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07-1950 (SFD)P.O. BOX 1504 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT X07-00001950` '81829"RUSTIC CANYON DR 764-280-999-47 -300237- DWELLING - SINGLE FAMILY'DETACHED MEDIUM HIGH DENSITY RES 157369. /Architect or Engineer: Owner: SHEA LA QUINTA' C/O JEFF MCQUEEN 8800 N GAINEY CENTER 350 D SCOTTSDALE, AZ 85258 Contractor: SHEA HOMES, INC. .60800 TRILOGY PARKW LA QUINTA; CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/05/07 r,qO4��qn,. ------------------------------------------------ • 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 Licen Class B^ license No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ` l `V 1 '#'��� 'ate: ontractor: ` ` � � 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 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.Wbject to the workers' compensation provisions of Section ' License Law (Chapter 9 (commencing with Section 7000) of Division 3 o 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 L, .sf�rthwith omply with those provisions. 1 " any applicant for a permit subjects the applicant to a civil penalty of not more than five hundreddollars155001: at1i `` - (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 10 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 yearof completion, the owner -builder will have the burden of proving that heor she did not build or improve for the purpose of sale.). APPLICANT. ACKNOWLEDGEMENT (_ 1 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 _ 1 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 performed under or following issuance of this permit. - Date: Owner: - 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 - " CONSTRUCTION LENDING AGENCY permit to cancellation. - - _ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance.of the I certify that 1 have read this application and state that the above informati0% is correct. I agree'to'comply with all work for which this permit is issued (Sec. 3097, Civ. C.). _ - _� city d inances and state laws relating to b in constru n, and h eby authorize representatives ' ter upo�ryy the above-mentioned pro rt o 'nspe t n Lender's Name: P gnature (Applicant or Age" 'Lender's Address: r' LQPERMIT . Application Number . 07-00001950 Permit BUILDING PERMIT Additional desc '. . Permit Fee . . 842.50 Plan Check Fee 547.63 Issue Date Valuation 157369 Expiration Date 1/01/08 Qty Unit•Charge .Per Extension BASE FEE 639.50 c;R nn 3 5000, THOU BLDG 100,001-500,000 L03.00 -. Permit MECHANICAL Additional desc Permit -Fee . . . . 73.00 Plan Check Fee 1.8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/01/08 Qty Unit Charge. Per Extension BASE FEE 15.00- 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 16.5000 EA MECH B/C'>3-15HP/>100K-500KBTU 16.50 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 87.78 Plan Check Fee 21.95 Issue Date Valuation 0 Expiration Date 1/01/08 Qty. Unit Charge Per Extension BASE FEE 15.00 1773.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.06 536.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.72 Permit PLUMBING , Additional desc . Permit Fee . . . . 129.00 Plan Check Fe'e 32.25 Issue Date . . . Valuation . . . 0 Expiration Date 1/01/08. Qty Unit Charge -'Per Extension BASE FEE ' 15.00 10.00 6.0000 EA PLB FIXTURE 60..0.0 1.00 15.0000 EA PLB BUILDING SEWER 15:00 LQPERNIIT - - i Application.Number 07-00001950 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 Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 1/01/08 Qty Unit. Charge Per Extension BASE FEE 15..00 - ------------------------- ------- Special Notes and Comments - ---------- SFD - LOT 47, PLAN 4515C, 1773 SF. WITH 24 SF BOX BAY @ NOOK. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK.WALLS 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 54.76 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 15.73 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION.- RES 1930.00 Fee summary Charged Paid Credited Due ------ ---------- ---------- ---------- Permit Fee Total 1147.28 .00 .00 1147.28 Plan Check Total 620.08 .00 .00 620.08 Other Fee Total 4565.49 .00 ..00 4565:49 Grand Total 6332.85 ....00 .00' 6332.85 .. LQPERMIT _ ...