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07-1976 (SFD)P.O. BOX 1504. rQUAVOICE 760 777-7012 78-495 CALLETAMPICO FAX (760) 777-7011 LA QUINTA, -CALIFORNIA. 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/09/07 Application Number: 07=00001976 Owner: Property Address: ` 81901 --RUSTIC CANYON DR • SHEA LA QUINTA APN: 764-280-999-53 -300237- C/O JEFF MCQUEEN n /� Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GATNRY f FTTTFA 7,r0 U v/u� Pmlterty 7nninr3; MEDIUM IIIGII DENSITY KES SCOTTSDALE, AZ 85258 Application valuation: 170639 JUL 12 2007 Contractor: Applicant: 45tlar tect or Engine r: SHEA HOMES, INC. CITY OF lA QUINTA C— �81260 AVENUE 62 F1NANCEDEPT. �� 2ta�lol LA QUINTA, CA 92253 (760)777-6005 Lic. No.:"672285. - ------------------- ---------------=------------------------------------------------------------- _ 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: ' Secti n 70001 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 -en Clas B cense No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is L issued. ate: L v, ntractor: • ' �'�t� - 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, atter, 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 asigned statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I Gde,) 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 - 700 of th aborshal ith com y with those provisions. 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).: ate: Iicant: (_) 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 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 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.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seca 7044, Business and Professions Coder 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 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 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 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city an county ordinances and state laws relating to buiiig c47�truction, an hereby authorize representatives of tyt� enter up the above-mentioned prop�sv for i1{sp�c{ipn purp es. L/n1V ate: 1 lure (Applicant or Agent): Application Number 07-00001976 Structure Information, Const•ruction.Type TYPE V - NON RATED Occupancy Type "DWELLG/LODGING/LONG <=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 NTTMRFR (1F TTNTTS 1 . (To ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 1943.0.0 Permit BUILDING PERMIT Additional desc . Permit Fee . . . ." 888.00 Plan Check Fee 577.20 Issue Date Valuation . . . . 170639 Expiration Date 1/05/08 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 1/05/08 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 EAS 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 . . . . 10 Expiration Date 1/05/08 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 . . 07-00001976 Permit. PLUMBING Additional desc Permit Fee . . 152.25, Plan Check Fee' 35.81 Issue.Date Valuation 0 Expiration Date 1/05/08 Qty. Unit -Charge Per Extension RASR` FRR l S . On 5.00 J .7500 EA 'PLB GAS�'PIPEy>=5y 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 .1/05/08. Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------- Special Notes and Comments SFD - LOT 53, 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 1930.00 ' LQPERMIT _ _ , r Application Number 07-00001976 . Fee summary _----------------- ""---------- Charged Paid. Credited Due Permit Fee Total 1220.28 --'-------- ,.00 ---------- .00 ---------- .1220.28 Plan Check.Total 654.2.7 .00 00 '•654.27 bther.Fee Total 4549.78 _..00 .'00. 4549.78 Grand Total. 64:24.33 .00, .00 6424.33 1 r . - LQPERMIT