05-3940 (SFD)AV
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Numher: `0S-00003940_
Property Address: 46494 BRADSHAW TR
APN: 643-70 -99 -55 -31348 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 192449
Applicant: Architect or Engineer:
a --
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/12/06
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE 200
LA QUINTA, CA 92253
;D e
Contractor: 1 ;;�� 1 8 2006
ASARO BUILDERS, INC.
42220 GREEN WAY, H CITY OF LA QUINT/
PALM DESERT, CA 92'211 FINANCE DEPT.
(760)776-0043
Lic. No.': 588920
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--------------------------------------------------------- ---- 'oQ
-----------------------------
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70001 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, 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 Cade: 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
Date:/� V 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:
LQPERMIT
WORKER'S COMPENSATION DECLARATION
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 so as to become subject to the workers' compensation laws of California,
Iaid agree th , ' uld become subject to the workers' compensation provisions of Section
}� 20 Af the LQYo1XgVbI $fiMVor%hwip+k comply with those provisions.
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 county ordinances and state laws relating to buil ing construct c, and hereby authorize representatives
of t ' nt�o nt upon t above-mentione i e ion rposes.�
Date. 6 ature (Applicant or Agentl:
I -
LQPERMIT ,
Application Number.
05-00003940
------ Structure Information
3136 SQ. FT STD MODEL D-1
-----
Construction Type . ...
. . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood'Zone
NON -AO FLOOD ZONE
Other stiuct info
CODE EDITION 2001 CBC
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
504.00
PATIO SQ FTG
240.0.0
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST. FLOOR SQUARE FOOTAGE.
3136.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee-.
965.00 Plan Check Fee -s".
156.81
Issue Date
2/14/06 Valuation
192-449
Expiration Date
8/13/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
93.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
325.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . .
108.00 Plan Check Fee
6.75
Issue Date . . . .
2/14/06 Valuation . . . .
0
Expiration'Date
8/13/06
v
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
.00 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
.00
5.00 6.5000
EA MECH VENT FAN
32.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
149.84 Plan Check Fee
9.37
Issue Date . . . .
2/14/06 Valuation . . . .
0
Expiration Date
8/13/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
LQPERMIT ,
Application Number .
. . . . 05-00003940
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge,
Per
Extension
3136.00 .0350
ELEC NEW RES - L OR 2 FAMILY
109.76
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 . . . .
177.00 Plan Check Fee.
11.06
Issue Date . . . .
2/14/06 Valuation . . . .
0
Expiration Date
8/13/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
�+- 16.00 6.0000
EA PLB FIXTURE -
96.00
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
4.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
12.00
6.00 .7500
EA PLB GAS PIPE >=5
.4.50
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 . . . .
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 55, PLAN D1,3136
sq.ft.
PERMIT DOES NOT.INCLUDE POOL, SPA,BLOCK
WALLS OR DRIVEWAY APPROACH. 75%
REDUCTION TO PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE OF
SAME PLAN TYPE
***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
LQPERMIT
gy y
Application Number
. . . . .
05-00003940
----------------------------------------------------------------------------
Other Fees . . . .
. . . . .
ENERGY REVIEW FEE
15.68
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
STRONG MOTION (SMI) - RES
19..24
DIF STREET MAINT FAC-RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
--
Due
-- - - - - --
----------- - - - - --
Permit Fee Total
---- - - - - --
1414.84
---- - - - - ------ - - -- --
1414.84 .00
.00
Plan Check Total
183.99
183.99 .00
.00
Other Fee Total
2444.42
2439.92 .00
4.50
--� Grand Total
404'=.,25
4038.75 .00
4.50
LQPERMIT
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'
-Certificate to of Occupancy
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IMG^'
OF'I9� Building & Safety Department-
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This Certificate is issued pursuant to the requirements of Section 109 of the California Building
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
construction and/or use.
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BUILDING ADDRESS: 46-494 BRADSHAW TR
Use classification: SFD Building Permit No.: 05-3940
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Occupancy Group: R3U1 Type of Construction: VN Land Use Zone: RL
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Owner of Building: PH RANCH LLC Address:78-150 CALLE TAMPICO #101
City, ST, ZIP: LA QUINTA CA 92253
Al By: KIRK KIRKLAND
V
Date: 09-14-07
'
Building Official
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POST IN A CONSPICUOUS PLACE
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