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07-1184 (SFD)P.O. BOX 1504 It 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 27 4 �W BUILDING & SAFETY DEPARTMENT BUILDING PERMIT -007-00001184 , 81671- ANDALUSIA 764-200-999-60 -316813- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 309222 Owner: CORAL OPTION I 7.9295 RANCHO LA QUINTA DR DETACHED LA QUINTA, CA 92253 Architect or Engineer: --------------------------------------------=- - - - - - 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 Business and Professi e, and my Licens force and effect. License Clasr B License o.: 762W 1 ,,,Poe :�Z 7G[_ _ / / �+ tractor: 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).: (_ I 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 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 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.). I—) 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: P1 K LQPERt111T VOICE (760) 777-7012 FAX (760) 771-7011 INSPECTIONS (760) 777-7153 Date: 4/30/07 i Contractor: TD DESERT DEVELOPMEN L MAY 1 8 1001 ` P O BOX 1716 j LA QUINTA, CA 92247 CITYOFLAQUI7(760)771-1941 �( FINANCE DEPA LiC. No.: 762987 ------------------ WORKER'S COMPENSATION DECLARATION 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 COMPWEST Policy Number CA005001482002 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should becomes� the workers' compensation provisions of Section 700 of the Labor Code, I sh IF'forthwith co ply with those provisions. WARNING: FAIL RE TO SECURE W ERS' MPENSATION COVERAGE I UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMA S 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 t ove infor tion is correct. I agree to comply with all city and county ordinances and state laws relating to ilding construc n, and hereby authorize representatives offtth�iti o ty enter upon thea ve-mentione roperty for inspec n purpo /Datby ature (Applicant or entl: Application Number . . . . . 07-00001184 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 1374.50 Plan Check Fee 223.36 Issue Date . . . . Valuation . . . . 309222 Expiration Date . . 10/27/07 Qty Unit Charge Per Extension BASE FEE 639.50 210.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 735.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 101.50 Plan Check Fee 6.35 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/27/07 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 154.15 Plan Check Fee 9.64 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/27/07 Qty Unit Charge Per Extension BASE FEE 15.00 3546.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 124.11 752.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.04 Permit PLUMBING Additional desc . . Permit Fee . . . . 200.25 Plan Check Fee 12.52 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/27/07 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 07-00001184 Permit . . . . . . PLUMBING Qty Unit Charge Per 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 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 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB•GAS METER 15.00 Permit GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . . . . Expiration Date . . 10/27/07 Plan Check Fee . Valuation . . . Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 60, 'PLAN 3AR, 3546 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% -REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC -PLACES -RES 273.05 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 22.34 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 REPLACEMENT APPR PLANS 20.00 STRONG MOTION (SMI) -RES 30.92 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid. Credited ----------------- Due ------------------------------------- Permit Fee Fee Total 1845.40 .00 .00 1845.40 Plan Check Total 251.87. .00 .00 251.87 Other Fee Total 4821.31 .00 .00 4821.31 LQPERAIIT Application Number . . . . 07-00001184 Grand Total 6918.58 .00 .00 6918.58 LQPERMIT