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SFD (07-1651)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00001651 GkQicfd Property Address: 79095 MISSION DR W r APN: 646-330-065-7 -30185 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 228044 T414i 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: TD DESERT DEV C/O TOM CALLINA DETACHED 79285 RANCHO LA LA QUINTA, CA 9 Contractor: Applicant: Architect or Engineer: TD DESERT DEVE C P 0 BOX 1716 LA QUINTA, CA (760)771-1941 --� Lic. No.: 762987 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7080) 9f. Division 3 of the Business ander Code, and my License is in full force and effect. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Licese law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county that re vires 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 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 ISec. 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: l LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 A Date: 6/08/07 AUG 2 71007 ID) LA QUINTA 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. KI 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 a e subject to the workers' compensation laws of California, �agree that, if I sho become sub ct to the workers' compensation provisions of Section 700 of the Labor de, I shall forthwit comply with those provisions. WARNING: FAILURE TO SECURWWORKERS' COMPENSATION COVEDE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATI , 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 information is correct. I agree to comply with all city and cou or 'nances and state laws relating uilding co struction, and here thorize representatives of this court t n't r/gupoonn the/above-mention property for i pection pur a S. PLO Si re (Applicant Age tl: ' Application Number . . . . . 07-00001651 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1091.00 Plan Check Fee 177.29 Issue Date . . . . Valuation . . . . 228044 Expiration Date 12/05/07 Qty Unit Charge Per Extension BASE FEE 639.50 129.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 451.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 111.50 Plan Check Fee 6.97 Issue Date . . . . Valuation 0 Expiration Date 12/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 33.00 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 . . . . 119.05 Plan Check Fee 7.44 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 2635.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 92.23 591.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.82 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 190.50 Issue Date . . . . Expiration Date 12/05/07 Plan Check Fee . Valuation . . . Qty Unit Charge Per BASE FEE 20.00 6.0000 EA ' PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERIIIIT Extension 15.00 120.00 15.00 Application Number . . . . . 07-00001651 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 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 Permit . . . Additional desc . . Permit Fee . . . . Issue Date Expiration Date . GRADING`PERMIT 15.00 12/05/07 Plan Check Fee . Valuation . . Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 7, PLAN E1, 2635 SF. 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 70.11 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 17.73 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 STRONG MOTION (SMI) - RES 22.80 DIF STREET MAINT FAC -RES- 67.00 DIF. TRANSPORTATION - RES 1930.00 Fee summary Charged Permit Fee Total 1527.05 Plan Check Total 203.61 Other Fee Total 4585.64 Grand Total 6316.30 LQPERMIT Paid Credited Due .00 .00 1527.05 .00 .00 203.61 .00 .00 4585.64 .00 .00 6316.30