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13-0754 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000754 Property Address: 78310 BIRKDALE CT APN: 770-280-009- - - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 463196 Applicant: (-o NT a/� c i o o T4'it J BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HOPWOOD US INVESTMENTS, L.P. P.O. BOX 356 DETACHED LA QUINTA, CA 92253 (760)880-1761 ED / Architect ,or1 Engineer: Lic. No.: OOR SQUARE FOOT 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 Busin and Pr ssionals Code, and my License is in full force and effect. License Class: B License No.: 799449 Date: f'fqn Contractor: WNER-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).: 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.l. (_ 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 _ 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: LQPERM IT Contractor: JACOBS HOMES INC, P.O. BOX 356 LA QUINTA, CA 922 (760)777-9921 Lic. No.: 799449 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 SEP 05 2013 Date: 9/05/13 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. rY� 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 901363313 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any ma*RKERS-fo-PENISATION ubject to the workers' compensation laws of California, and agree that, ict to the workers' compensation provisions of Section /� 3700 of the Labith comply with those provisions. Date: ✓ Applicant: WARNING: FAILURE TO SECURNSATION 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 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 per it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab d s correct. I agree to comply with all city and county ordinances and state laws relating to buildi od hereby authorize representatives of this cppcopounty to enter upon the above-mentioned propert oses. Date: J Signature (Applicant or Agent): Application Number . . . . . 13-00000754 Permit . . . BUILDING 2013 Additional desc . Permit Fee 1000.00 Plan Check Fee 00 Issue Date . . . . 9/05/13 Valuation 1600000 Expiration Date 3/04/14 Qty Unit Charge Per Extension BASE FEE 1018.16 600.00 ---------------------------------------------------------------------------- .3800 THOU BLDG $1M & GREATER 228.00 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 190.66 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/04/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 1.00 23.8300 EA ELEC SERVICES 23.83 1.00 ---------------------------------------------------------------------------- 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . 405.20 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/04/14 Qty Unit Charge. Per Extension 4.00 35.7500 EA MECH FURNACE 143.00 4.00 35.7500 EA MECH CONDENSER/COMP 143..00 9.00 11.9200 EA MECH VENT FAN 107.28 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 Permit PLUMBING 2013 Additional desc . . Permit Fee . . . . 393.35 Plan Check Fee .00 - Issue Date . . . . Valuation . . . . 0 Expiration Date 3/04/14 Qty Unit Charge Per Extension 26.00 11.9200 EA PLBG FIXTURE/TRAP •309.92 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 LQPERMIT Application Number . . . . . 13-00000754 Permit . . . . . . PLUMBING 2013 Qty Unit Charge PerExtension 1.00 11.9200 LS �PLBG GAS SYS, 1-4 OUTLETS •11.92 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments NEW SFD 5342 SQ. FT. WITH 815 SQ. FT. GARAGE AND 385 SQ. FT. PATIO. THIS PERMIT DOES NOT INCLUDE POOL SPA BLOCK WALLS OR DRIVEWAY APPROACH. CONSTRUCTION IS PER 2010 CALIF. BUILDING CODES. August 30, 2013 12:16:03 PM JJOHNSON. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 657.99 BLDG STDS ADMIN (SB1473) 19.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 GRADING PLAN CHECK FEE 22.50 HOURLY PLAN CHECK 588.00 DIF LIBRARIES - RES 344.00 MULTI -SPECIES (MSHCP) FEE 531.00 PLAN CHECK, ELECTRICAL 35.75 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 243.11 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 388.57 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1804.78 STRONG MOTION (SMI) --RES 46.32 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged ----------------- Paid Credited ------------------------------ Due ---------- Permit Fee Total 1989.21 1000.00 .00 989.21 Plan Check Total .00 .00 .00 .00 Other Fee Total 13211.46 .00 .00 13211.46 Grand Total 15200.67 1000.00 .00 14200.67 LQPERAI IT