06-0217 (SFD)81795 Ameno
06-0217
P.O. IIIIIIIIIIIIIIIIIIIIIIIII 24 4 l W
O BOX 150 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: 1/13/06
Application Number: 06_6_Owner:
Property Address: 81795 AMENO TAYLOR WOODROW HOMES, INC.
APN: 767-200-011-28 -318742- 15 CUSHING
Application description: DWELLING - SINGLE FAMILY DETAC ^ o IRVINE, CA 92618
Property Zoning: LOW DENSITY RESIDENTIAL c)C r,® (3 14) 000-1200
Application valuation: 182392
_,rty OF G O P Contractor:
Applicant: rchitect or Engineer: C ► TAYLOR WOODROW HOMES INC
_ 15 CUSHING
IRVINE, CA 92618
/- / (760)275-0598
l
1 Cam / Lic. No.: 352047,
X
LICENSED CONTRACTOR'S DECLARATION KER'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
Licen a Cl ss: B 'can 2047 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: ' ntractor:I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
iii ` Code, for the performance of the work for which this permit is issued. My workers' compensation
0 R-8 ER DECLARAT 0 insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the Carrier LIBERTY MUTUAL Policy Number WA765D283614055
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 I should become su l 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 Lab r Code, I shall forthvJi co ply se 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).: te: cant.
(_ 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 WORKER MPE SATION COVERA 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, 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: 14 A
Lender's Address: tA
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 inform tion is correct. I agree to comply with all
city and county ordinances and state laws relating t building constructio nd hereby authorize representatives
of this c ty toe ter upon the bove-mentioned pr erty inspection pur as.
ture (Applicant or Agentl:
LQPERMIT
Application Number . . . . . 06-00000217
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
930.00
Plan Check Fee
151.13
Issue Date
Valuation . . .
182392
Expiration
Date
7/12/06
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
83.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
.100,001-500,000
290.50
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
83_.50
Plan Check Fee
5.22
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/12/06
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
5.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN.
32.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc . ..
Permit Fee
. . . .
129.52
Plan Check Fee
8.10
Issue Date'
Valuation . . . .
0
Expiration
Date
7/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2928.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
102.48
602.00
.0200
-----------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
12.04
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
174.00
Plan Check Fee
10.88
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/12/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
.17.00
6.0000
EA PLB
FIXTURE
102.00
1.00
15.0000
EA PLB
BUILDING SEWER
15.00
1.00
7.5000
EA PLB
WATER HEATER/VENT
7.50
LQPERMIT
Application Number . . . . . 06-00000217
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
BASE FEE
15.00
Extension
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 . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Issue Date . . . .
Expiration Date . . 7/12/06
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 28, PLAN 3B, 2928
SF.2001 CODES. PERMIT DOES
NOT INCLUDE BLOCK WALLS, POOL,
SPA OR
DRIVEWAY APPROACH. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
15.11
DIF FIRE PROTECTION -RES
9.7.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
19.20
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary - Charged
--
Paid Credited
Due
- - - - - - - - - - - - - ------- - - - --
Permit Fee Total 1332.02
---- - - - - ------ - - - - ----
.00 .00
-- - - - ---
1332.02
Plan Check Total 175.33
.00 .00
175.33
Other Fee Total 2439.31
.00 .00
2439.31
Grand Total 3946.66
.00 .00
3946.66