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07-1932 (SFD)I f' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1, 07-00001932 Property Address: 81820 RUSTIC CANYON DR APN: 764-280-999-77" L300237- Applicatiori description: DWELLING —SINGLE FAMILY Property Zonina: MEDIUM HIGH DENSTTY RES Application. valuation: 170639- Tiht °F 4 Q" BUILDING & SAFETY DEPARTMENT - BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CENTER 350 R(`nTTgnAT,R, A7. RS759 , Contractor: Applicant: chitect or Engineer: SHEA HOMES, INC. 81260 AVENUE 62 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 70001 f ision 3 of the u 'ness and of sionals Code, and my License is in full force and effect. yc s lass: B i ansa No.: 672285 ate: ractor: 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).: (_) 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 of 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 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.). .. 1 _ 1 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 N Date: 7/03/07 LJ JUL 0 6 2001 CeNOF LA Q)!llfur. 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. 1 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, 1 shall not employ any person in any manner �s000 as to become. subject to the workers' compensation laws of California, Land agree that, 'if I -be m ubject t he workers' compensation provisions of Section C of the Lab ,`/ I s fo wkh c ith those provisions. ate: w ppli6m: ` 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 ceiJify thk I have read this application and sta t the bove ' fgrmation is orrect. I agree to comply with all le: nd co nty rdinances and state laws rela bwldi cons u do a ereby authorize representatives no�nte�,nubove-mentio ed Spr ary fyn pplicant or Agent): Application Number . . . .07-00001932 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 nF TTNTTS i nn 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 888:00 Plan Check Fee 577.20 Issue Date Valuation . . . . 170639 Expiration Date .. 12/30/07 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 12/30/07 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 2.00 6.5000 EA MECH VENT FAN .13.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL. Additional desc . Permit Fee . . . . 94.53 Plan Check Fee 23.63 Issue Date . . . . Valuation 0 Expiration Date 12/30/07 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 . . . . . 07-00001932 ---------------------------------------------------------------------------- Permit PLUMBING - Additional desc . Permit Fee 152.25 Plan Check Fee 35.81 Issue Date Valuation 0 Expiration Date 12/30/07 Qty Unit Charge Per - Extension RASE PER , 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 . . . . 1.5.00 Plan Check Fee .00- ` Issue Date Valuation . . . . 0 Expiration.Date 12/30/07 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------------------------------------- Special Notes and Comments ------------- SFD - LOT 77, PLAN 4520A, 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 1930.00 LQPERMIT Application Number . . 07-00001932 Fee summary- ----------------- Charged ---------- Paid -----.----- Credited Due. Permit Fee Total 1220.28 _ .00 ---------- .00 --------- t' 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