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SFD (10-0826)50550 Mandarina 10-0826 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. r, .10-00000826 Property Address: 50550 MANDARINA APN: 776 -200 -001_ - Application description: _ DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 282497 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CITRUS 18 GROUP, LLC 30-875 DATE PALM DRIVE DETACHED CATHEDRAL CITY, CA 92 IFD Applicant: Architect or Engineer: - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B LicenseNo.: 750957 ate C ractor. G- OWNER-BUI LDER. DECLARATI ON 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 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. , 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: LQPERMIT Contractor: GHA ENTERPRISE, 30875 DATE PALM CATHEDRAL CITY, (760)969-1400 Lic. No.: 750957 INC. CAy_;h34 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 9/07/-10 P SEP 2 1 2610 IL CITY r : LA QUIE41YA 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 STATE FUND Policy Number 719000223 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I thwith c ith those provisions. ' ate : plicant• WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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 madeto 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ent uponbove-mentioned propert spection purposespurposes.Det! / Z I ro pplicant or Agent): 0_ Application Number . . . . . 10-00000826 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 139.89 Plan Check`Fee 34.97 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/06/11 Qty Unit Charge Per Extension BASE FEE 15..00. 3198.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.93 648.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.96 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 1280.00 Plan Check Fee 832.00 Issue Date Valuation 282497 Expiration Date 3./06/11" Qty Unit Charge Per Extension BASE.FEE 639.50 183.00 3.5000 THOU BLDG 100,001-500,000 640.50 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee.. .00 Issue Date Valuation . . 0 . Expiration Date 3/06/11 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . MECHANICAI, Additional desc . Permit Fee 118.00 Plan Check -Fee 25.75 Issue Date . . . . Valuation 0 Expiration Date 3/06/11 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 .00 9.0000 EA- MECH B/C <=3HP/100K BTU .00 2.Q0 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 7.00 6.5000 EA MECH VENT FAN •45.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 LQPERMIT LQPERMIT Application Number . . . 10-00000826 Permit PLUMBING Additional desc . Permit Fee . . 210.00 Plan Check Fee 52.88 Issue Date Valuation . . . . 0 Expiration Date 3/06/11 Qty Unit Charge Per Extension BASE FEE 15.00 22.00 6.0000 EA PLB FIXTURE 132.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00- 5.002.00 2.007.5000 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 8.00 .7500 EA PLB GAS PIPE >=5 6,.00 1.00 15.0000 EA PLB GAS METER 15.00 ---=------------------------------------------------------------------------ Special Notes and Comments SFD - LOT 1, PLAN 2AR, 3198 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2,007 CBC, 2008 ENERGY. THIS PERMIT WAS PREVIOUSLY ISSUED (#06-2582) BUT WAS NEVER COMPLETEDAND ALLOWED TO EXPIRE. NEW OWNERS SUBMITTED UPDATED PLANS ENCOMPASSING CURRENT BUILDING & ENERGY CODES AS WELL AS THE SLAB FIX FOR THIS LOT. PREVIOUS INSPECTIONS WILL BE TRANSFERRED TO THE NEW JOB CARD. September 1, 2010 11:44:12 AM khensel. ---------------------------=--------7----------------------------7---------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 12.00 ENERGY REVIEW FEE 83.20- 3.20GRADING GRADINGPLAN CHECK FEE .00 Fee summary Charged Paid Credited Due Permit Fee Total 1762.89 .00 .00 1762.89 Plan Check Total 945.60 .00 .00. 945.60 Other Fee Total 95.20 .00 .00 95.20 Grand Total 2803.69 ..00 .00 2803.69