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09-0691 (SFD)- "t P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 1- 09-00000691 81297 CANTOR CT' 764-280-999-184 -300236- DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY.RES 262715 Tu!t 4 XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHEA LA QUINTA C/O JEFF MCQUEEN DETACHED 8800 N GAINEY CE SCOTTSDALE, AZ 8 5 Architect or Engineer: Alp _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businesand Professionals Code�andmy cense is in full force and effect.License Class:License 285 at : ontractor: 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).: (_ 1 1, as owner of the property, or my employbes 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 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 1, 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. , BAP.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: ti lix LQPERMIT Contractor: SHEA HOMES, INC. 60800 TRILOGY PARKWAY LA QUINTA, CA 92253 (760)777-6005 Lic. No.: 672285 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .Date: 11/06/09 350 \ F�O1 � F 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. 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 insurance carrier and policy number are: Carrier NTL UNION INS Policy Number WC6987825 _ I certify that, in the performance of f work for which this permit is issued, I shall not employ any person in any manner so as to be o e subject to the workers' compensation laws of California, and agree that, if I sh dvvvCCC,,,ecom s j t to the workers' compensation provisions of Section /�1! 7 0 of the abor de, II h i comply with those provisions. Date ( 64 plicant: WARNING: FAILURE TO SECURE WVRKPIRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALTIES 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 certify that I have read this application and state that the above infor tion is correct. I agree to comply with all city and county Iordinances and state laws relating to building construc o , and hereby authorize representatives of this co ty/tt , enter upon the above-mentioned proper for inspecti purposes. a3ate ignature (Applicant or Agent): Application Number . . . . . 09-00000691 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1210.00 Plan Check Fee 786.50 Issue Date . . . . Valuation . . . . 262715 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 639.50 163.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 570.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 114.50 Plan Check Fee 5.22 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA_ MECH VENT FAN 39.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 135.22 Plan Check Fee 7.82 Issue Date . . . . Valuation 0 Expiration Date . 2/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 3024.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 105.84 719.00 ----------------------- .0200 ---- ELEC ------------------------------=------------------ GARAGE OR NON-RESIDENTIAL 14.38 Permit PLUMBING Additional desc . Permit Fee . . . . 205.50 Plan Check Fee .. 10.09 Issue Date . . . . Valuation . . 0 Expiration Date 2/03/10 Qty Unit Charge Per Extension ` BASE FEE 15.00 _ 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT i LQPERMIT Application Number . . . . . 09-00000691 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension Extension 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . . GRADING PERMIT 15.00 Plan Check Fee .00 Valuation . . . . 0 2/03/10 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . SOLAR PERMIT Additional desc . . Permit Fee . . . . 22.50 Plan Check Fee 1.40 Issue Date . . . . Valuation . . . . 220402 Expiration Date . . 2/0.3/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1..00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 184, PLAN 6430C, 3024 SF, INCLUDES 255 SF DETACHED CASITA, & 108 SF PATIO EXT. PHOTO VOLTAIC SYSTEM (1.11C & 3KW). PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CODES. -------------------------------------------------7-------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 156.79 BLDG STDS ADMIN (SB1473) 11.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 78.65 DIF FIRE -PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 Application Number . . . . 09-00000691 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 24.42 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee -summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- 1702.72 ------------------------------ .00 .00 1702.72 Plan Check Total 811.03 .00 .00 811.03 Other Fee Total 4745.86 .00 .00 4745.86 .Grand Total 7259.61 .00 .00 7259.61 LQPERMIT