06-1828 (SFD)k,
s
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: X06-1828}
Property Address: 46710—BRADSHAW TR
APN: 6437170-999-64 -31348 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 233708
Applicant: rchitect or Engineer:
1
Nr.. C-7-0354>
--------------------------- ------------------------
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.
Li ense Class: B License No.: 588920
te: - ractor:
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 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.).
( —iF 1, as owner of the property, am exclusively contracting wi licensed contra tors to construct the project (Sec.
7044, Business and Professions Code: The Contrac ors tate Licen Law does not apply to an owner of
property who builds ori rov thereon, and who ontra s fort projects with a contractor(s) licensed
pursuant to the ContOr i ars' St a License Law.).
(_ I I am exempt under Sec. .iifor this r son
C.V
CONSTRUCTION LEN ING AdNCY
I hereby affirm under penalty of perjury that ere is a construction le ding age)cy for the performance of the
work for which this permit is issued (Sec. 3097, Civ: C.).
Lender's Name:
Lender's Addresss: ►��
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/22/06
Owner:
PH RANCH LLC.
78370 HIGHWAY 111 STE 200
LA QUINTA, CA 92253
Contractor:
ASARO BUILDERS, INC. SEP 2 6 2006
42220 GREEN WAY, H . Pr
PALM DESERT, CA 92211
(760)776-0043
Lic. No.: 588920
--------------- - - -
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 insuranftes
quired by Section 3700 of the Labor
Code, for the performance of the work for which thiis issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 2420,5"0 6
ertify that, in th erfo ance t ork for which this p mit ' issued, I shall not employ any
person in any manners as become bject to th work rs' ompensation laws of California,
S` and agree that/ if I shout come subject thew rkers' o pensation provisions of Section
_ 1 3700 of the Ljabor Code, I hall forthwith co ly ith tho provisions.
WARNING: FAILURE TO SEdURE WORKE S COMPENSATION C VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P LTIES AND CIVIL 1`1 466: UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO TNE 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 ouinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuan is permit.
2. Any permit issued as a result of this applica n becomes null and void if work is not commenced
within 180 days from date of issuance of su permit, or cessation of work for 180 days will subject
permit to cancellation. '
I certify that 1 have read this application and state that the a ve formation is co ect. I agree to comply with all
city and ounty ordinances and state laws 'relating to buildin ons ction, and reby authorize representatives
of this c my o enter upon the above -mer tioned property f nspec ' n purp as. '
te: Si ture (Applicant r Agent):
Application Number . . . . . 06-00001828
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 Cha_ge Per
Extension
BASE FEE
15.00
-----------7-------------------------------------------------7--------------
Special Notes and Comments
SFD - PLAN "C" LOT 64, 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
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 56.19.78 .00 .00
5619.78
LQPERMIT
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Certificate of Occupancy
_-_-=� ot
c� 4.
5w
G� OF�w Building Y p & Safety Department
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.
BUILDING ADDRESS: 46-710 BRADSHAW TRAIL
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-1828
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: PH RANCH, LLC Address: 78-370 HIGHWAY 111, STE. 200
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: DECEMBER 17, 2008
Building Official
POST IN A CONSPICUOUS PLACE