 4510C Casita (249sf), MBR Box Bay (26sf), Ext Garage (83sf) & Ext Patio.(120sf). Permit does not include block wall, pool 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 56.13 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 16.33 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due ------- ---------- ---------- Permit Fee Total 1198.82 .00 .00 1198:82 P1an.Check Total 641.37 .00 00 641.37 Other Fee Total 4567.46 .00 •.00 4567.46 Grand Total 6407:65 .0.0 .00 6407.65 LQPERMIT