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07-1978 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 `F-4'�v 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-0.0001978 Property Address: 81913 RUSTIC CANYON DR APN: 764-280-999-54 -300237- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM IIIGII DPI43ITY RE3 Application valuation: 159387 Owner: SHEA LA QUINTA C/O JEFF MCQUEEN 8800'N GAINEY CENTER 3 SC'O'TT8DALE, AZ 85258 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/09/07 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 (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 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: 1 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 applicationbecomes 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. I agree to comply with all city and county ordinances and state laws relating W.Puildii1ng constru tion, and hereby.authorize representatives of �yoer upon the above-mentioned /�yfp`ertyt/tQr jnsp n purposes. 0Si lure (Applicant or AgentlU.` Contractor: clr,' Applicant: Architect or Engineer -$HEA F HOMES, INC. FINA�yCE QU110A i -r CDIiSICJ�'^O ct Z��61 (J 81260 AVENUE 62 DEPT. 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: - 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 Licegse Class• B License No.: 672285 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - issued. `� at�1 ontractor. : ` 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 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 1 should 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 1 3700 of the Labgr� I sgal( forthwith m ly with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ;he�U 1 I any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and /'gyp'(/ - 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 (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 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: 1 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 applicationbecomes 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. I agree to comply with all city and county ordinances and state laws relating W.Puildii1ng constru tion, and hereby.authorize representatives of �yoer upon the above-mentioned /�yfp`ertyt/tQr jnsp n purposes. 0Si lure (Applicant or AgentlU.` Application Number . . . 07-00001978. 1/05/08 Permit . . . . . BUILDING PERMIT Additional desc . Per Permit Fee 849.50 Plan Check Fee 138.05 Issue Date Valuation . . . . 159387 Expiration Date 1/OS/08 NEW RES - 1 OR.2.FAMILY Qty Unit Charge Per .0200. Extension GARAGE BASE FEE .639.50 r,n nn 3,500n ----------------------------------------- THOU- BLDG 100,,001_500,000 --------------------------------- .210,00 Permit . . . MECHANICAL desc . Additional desc . Permit Fee Permit Fee . . . . 65.50 Plan Check Fee• 4. 1,0.' Issue Date Issue Date Valuation 0 Expiration Date 1/.05%08 0 Expiration'Date Qty Unit Charge Per Extension BASE FEE 15:00 1.00 9.0000 EA MECH FURNACE.<=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/.1.00K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 I _00 F -'c;000 FA MFCN RXHATTGT ROM) r Sn Expiration Date 1/05/08 Qty Unit Charge Per -Extension BASE FEE 15.00 1773'.00 .0350 ELEC NEW RES - 1 OR.2.FAMILY 62.06 639.00 .0200. ELEC GARAGE OR NON-RESIDENTIAL 12.78 Permit . . PLUMBING Additional desc . Permit Fee . . . .120-.00, Plan Check Fee •7.50 Issue Date Valuation 0 Expiration'Date .. 1/05/08 Qty Unit Charge Per Extension BASE FEE 15:00 _10..00 6.0000 EA PLB FIXTURE 60.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00- r LQPERMIT _ . Application Number . . . . . 07-00001978 Permit. . . . PLUMBING Qty Unit Charge Per Extension 1 1-.00. 7.5000 EA PLB WATER'HEATER/VENT' 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 6.00 .7500 EA PLB GAS PIPE.>=5 4.50" 1.00 15.0000 EA PLB'GAS METER 15.00 Pe;r_mit GP_?1DING 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 54, PLAN 4515C, 1773 SF. WITH 4GARAGE EXT. (103SF) & BOX BAY @ NOOK(24 SF.). PERMIT DOES NOT INCLUDE POOL, SPA,, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYEP 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 13.81 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 15.93 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES ..1930.00 - Fee,_summary Charged*. Paid" Credited Due ' Permit Fee Total 1139.84 .00 .00 1139.84 Plan Check Total 155.27 .00 .00 155.27 . Other Fee Total 4524.74 .00 00 ., 4524.74 Grand Total 5819.85 .00 _00 5819.85 LQPERMIT .