06-1826 (SFD)�r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 106-00001826
T4ht 4 * 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Property Address: 46422 BRADSHAW TR
APN: 643-170-999-52 -31348 -
Application description: DWELLING - SINGLE FAMILY DETACHED ,
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 233708
Applicant: 'eArchitect or Engineer:
.(2.oyA�to �ti i�ec«
23350 y��1
--------------------------------------------------
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 Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 588920
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
improve for the purpose of sale.).
1 I, as owner of the property, am excl ly contracting with licensed contractors to construct the project ISec.
7044, Business and Professio Cod The C ors' State License Law does not apply to an owner of
property who builds or imp, es there , a who co acts for the projects with a contractor(s) licensed
pursuant to the Contractors State Lice a w.l.
(_ 1 I a exe pt under Sec. , B.&P.C. o this reason
f
Date:b wn
CONSPRUCTION LENDING
I hereby affirm under penalty of perjury that there is a construction lending
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _l
Lender's Address:
LQPERMIT
performance of the
Owner:
PH RANCH LLC
78370 HIGHWAY
LA QUINTA, CA
111 STE 200
92253
Contractor:
ASARO BUILDERS, INC
42220 GREEN WAY, H
PALM DEGE'RT, CA 922
(760)776-0043
Lic. No.: 588920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/22/06
SEP 2 6 2006
1 CITY OF LA QUINTA
FINANCE DEPT.
-----------------------------------------------
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 —229002'42050
I certify that, ihgolperf rman ark for w is t thisogrermit is issued, I shall not employ any
person in any anner o to become 'ect t
tl a orkerscompensation laws of California,
and agreeth , if I sho I become subject t he ers' compensation provisions of Section
3700 of the abor Cod I shall forthwith cam
th those provisions.
ate: 06 cln,
WARNING: FAILURE TO SECURE WO ERS' COMPENSATIOOVERAGE
IS UNLAWFUL, AND SHALL.
SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVI
INES;UP TO ONE HUNDRED THOUSAND
DOLLARS J$11 00,000). IN ADDITION THE COST OF COMPEION,
DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN
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 issuanc 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. hat the bove information i orrect. I agree to comply with all
city and county ordinances and state laws relating to buildi co ruction, an + ereby authorize representatives
of this c unty lo enter upon the above-mentioned property f i pe ' n purp se .
Date: I� Signature (Applicant or Age ):
N
Application Number . . . . . 06-00001826
Permit .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee
1108.50
Plan Check Fee
180.13
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
6.44
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
10.18
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
12.50
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
f
LQPERMIT
Application Number . . . . . 06-00001826
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
' Exte:.:sion
BASE FEE
15.00
---------------------------=------------------------------------------------
Special Notes and Comments.
SFD - PLAN ."C" LOT 52, 3808 SF (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. 75%
REDUCTION TO PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
84.27.
l DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
18.01
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 209.25 .00 .00
209.25
Other Fee Total 3821.65 .00 00
3821.65
Grand Total 5619.78 .00 .00
5619.78
LQPERMIT