05-4520 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 05-00004520
Property Address: 81792 CONTENTO
APN: 767-200-011-5 -318742-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 191320
Architect 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 he Business and Profes 'ovals Coke, and my License is in full force and effect.
License Class'. B e N 4 7
Date: ( 19 Contractor:
" OW E -BU LD DECLARATION
1 hereby affirm under penalty of perjury that I am a pt 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 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 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
Date: 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:
LQPERMff
Owner:
TAYLOR.WOODROW, HOMES, INC.
15 CUSHING
IRVINE, CA 92618
(341)000-1200
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/07/05
Contractor:
TAYLOR WOODROW HOMES INC �JAN
15 CUSHING
IRVINE, CA 92618
(760)275-0598
LiC. No.: 352047 1 9 106
CITY OF LA Om., _
-----------------------------------------
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.
L1__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 LIBERTY MUTUAL Policy Number WA76SD283614055
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 sob. �ct to he workers' compensation provisions of Section
3700 of the a�Code I shall forthwitii`s plyt e provisions.of te: — Applicant
WARNING: FAILURE TO SECURE WORK RS C P TION COV
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 inf tion is correct. I agree to comply with all
city and county ordinances and stale laws relating to building construc and h b�representativesof�this county Joo enter upon a ab ve-men ' d pro rty for inspection pu sDate: �9 V ignature (Applicant or Agent
Application Number . . . . . 05-00004520
Permit
BUILDING PERMIT
Additional
desc'. .
Permit Fee
. . . .
961.50
Plan Check Fee
156.25
Issue Date
. . . .
Valuation . . . .
191320
Expiration
Date
4/05/06
Qty Unit Charge
.Per
Extension
BASE
FEE
639.50
92.00
--------------------------------------------------------------7-------------
3.5000
THOU BLDG
100,001-500,000
322.00
Permit
MECHANICAL
Additional
desc . .
Permit Fee
. . . .
108.00
Plan Check Fee
6.75
Issue Date
. . . .
Valuation
0
Expiration
Date
4/05/06
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
6.00
----------------------------------------------------------------------------
6.5000
EA MECH
VENT FAN
39.00
PermitELEC-NEW
RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
134.85
Plan Check Fee
8.43
Issue Date
. . . .
Valuation
0
Expiration
Date . .
4/05/06
Qty Unit Charge
Per
Extension
'
BASE
FEE
15.00
3047.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
106.65
660.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.20
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
174.75
Plan Check Fee
10.92
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
4/05/06
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
LQPERMTT
Application Number . . . . . 05-00004520
Permit . . . . . PLUMBING
Qty Unit Charge
Per
Extension
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
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 . .
4/05/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 5, PLAN 4A,
3047 SF. 2001
CODES. PERMIT DOES -NOT INCLUDE BLOCK
WALLS, POOL, SPA OR DRIVEWAY APPROACH.
75% REDUCTION TO PLAN
CHECK FEES DUE TO
MULTIPLE ISSUANCE OF
SAME PLAN TYPE
--------------------------
Other Fees . . . . .
------------------------------------
. . . . DIF COMMUNITY CENTERS -RES
--------------
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
15.63
DIF FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
19.13
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total
1394.10 .00 .00
.1394.10
Plan Check Total
182.35 .00 .00
182.35
Other Fee Total
2439.76 .00 .00
2439.76
Grand Total
4016.21 .00 .00
4016.21
LQPERMIT
GENERAL CONFORMANCE TO W O R K I N G
D R A W 1 N G 5- F I N A L
date: 4/25/06
obsertation report date: 4/20/06
observation report*: 15
to: Mr. Mike McBride
client: Taylor Woodrow Homes
project name: Carmela
track / phase / lot: 31874-2 / 3 / 5
� I _- ?`T Z G�nrienrTv
The above mentioned structure is in general conformance with the intent of
the city approved structural plans. This "Final Conformance" does not include
any exclusions listed below and conditions which are performed after our final
walk-through. These conditions are, but not limited to, hardware removed
during straight edging of walls and ceilings, cut-outs in the shear walls by the
subcontractors, and removal of any transfer element by the subcontractors_
The client agrees to indemnify our firm from any liability related to these
conditions.
This "Final Conformance" is being provided based on the fact that all items
detailed in the above mentioned report have been corrected, observed, and
signed off by our representative. This acknowledgement provided by our firm
does not relieve the contractors et. al. (general contractor, sub -contractors,
material persons) from their responsibility to adhere to the city approved plans
and specifications.
The client acknowledges this observation service does not constitute an
issuance of a warranty or guarantee of any type.
exclusions: 1) This "Final Conformance" does not acknowledge or include the review of
services/reports provided by the client's deputy inspector.
2) This "Final Conformance" is being issued based on the fact that the
corrections were confirmed by the site manager and not by our firm.
• 14262 FRA VKLIN AVE • SUITE 110 • TUSTIN • CA • 92780- (714) 838-2818 • FAX (714) 838-2292 • www,INFINnfY-DESIGNISROURCOM -
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