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05-3937 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00003937 46350 BRADSHAW TR 643-170-999-49 -31348 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 197518 Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PT. HAPPY RANCH 78-570 HWY 111 DETACHED LA QUINTA, CA 92253 Architect or Engineer: a 14 Contractor: ASARO BUILDERS, INC. 42220 GREEN WAY, H -ALM DESERT, CA 92211 (760)776-0043 . Lic. No.: 588920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/06 D � u 2006 CDTy fie. p a , r.►TE� -i E 2 Mt_- +0 _-2ib D CoM r►ZF�L-�o� ------------------------------------------------------------------------------------------------ - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B License No.: 588920 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 229002420506 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit tocertify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stateandc� agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or �•� 371(lct the o i ot4kwithoomply with those provisions. 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 dollac&.1$500).: (_ 1 1, 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^'� exempt unyr Sec. , BAP.C. for this reason Date: + caner: 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 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 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 1 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 b i in onstr ion,Md hereby authorize representatives wp,�� y toA�ignature a above•mentins us. (Applicant or Agent): o in Application Number . . . . . 05-00003937 ------ Structure Information 3189 SQ. FT.SFD OPTION-1,MODEL7A ----- Construction Type TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 633.00 PATIO SQ FTG 203.00 NUMBER OF UNITS• 1.00 ----------------- ---------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3189.00- 189.00'-----------------=---------------------------------------------------------- Permit . . . Permit BUILDING PERMIT Additional desc . . -- Permit Fee . . . . 982.50 Plan Check Fee 638.63 �- Issue Date . . . . 2/14/06 Valuation . . . . 197518' Expiration Date 8/13/06 Qty Unit Charge Per Extension BASE FEE 639.50 98.00. 3.5000.THOU ---------------------------------------------------------------------------- BLDG 100,001-500,000 343.00 Permit . . . MECHANICAL Additional aesc . Permit Fee . . . . 114.50 Plan Check Fee 28.63 Issue Date . . . . 2/14/06 Valuation . . . . 0 Expiration Date 8/13/06 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 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 318.9.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL 154.28 Plan Check Fee . 2/14/06 Valuation 8/13/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 38.57 0 Extension 15.00 111.62 v Application Number . . . . . 05-00003937 Permit . ... . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 633.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.66 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 210.75 Plan Check Fee 52.69 Issue Date . . . . 2/14/06 Valuation . . . . 0 Expiration Date 8/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 -=5.0000 EA PLB-BUILDING SEWER 15.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 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 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . 2/.14/06 Valuation . . . . 0 Expiration Date 8/13/06 Qty Unit Charge Per- Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 49, PLAN Al, 3189 SF. PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. ***CHANGE OF CONTRACTOR PER ED ALDERSON AS OF, 5/8/06*** - ---------------=----------- Other Fees . . . . ------------------------------------ . . . . ART IN PUBLIC PLACES -RES ------------ .00 _ CHANGE OF CONTRACTOR 4.50 _ DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 63.86 DIF FIRE PROTECTION -RES, 97.00 GRADING PLAN CHECK FEE .00. LQPERMIT LQPERMIT Application Number . . . . . 05-00003937 ----------------------------------- Other Fees . . . . . . . . . ----------------------------------------- .DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC'- RES 5.00 DIF PARKS/REC - RES 502.00 - STRONG MOTION (SMI) - RES 19.75 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged. ---------- Paid Credited ------------------------------ Due_ Permit Fee Total 1477.03 1477.03 .00 .00 Plan Check Total 758.52 758.52 .00 .00 Other Fee Total 2493.11 2488.61 .00 4.50 Grand Total 4728.66 4724.16 .00 4.50 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�v 4 4z4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00003937 Property Address: 46350`BRADSHAW7TR APN:• 643-170-999-49 -31348 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 197518 �n\ Applicant:rch•tect or E >/e 4 v \d -------------------------------- LICENSED CONTRACTOR'S DECLARA--TION -- - - - - ---- 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 Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 482086 Date: Contractor: OWNER -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).: (_ 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 J improve for the purpose of sale.). ( n) 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 CONSTRUCTION LENDING AGENCY 1 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: AMA Lender's Address: A LQPERMIT Owner: PT. HAPPY RANCH 78-570 HWY 111 LA QUINTA, CA 92253 Contractor: EHLINE COMPANY 55375 MEDALLIST DR LA QUINTA, CA 92253 (760)771-8130 Lic. No.: 482086 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/09/05 WORKER'S COMPENSATION DECLARATION 1 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. C) 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 1814972 V 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any �C 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 1 _ , 137QO of the�ll foLthv4ttkcomply with those provisions. L i 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 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 the above information is correct. I agree to comply with all city and ount ordinances and state laws relating to building nst uction, and hereby authorize representatives of//tshr this c umy t r upon th ove-ment ned. rq rt s t ion purposes. 9aie,!-I nature (Applicant or Age LQPERMIT Application Number. . . . 05-00003937 ------ Structure Information 3189 SQ. FT.SFD.OPTION-1,MODEL-A ----- 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 633.00 PATIO SQ FTG 203.00 NUMBER OF UNITS 1.00 --------=------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3189.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 982.50 Plan Check Fee .. 638.63 Issue Date . . . . Valuation 197518 Expiration Date 3/08/06 Qty Unit Charge Per Extension BASE FEE 639.50 98.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 343.00 Permit . . . MECHANICAL Additional desc . Permit Fee 114.50 Plan Check Fee 28.63 Issue Date Valuation . . . . 0 Expiration Date 3/08/06 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 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 154.28 Plan Check Fee 38.57 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/08/06 Qty. Unit Charge Per Extension BASE.FEE 15.00 3189.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.62 LQPERMIT lrr LQPERMIT Application Number . . . . . 05-00003937 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 633.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.66 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . Permit Fee . . . . 210.75 Plan Check Fee 52.69 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/08/06 Qty Unit Charge Per BASE FEE Extension ---------------------------------------------------------------------------- Special Notes and Comments , 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 6.0000 EA PLB ROOF DRAIN 12.00 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 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 ---------------------------------------------------------------------------- 15.0000 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 . . 3/08/06 Qty . Unit Charge Per Extension BASE FEE 15.00. ---------------------------------------------------------------------------- Special Notes and Comments , SFD - LOT 49, PLAN Al, 3189 SF. PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE. 63.86 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 W LQPERMIT Application Number 05-00003937 -7 --------------------------------------------------------------------- Other'Fees . . . . . . . . . STRONG MOTION (SMI) - RES 19.75 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 - Fee. summary ----------------- Charged ---------- - Paid Credited ------------------------------ Due Permit Fee Total 1477.03 .00 .00 1477.03 Plan Check Total 758.52 .00 .00 758..52- 58..52Other OtherFee Total 2488.61 .00 .00 2488.61 Grand Total 4724.16 .00 .00 4724.16 W LQPERMIT ��-� Certificate of Occupancy0 F 14 � ui�cv jaco �R17ID ��"' G� OFBuilding Y p & Safety Department 4 This Certificate is issued pursuant to the requirements of Section 109 of the California Building t Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building E f construction and/or use. BUILDING ADDRESS: 46-350 BRADSHAW TRAIL i r Use classification: SFD Building Permit No.: 05-3937 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: PH RANCH LLC Address: 46-350 BRADSHAW TRAIL City, ST, ZIP: LA QUINTA CA 92253 a't^'t By: KIRK KIRKLAND Date: MAY 9, 2008 Building Official POST IN A CONSPICUOUS PLACE