05-2884 (SFD)a
1W
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:05-00002884
Property Address: 081641 -HIDDEN LINKS DR
APN: 767-200-999-28 -312022-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 157506
Applicant: 1_�C_ itect or Engineer:
T4ht °F 4Q*ru,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury ha am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busi s nd Professionals Code, and my License is in full force and effect.
License Cl s: B License No.: 753190
at ` ractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjur at 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.).
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:
LQPEF.N11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/05
Owner:
DESERT ELITE INC. VFAUG
78401 HIGHWAY 111, SUITE GLA QUINTA, CA 92253
(760)777-9920 2n^Pr �^{ �U�' /
Contractor: CITY 9F_ A
HERINGTON DEVELOPMENT, JAMES O FlNA1VCEOI�pT.
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
(951)677-8415
Lic. No.: 753190
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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 polic number are:
Carrier STATE FUND Policy Number 1542746
I certify that, in the performan of t work for which this permit is issued, I shall not employ any
person in any manner so as be o e subject to the workers' compensation laws of California,
and agree that, if I should b c s bject to the workers' compensation provisions of Section
00 of the La or Code, I s a rt with comply with those provisions.
/X1 t i Plicant:
WARNING: FAILURE TO SECURE WORKER ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN A TIES 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 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 ch 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 bove information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi fruction, and hereby authorize representatives
of this coyto nter upon the above-mentioned property action purposes.
r ature (Applicant or Agent):
f
Application Nrnmber . . . . . O5-OOOO28A4
P:
LQPERMIT
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
# BEDROOMS
4.00
- FIRE SPRINKLERS
NO
GARAGE SQ FTG
650.00
PATIO SQ FTG
236.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
2476.00
Permit . . .
BUILDING PERMIT
Additional desc .
.Permit Fee . . . .
842.50 Plan Check Fee
136.91
Issue Date . . . .
Valuation . . .
. 157506
Expiration Date
1/07/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
58.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
203.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
108.00 Plan Check Fee
6.75
Issue Date-
Valuation
0
Expiration Date
1/07/06
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
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
114.66 Plan Check Fee
7.17
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
1/07/06
Qty Unit Charge
Per
Extension.
BASE FEE
.15.00
2476.00 .0350
ELEC NEW RES.- 1 OR 2 FAMILY
86.66
P:
LQPERMIT
Application Number .
. . . . 05-00002884
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
650.00 .0200
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ELEC GARAGE OR NON-RESIDENTIAL
13.00
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
172.50 Plan Check Fee
10.78
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
1/07/06
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
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
---------------------------------------7------------------------------------
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
1/07/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 28, PLAN 1CA, 2476 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS,
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE.
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
13.69.
DIF FIRE PROTECTION -RES
97.00
'GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00 -
DIF PARKS/REC - RES
502.00
LQPERMIT
Application Number
. . . . .
05-00002884
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Other Fees . . .
. . . . .
STRONG MOTION (SMI) - RES
15.75
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
----=------------
Permit Fee Total
----------
1252.66
-------------------------------
.00 .00
1252.66
Plan Check Total
161.61
.00 .00
161.61
Other Fee Total
2434.44
.00 .00
2434.44
Grand Total
3848.71
.00 .00
3848.71
y
LQPERMIT '