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05-3159 (SFD)4 PA BOX 1504 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: 7/22/05 Application Number: k05-00003159 Owner: Property Address: 81657�HIDDEN-LINKS DR DESERT ELITE, INC. APN: 767-200-999-29 -312022- 78401 HIGHWAY 111 D Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL c� Application valuation: 185831 AUG 2 Contractor: CITY of LA OHINTA Applicant: Architect or Engineer: HERINGTON DEVELOPMENT, JAMES O FIIdAiVC� DEBT. � il�a��c� !`��,� 40960 CALIFORNIA OAKS RD, #283 <� MURRIETA, CA 92562 3 (951) 677-8415 Lic. No.: 753190 ------------------- U&SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that li nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business n Pilqfessionals Code, and my License is in full force and effect. License Clas B License No.: 753190 ate:actor: VY/ WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that m 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 (5500).: (_) 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 1, 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 contractors) 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: tt� Lender's Address: tV a LQPERMIT ----------------------------------------------- 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. Il 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 k Policy Number 1542746 1 certify that, in the perform a the work for which this permit is issued, I shall not employ any person in any manner so ecome subject to the workers' compensation laws of California, and agree that, if I should c e subject to the workers' compensation provisions of Section 700 of the.Labor Code, s I the comply with those provisions. ,frt�� d l . Applicant: WARNING: FAILURE TO SECURE WOR R ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 uch 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 above information is correct. I agree to comply with all city and county ordinances and st to laws relating to bu in onstruction, and hereby authorize representatives of this ca ty t nter upon above-mentioned prope f nspection purposes. �eC / ignature (Applicant or Agent): Application Number . . . . . 05-09003159 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 # BEDROOMS 6.00 FIRE SPRINKLERS NO GARAGE SQ FTG 486.00 PATIO SQ FTG 183.00 NUMBER OF UNITS 1.00 ---------------7------------------------------------------------------------ 1ST FLOOR SQUARE FOOTAGE 3180.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 940.50 Plan Check Fee 611.33 Issue Date. . . . . Valuation . . . . 185831 Expiration Date . . 1/18/06 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 3.5000 THOU BLDG 100,001-500,000 301.00 ---------------------------------------------------------------------------- C Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/18/06 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 136.02 Plan Check Fee 34.01 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 3180.00 .0350 ELEC NEW RES -'•1 OR 2 FAMILY 111.30 486.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.72 Permit . . . . . . PLUMBING LQPERMIT .Application Number _ . . _ . 05-00003159 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 206.25 Plan Check Fee 51.56 Issue Date . . . . Valuation . . . . 0 Expiration Date . . . 1/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 15.0000.EA PLB BUILDING SEWER 15.00 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 . . . MECHANICAL Additional desc . Permit Fee . . . . 127.50 Plan Check Fee 31.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/18/06 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 _ 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 29. PLAN TYPE 4YJR - W/ OPTIONAL GUEST SUITE, 3180 SQ.FT. LIVING, R-3 OCCUPANCY, TYPE V -N CONSTRUCTION, 2001 ' CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------= Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 61.13 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 18.46 , DIF STREET MAINT FAC -RES' 15.00 DIF TRANSPORTATION - RES 1098.00 LQPERMIT Application Nnmher . . . . . n5-nnnnii59 Fee summary Charged Paid Credited Due ------------------ Permit Fee Total ---------- 1425.27 ---------- .00 ---------- .00 ---------- 1425.27 Plan Check Total 728.78 .00 .00 728.78 Other Fee-Total 2484.59 .00 .00 2484.59 Grand Total 4638.64 .00 .00 4638.64