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05-3939 (SFD) Revision 1P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I Application Number: U5-00003939 - Owner: Property Address: 46470 BRADSHAW TR PH RANCH LLC APN: 643-170-99 -54 -31348 - 78370 HIGHWAY 111 STE 200 Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 173868 Contractor: Applicant: Architect or Engineer: ASARO BUILDERS, INC. 42220 GREEN WAY, H PALM DESERT, CA 92211 I� (760)77 Lic. No..:: 588 588920 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).: (_ 1 I, as owner of the property, or my employees with wages as their sale 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.). ( �) 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. T4e+4P..C. for this reason 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/06 DI UU W 181006 CITY OPT.A QUINTA 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 S FUND Policy Number 229002420506 %( Icertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, .��.�//1/ nRagree that, if I should become subject to the workers' compensation provisions of Section y�'.J/ /� 7V(y f the La I hw co ly with those provisions. �l€� Cl� IV cant: WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 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, 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 a unty o dinances and state s c ty to /n(`t upon the lawsnrtelating to ildin Linnscino, and hereby authorize representatives above.m poses. V ure (Applicant or Agen l G� 7 Application Number. . . . . . 05-0000393.9 ------ Structure Information 2800 SQ.FT. SFD MODE- B-1 ----- 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 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 504.00 PATIO SQ FTG 288.00 NUMBER OF UNITS 1.00• ---------------------------------------------------------------------------- 1ST.FLOOR SQUARE FOOTAGE 2800.00 Permit . . . BUILDING PERMIT Additional desc . -- Permit Fee 898.50 Plan Check Fee -- 84.03 Issue Date . . . . 2/14/06 Valuation . . . . 173868 Expiration Date 8/13/06 Qty Unit Charge Per Extension BASE FEE 639.50 74.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 259.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 101.50 Plan Check Fee 25.38 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 <=311P/100K BTU 27.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000.EA ---------------------------------------------------------------------------- MECH EXHAUST HOOD 6.50 Permit . Additional desc . Permit Fee Issue Date . . . . Expiration Date . . Qty Unit Charge 2800.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL 138.08 Plan Check Fee 2/14/06 Valuation 8/13/06 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 34.52 0 Extension 15.00 98.00 3. Application Number . . . . .. 05-00003939 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension •504.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.08 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 174.75 Plan Check Fee 45.75 Issue Date . . . . 2/14/06 Valuation . . . . 0 Expiration Date . .. 8/13/06 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1:-00 15.0000 EA PLB BUILDING SEWER -•- 15.00 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 00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS .00 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 15.0000 ------------------------------------7---------------------------------------- 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 54, PLAN B1 -R, 2800 SF. PERMIT DOES NOT INCLUDE BLOCK WALL , POOL,SPA OR DRIVE WAY 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 58.40 DIF FIRE PROTECTION RES 97.00 GRADING PLAN CHECK FEE .00 LQPERMIT 0 LQPERMIT Application Number . . . . . 05-00003939 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.38 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited -------------------=---------- Due - Permit Fee Total 1327.83 1327.83 .00 .00 Plan Check Total 689.68 689.68 .00 .00 Other Fee Total 2485.28 2480.78 .00 4.50 Grand Total 4502.79 4498.29 .00 4.50 m