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07-1958 (SFD)4 P.O. BOX '1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date:' 7/06/07 Application Number: 07-00001958 } Owner: Property Address: 81877 -RUSTIC CANYON DR SHEA LA QUINTA APN: 764-280-999-51 -300237- 'C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 D n Property Zoning: MEDTTTM HIGH DENSITY RES. - - _ SCOTTSDALE, AZ 85258 Application valuation: 168914 JUL1 Contractor: U 1 2 Z�Ql Applicant: riA chitect or Engineer: a (! SHEA HOMES, INC. - � (°1 C_�p � s� 812-60 AVENUE 62 Cary OF LCcc a LA QUINTA, CA 92253 F�NE QIJI 7A ` � 1 (760)777-6 005 T, 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 ofperjury one of the following declarations: •Sectio 7000) of Division 3 of the Business and Professionals -Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Clas B License No.: 672285 ' for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: �� C actor: 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 arid agree that, if Ilshhoouulld-lltbecome 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 1 13� of the Labzc shall f h it compl� those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - `I12 11 (11� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: plicant: -" (_) I, as owner of the property, or my employees with wages as their sale 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 impr6vements 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 , 1, 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, (_) 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: 2.1 Any permit issued as a result of this application becoes 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. ` hereby affirm under penalty of perjury'that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply.with all 'work for which this permit is issued (Sec. 3097, Civ. C.). _ city and" ounty ordinances and state laws relating to building construction, and hereby authorize representatives • f h' c r]Lv to enter Lender's Name: upon thea 1 f inspecA os • Si ure (Applicant plicant or Agent): i J Lender's Address: - r LQPERMIT - Application Number . . . . . 07-00001958 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 488.00 PATIO SQ FTG 177.00 NTTMRRR. nF TTKTTTS 1 QQ 1ST FLOOR SQUARE FOOTAGE 1943.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . 881.00 Plan Check Fee 572.65 Issue -Date . . . . Valuation 168914 Expiration Date 1/02/08 Qty Unit Charge Per Extension - BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-500,000 241.50 Permit. .. . . MECHANICAL Additional desc . , Permit Fee . . . . 80:00 Plan Check Fee 20.00 Issue Date Valuation 0 Expiration Date 1/02/08 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 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 15.06 Plan, Check Fee 3:77 ' Issue Date Valuation '0 Expiration Date ..1/02/08 Qty Unit Charge Per Extension BASE FEE 15..00 LQPERMIT Application Number 0"7-00001958 Permit . . . . . . .ELEC-NEW RESIDENTIAL Qty Unit "Charge Per Extension 1.00 - ..0350 ELEC NEW RES - 1 OR 2 FAMILY .04 1.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL :.02 Permit . . . PLUMBING Additional desc . Permit Fee . . 152:25 Plan Check Fee 38-06 Issue Date" Valuation . . . 0 Expiration Date 1/02/08 Qty Unit Charge Per" Extension BASE FEE" 15.00: .14.00 6.0000 EA PLB FIXTURE 84.00 1.00 .15.000.0 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 1/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------ Special Notes and Comments SFD - LOT 51 PLAN 4520C, 1943 SF INCLUDES 255 SF CASITA, BOX BAY Q"MBR-26 SF.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 .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER --RES 995.00 ENERGY REVIEW FEE 57.2"7 DI"F FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 . DIF LIBRARIES -..RES 355.00 DIF PARK MAINT FAC - RES 22.00 LQkRMTT Application Number 07-000;01958 ------------------------------------------.- Other Fees. . . . --------------------------------- DIF PARKS/REC - RES 892..00 STRONG MOTION (SMI) - RES 16.89 - DIF STREET MAINT FAC-RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary. Charged Paid Credited Due - Permit.Fee .Total 1143.31 00 .00 1143.31 Plan Check Total 634:10 .00 00 634.48 Other Fee Total 4549.16 .00 - .00 4549:16 Grand. Total 6326.95 .00 .00 6326.95 LQPERMIT