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05-3334 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: r05-00003334 J Property Address: 4'6374 BRADSHAW TR APN: 643-170-999-50 -31348 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 233708 Applicant: Architect or Engineer: Roy Astec, A R -c A tec'T,s r _ nl�cr y 0-7 UfC 9TqR�� DECLARATION.I hereby affirm under penalty of perjur that 1 aions of Chapter 9 (commencing with4 Section 7000) of Division 3 of the B i s,and my License is in full force and effect.License aasB .: 588920 Date: �fL� 27 Contractor L<- Y OWNER-SplybER DECLARATION I hereby affirm under penalty of perjury that I am exempt Wm 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 J improve for the purpose of sale.). ( ^) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contract s' State License Law does not apply to an owner of ' property who builds or improves thereon, and who co racts fff r the projects with a contractor(s) licensed pursuant to the Contractors' State icen N Law. I. YPLL / I—) I am exempt under Sec. P.0 f`1r this reas ate: I V O fir: CONSTRUCT! O LENDING AGENCY I hereby affirm under penalty of perjury that there is a constru ion 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 a Date: 5/22/06 Owner: PH RANCH LLC 78370 HIGHWAY 111 STE 200 LA QUINTA, CA 9225 - o L a �i Contractor: SEP 2 6 2006 ASARO BUILDERS, INF. 42220 GREEN WAY,H CITY OF LA QUINTA PALM DESERT, CA All FINANCE DEPT. (760)776-0043 LiC. No.: 588920 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 policy number are: Carrier STATE FUND Policy Number 229002420506 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner o to beco� Vesubject to the workers' compensation laws of California, and agree that, if sh uld b ome suto the workers' compensation provisions of Section 3700 of the La or Code, I sh forthcomply with those provisions. WARNING: FAILURE TO SIFCURE&ORKERS'OfAPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PEN IES\AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 r cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and s to at a ab ve i o matio s correct. I agree to comply with all city and coun��enitnearupon ces and state laws re ting t wilding onstru ti ,and hereby authorize representatives of �.;� the above -men oned pr erty for i s c n purposes. S' ature (Applican or Agent): r. ki- Application Number . . . . . 05-00003334 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1108.50 Plan Check Fee 720.53 Issue Date . . . . Valuation . . . . 233708 Expiration Date 11/18/06 , Qty Unit Charge Per Extension ' BASE FEE 639.50 134.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG•100,001-500,000 469.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 103.00 Plan Check Fee 25.75 Issue Date . . . . Valuation . . : 0. Expiration Date 11/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 ------------------------------------------ 6.5000 EA MECH EXHAUST HOOD --------------------------------- 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 162.88 Plan Check Fee 40.72 Issue Date . . . Valuation . . . . 0 Expiration Date 11/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 3808.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 133.28 730.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.60 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 199.50 Plan Check Fee 49.88 Issue Date Valuation . . . . 0 Expiration Date 11/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application Number . . . . . 05-00003334 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 10.00 .7500 EA PLB GAS PIPE >=5 7.50 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 11/18/06 Qty • Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------- Special Notes and Comments - SFD - PLAN "CII -3808 SF LIVING (INCL. GUEST CASITA) R-3 OCCUPANCY, TYPE V -N CONSTRUCTION. 2001 CODES, 2004 CEC AND 2005 CODE UPDATES. PERMIT DOES NOT INCLUDE TEMPORARY POWER, BLOCK WALLS, POOL, & SPA. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 84.27 DIF COMMUNITY CENTERS -RES. 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 72.05 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 23.37 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 1588.88' .00 .00 1588.88 Plan Check Total 836.88 .00 .00 836.88 Other Fee"Total 3875.69 .00 .00 3875.69 Grand Total 6301.45 .00 .00 6301.45 I LQPERMIT