05-3942 (SFD) Revision 1Ij N
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
05-00003942
X46686 BRADSHAW TR
643-170-999=63 -31348 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
192449
- T-,,dy 4 4 Q"
BUILDING &.SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE 200
DETACHED LA QUINTA, CA 92253
Architect or Engineer:
1) Ilk
------------------
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 LicenseNo.: 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 1 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. , B.&P.C. for this reason
ate: 9
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.I.
Lender's Name:
Lender's Address:
LZ
LQPERMIT
Contractor:
ASARO BUILDERS,
42220 GREEN WAY,
PALM DESERT, CA
(760)776-0043
Lic. No.: 588920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/12/06
D1 &13
INC.
H `'1AY1
82
006
92211
CFfQlll4t
D
1
------ �------------------------------
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
I 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,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the LaOdf�ICt�S►'mykofj',hw*i 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 applic ion and state that the above information is correct. I agree to comply with all
city and co y ordinances and to laws relating to construction, and hereby authorize representatives
of ' nt to enter upo a above.mention do urp s.
ate. ignature (Applicant or Agent): )*Ill�
Application Number . . . . 05-00003942
------ Structure Information 3136 SQ. FT SFD MODEL D-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
240.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3136.00
Permit .. . .
BUILDING PERMIT
Additional desc .
--y Permit Fee . . . .
965.00 Plm-n Check Fee
156.81
Issue Date . . . .
2/14/06 Valuation
192449
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
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
7 -------------------------------
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
LQkRMIT
Application Number . . . 05-00003942
Permit . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per
Extension
3136.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
109.76
504.00 .0200. ELEC GARAGE OR NON-RESIDENTIAL
10.08
1.00 15.0000 EA ELEC TEMPORARY POWER POLE
-------------------7--------------------------------------------------------
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 63, PLAN D1 -R,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 _ .
r
LQPERMIT
Application Number
. . . . .
05-OOOb3942
-----------------------------7----------------------------------------------
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
P1an.Check Total
183.99
183.99 .00
.00
Other Fee Total
2444.42
2439.92 .00
4.50
Grand Tital
4043.25
4038.75 .0c-
4.50
r
LQPERMIT