06-2938 (SATT)*1
'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: 8/07/06
Application Number: (06-00002938 ? - Owner:
Property. Address: -45245- SEELEYDR UNIT 1F CP DEVELOPMENT - LA QUINTA, LLC
APN: 604-040-999-2 -31116 - O77-564 COUNTRY CLUB DRIVE
Application description: DWELLING - SINGLE FAMILY ATTACHED d PALM DESERT, CA 92211
Property Zoning: TOURIST COMMERCIAL 0 "
Application valuation: 71752
uK 5n W_ SFP l 3 ontractor:
Applicant: 107chitect or Engineer: C/jy.®06 ENNAR HOMES OF CALIFORNIA INC
QI �� 40004 COOK ST.
PALM DESERT, CA 92211
_ epi (760)6Q1-3100
�►ij('{J9 Lic. No.: 728102
-------------------------------------------------------------------------------------.------------
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
License Class: B' License No.: 728102 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate: Co or: A/W�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 OLD REPUBLIC IN. Policy Number MWC11148500
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 fie or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I 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 3700 of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 1,44 , _
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: e: cant: � A- 1,44
(_ 1 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.). APPLICANT ACKNOWLEDGEMENT
(_) 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 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
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
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. I agree to comply with all
city and countyordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property f inspection purp ses.
Det :�� gnf ature (Applicant or Agent):
Application Number .
. . . . 06-00002938 '
'
Permit ... . . . .
`
BUILDING PERMIT-
ERMzz
. '
^
Additional
AdditinnaI deoc
_ Permit Fee , . `�''.
513`50 . Plan Check Fee - .
83�45
zaane Date . . . `
Valuation . . . .
�71752 '
. ' Expiration Date
3/03/07
� ` Qty Unit Charge
^
Per
.
Extension '
K
BASE FEE'
'
�
«�� so
22.'00 4.5000
THOU BLDG su'o01-1VU'OOO
99.00
_---_--
-----�---_---�-,--------
�
____-
-------------------------------
_
--
Permit . . . . . .
MECHANICAL
`
Additional deao
Permit Fee . . . .
70.50 Plan Cbeck,Fee . .
4.41
` Issue Date . . . .
valoatiou' . . .
O '
o�i�a�ioo Date ' .
,g
�/O�/U7
Qty Unit Charge
Per '
xteooiou
Extension-
BASE
aA8E FoE '
1s.00
.o.00 g.000Ozx�
��C� �OO� � �
is. 00
' 3.Oo 9.0000
EA MocH B/c <~3aP/100K BTU'
'1o.oO
' 2.00 6.5O0O
Eu MoCH nomz znmv ^
13.00
1.00 6.5000
-_-_---___-___----_---__-_-__--_------_-_--___-__---_--
EA MECH EXHAUST HOOD � `
6.50
Permit ' . . . . .
ELoC-NEW aoSzoExrrzaL
Additional deoo
Permit Fee . . . .
51.69 eIao Check Fee . .
3.23`
z000e Date . . . .
`/ Valuation . . . .
o !
Expiration Date ' '
2/03/07
!
Qty Unit Charge
Per
Extension |
-
'BASE Foo
i
15'00 .
1223.00 ` .0300
---------------- `--------------------------------------------------------_--
ELEC NEW RES - xmzLzz FxumzLz
36.69 '
.
' Pernnit . . . ' . .
eLnnmuzmG
'
Additional deac
Permit Fee . ' . .
136.50 Plan Check Fee . .
8.53 |
zoane bate . . . .
Valuation . . . .
o `
Expiration Date . .
2/03/07
�
Qty Unit Charge
�
'
Per
.
Extension |
oaaE FEE
15.00
13.00 6.0000
EA pLB FZXrcoaE
78.00
1.00 15'0000
EA rLa oDzLozuxz SEWER
15.00
1.00 7.5000
oa eLo WATER HoxxroR/\oamT
7.50
LQPERMu
R
Application Number . . .t 06-00002938
Permit .. . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
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 2/03/07
Qty Unit Charge Per.
Extension -
BASE FEE-
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFA (1,223 sqft) w/Porch (227 sqft).
TOT Eligible. 75% REDUCTION TO PLAN
CHECK FEES DUE.TO-MULTIPLE ISSUANCE OF
SAME PLAN TYPE
_
2001 CBC, CMC, CPC, 2004 CEC, 2005 .
1 - ENERGY CODES BLDG. 1F
----------------------------------------"--------------------
----------------
Other Fees . . . . ART IN PUBLIC PLACES -RES
r
20.00
DIF COMMUNITY CENTERS -RES
56.00
DIF CIVIC CENTER - RES
157.00
DIF FIRE PROTECTION -RES
45.00
DIF LIBRARIES - RES
266.00
DIF PARK MAINT FAC - RES
16.00
DIF PARKS/REC - RES
669.00
STRONG MOTION (SMI) - RES
7.17
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
----------------- ----------
Due
---- - ----- ---------- ----------
Permit Fee Total 787.19 .00 .00
787.19
Plan Check Total 99.62 .00, .00
99.62
Other Fee Total 2969.17 .00 .00
2969.17
Grand Total 3855.98 .00 .00
3855.98
LQPERMIT