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05-3415 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tjbt 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00003415 Property Address: �81904`CONTENTO APN: 767-200-011-16 -318741- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 176769 Applicant: 1._�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 ode, and my License is in full force and effect. License Class: B seN 352047 tractor: / OWN-)1BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's St to 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: 11 Lender's Address: LQPERMIT Owner: TAYLOR WOODROW HOMES, INC. 15 CUSHING IRVINE, CA 92618 (341)000-1200 Contractor: TAYLOR-WOODROW HOMES INC 15 CUSHING IRVINE, CA 92618 (760)275-0598 Lic. No.: 352047 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/03/05 D Q � AUG 0 8 2005 CITY OF LA QUINTA FINANCE DEPT. ------------------ 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 LIBERTY MUTUAL Policy Number WA765D283614055 _ 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 ,r 3700 of the Labor Code, I shall it grth ith omp with those pr visions. at plicant: '`— WARNING: FAILURE TO SECURE WO ER§;.eOMPENSATION COVERAGE IS UN FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE UNDRED 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 building construction, and h by authorize representatives of this county to enter upon the above-mentioned prope pe ,,6a�S' ture (Applicant or Agent): / Application Number . . . . . 05-00003415 Permit . . . BUILDING PERMIT 6.0000 Additional desc . FIXTURE 1.00 15.0000 Permit Fee PLB 909.00 Plan Check Fee 147.71 Issue Date . . . . WATER HEATER/VENT Valuation . . . . 176769 Expiration Date . . P 1/30/06 Qty Unit Charge Per Extension BASE FEE639.50 77.00 ---------------------------------------------------------------------------- 3..5000 THOU BLDG 100,001-500,000 269.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation 0 Expiration Date 1/30/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 5.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 32.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 125.35 Plan Check Fee 7.84 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/30%06 Qty Unit Charge Per Extension BASE FEE 15.00 2754.00 .0350 ELEC.NEW RES - 1 OR 2 FAMILY 96.39 698.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.96 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 166.50 Issue Date . . . . Expiration Date . . 1/30/06 Qty Unit Charge Per Plan Check Fee . . Valuation . . . . LQPERMIT 10.41 0 Extension 15.00 96.00 15.00 7.50 3.00 BASE FEE 16.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 1.00 7.5000 EA PLB WATER HEATER/VENT 1.00 3.0000 EA PLB WATER INST/ALT/REP LQPERMIT 10.41 0 Extension 15.00 96.00 15.00 7.50 3.00 Application Number 05-00003415 Permit . . . . . . PLUMBING - Qty Unit Charge Per Extension 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 1/30/06 Qty Unit Charge Per Extension BASE FEE - 15.00 --------------=---------------------------------------------- Special Notes and Comments -------------- SFD -LOT 16 PLAN 2C, 2754 SF 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 14.77 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 17.67 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 1281.35 .00 .00 1281.35 Plan Check Total '170.06 .00 .00 170.06 Other. Fee Total 2437.44 .00 .00 2437.44 Grand Total 3888.85 .00 .00 3888.85 LQrERMrr 1p TFP\,TY WA�I� TOT, i 14 �O o1 La. Ar. 00100ft fox .............