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04-8378 (SFD)BUILDING & SAFETY DEPARTMENT BD�Sp� 1�0n�� (760) 777-7012 !AQ 95 CALLE TAM'ic FAX (760) 777-7011 A 253 INSPECTION REQUESTS (760) 777-7153 Cf= CEPT. ' BUILDING PERMIT Application Number . . . . �-0470-0008378 1 Date 4/12/05 Property Address . . . . 81644 CHARISMATIC WY APIC: 767-200-999-37 -,312021- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . LOW DENSITY RESIDENTIAL Application valuation . . . . 1.65860 Owner Contractor DESERT.CHEYENNE, INC.. HERINGTON DEVELOPMENT, JAMES 0 7840.:1 HIGHWAY 111, .SUITE G 40960 CALIFORNIA OAKS RD, #283 LA QUINTA CA '92253 MURRIETA CA 92562 (760) 777-9920 (951) 677-8415 WCC: STATE FUND WC: 1.542746 11/01/05 CSLB: 7.5319.0 0.4/30/06 CCC: B , -------------------------- Structure Information --- -------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . NON -AO FLOOD ZONE Other struct info . . . CODE EDITION 2,001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 658.00 PATIO SQ FTG 319.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2'600.00 -------------------------- Permit. . . . . . . ------------------------------------ BUILDING PERMIT Additional desc . Permit Fee . . . . 870.50 Plan Check Fee 565.83 Issue Date Valuation .' 1.65860 Qty Unit Charge Per Extension BASE FEE 639.50 66.00 3.5000 THOU BLDG 100,001-500,000 231.00 Permit -. . . . MECHANICAL Additional desc . Permit Fee 910.00 Plan Check Fee 22.50 Issue Date . . . . Valuation . . . . 0. Qty Unit Charge Per Extension BASE FEE 15.00 .2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH.B/C <=3HP/100K BTU 18:00 5.00 6..5000 EA MECH VENT FAN 32.50 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tar BUILDING & SAFETY DEPARTMENT VOICE (760) 77.7-7012 FAX (760) 777-7011 INSPECTIONS (7'6'0) 777-7153 Application Number: 04- 8 3 Z S Date: 4 /� 'd Applicant: Applicant's Mailing Address: Architect or Engineer: hitect or Engineer's Address: No. J BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm -under penalty of perjury that -I am liter ed #der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of theeBusiness and.-rofessionals C9de, and my License .is i I force and effect. 7s3. -"p,cense Class nse No. 41 %♦ .� __Dote _ ontrector OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exemptfrom the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Protessions.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. applicantfor the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that:he or she is exempttherefromand the basis for the alleged exemption. Any violation.of Section 7031.5 byany.applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U 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 ownerof property who builds or improves thereon, and who does the work himself or herself or 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.). U 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.,). L) I am exempt under Sec. , BA P.C. for this reason Owner WORKERS' COMPENSATION DECLARATION 1 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, have and will maintain workers' compensation insurance, as requiredby Section 3700 of the Labor Code, for the performance of the work tot which this. permit, is n s ed. �Y workps compensation�nce carrier and �' _ I certify that, in the performance of thewhich this permit is issued, I shall not employ any person in any manner so as to�become,subjectto the workers' compensation laws of California, athat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,.I shall; forthwith comply with those provisi e �� •� ,cant WARNING: FAILURE TO SECURE WORKERS'NSATION'COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN' EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE: INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY Thereby 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 448 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.shail, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omissionrelated to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becorrfts null and void if work is not commenced within ISO days from date of issuance of such permit, or cessation of work:for, 180 days will subject permit to c e tion. I certify, that) have readdhis application and state that the,above i f a ion is correct. I agree;to.comply with all city and county ordinances and state laws relating to building construIcctiioon, a d hereby authorize repres ntatives of this�county to upon the,above-mentioned property for inspection purposes. Signature (Applicant or Agent): Application Number . . . 04-0000"8378 Page 2 Date 4/12/05 Qty Unit Charge Per Extension 1..00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 119.16 Plan Check Fee 29..79 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 1,5600 2600.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 91.00 658.00 .020,0 ELEC GARAGE OR NON-RESIDENTIAL 13.16 --------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . Permit Fee . . . . 166.50 Plan Check Fee 41.63 Issue Date . . . . Valuation . . . . 0 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 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 Qty Unit Charge Per Extension BASE FEE 1.5.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 37, PLAN 2AR, 2600 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF .COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 36.6.00 ENERGY REVIEW FEE 56.58 lk Page 3 Application Number . . . . .. 04-00008378 Date 4/12/05- Other Fees . . . . . . . . . DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 22.5.00 DIF PARK MAINT FAC.- RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) -RES 16.58 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1261.16 .00 .00 1261.16 Plan Check Total 659.75 .00 .00 6.59.75 Other Fee Total 2478.16 .00 .00 :2478.16 Grand Total 4399.07 .00 .00 4399.07 Certificate of Occupancy Building & 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: 81-644 CHARISMATIC WAY Use classification: SFD Occupancy Group: R-3 Owner of Building: DESERT ELITE INC. Building Officia Building Permit No.: 04-8378 Type of Construction: V -N Land Use Zone: LDR Address: 78-401 HWY 111 SUITE G City, ST, ZIP: LA QUINTA 92253 By: GARY SHOWALTER Date: 11/21/05 US PLACE