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06-3629 (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: 0�� 06-00_003629± 46614 BRADSHAW TR 643-170-999-60 -31348 - DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 173868 Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PH RANCH LLC 78370 HIGHWAY 111 STE 200 DETACHED LA QUINTA, CA 92253 rchitect or Engineer: 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: 13 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 _ 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.). (�) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The actors' State ense w does not apply to an owner of property who builds or improves thereon, nd who ntracts for a ojects with a contractor(s) licensed pursuant to the Contractors' St a Li n Law.). (_) I am exempt under Sec. , 8.&P. for this reason CONSTRUCTION LENDINGENCY 1 hereby affirm under penalty of perjury that there is a construction lending JUgency 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: 10/11/06 Contractor: D ° ASARO BUILDERS, INC. 42220 GREEN WAY, H NOV 13 2006 PALM DESERT, CA 92211 (760)776-0043 Lic. No.: 588920 CITY OFLAQUINTA 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 rZ420506 ed by Section 3700 of the Labor .Code, for the performance of the work for which this permisued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 900 certify that, in the performance of the work for whic t is p rmit is issued, I shall not employ any person in any manner so as become subject to [ e OrEs' is laws of California, and agree that, if I shout ecom b'ect to the w rk compensation provisions of Section 9 I 3700 of the jebe(Cod , I shall forth ' h comply ith ose provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOiIEWS RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE O CRIMIN L PENALTIES AND CIV"IF I UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001 IN AODITIO O THE COST OF COM ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COD , INTEREST, AND ATT O FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions sot 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 s a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemni and hold harmless the City of La Quinta, its officers, agents and employees for any act or omissio related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicatio eco null and vo' if work is not commenced within 180 days from date of issuance of s h permit, o es io of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and st a th t e above informatio ' orrect. I agree to comply with all city and county ordinances and smote laws rel ing to (ding construction, n reby authorize representatives of this _county to enter uporj. f above -menti ed prop ty for inspection pur se (Applicant or AbLent): I \ c. - Application Number . . . . . 06-00003629 ------ 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 584.^3 Issue Date Valuation . . 173868 Expiration Date 4/09/07 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 . . . . Valuation . . . . 0 Expiration Date . . 4/09/07 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 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 LQPERn4IT ELEC-NEW RESIDENTIAL 138.08 Plan Check Fee 4/09/07 Valuation Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 34.52 0 Extension 15.00 98.00 �4 y Application Number . . . . . 06-00003629 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 . . . . Valuation . . . . 0 Expiration Date 4/09/07 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 . . . . Valuation . . . . 0 Expiration Date 4/09/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 60, PLAN B2, 2800 SF. PERMIT DOES NOT INCLUDE BLOCK WALL , POOL,SPA OR DRIVE WAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 CHANGE OF CONTRACTOR 4.50 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 58.40 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 LQPERMIT Application Number . . . . . 06-00003629 ---------------------------------------------------------------------------- Other Fees . . . . . . ... . DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00. STRONG MOTION (SMI) - RES 17.38 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1327.83 -------------------- .00 ---------- .00 1327.83 Plan Check Total .689.68 .00 .00 689.68 Other Fee Total 4555.28 .00 .00 4555.28 Grand Total 6572.79 .00 .00 6572.79 LQPERMIT