08-1078 (SFD):i
P.O. BOX. 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08-0000.1078
Property Address: 81.651 CHARISMATIC WY
APN: 767-200-999-51 -312021-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 179688
Applicant: Architect or Engineer:
0-1� � I f --\-
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensedunder provisions of Chapter 9''(oommencing with
Section 7060) of Division 3 of theausiness and Professionals Code, and my License is:in full force'and effect.
License Class: B License No:: '753190
Data: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 requiresthe 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 L3 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 '(8500).:'
1 _) I,.as owner of the property, or my employees with wages as their sole.compenssdon, 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 thstthe
improvements are not intended or offered forsals. 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:).
I, as s owner of the property, am exclusively contracting with.lioensed contractors to construct the project (Sec:
7044, Business.and Professions Code: The Contractors' State License Law does not apply to amowner of
property who buikfs.or improves--tt= who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State Lic w.l..
(_) I am exampt tjnder Sec. BAP.C: this reason
caner:
CONSTR ICTION LENDING AGENCY
I hereby affirm under. penalty of perjury that there is a c- struction lending.agency for the performance of the
work for which this permit is issued (Sec: 3097; Civ. C.):
Lender's Name:
Lender's Address:
llr! .o 1jirr
Owner: CE�1/1G
DESERT =X .r, INC.
78401 HIGHWAY 111.
LA QU.INTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/20/08
AUG 2 7 2008
Contractor: ' CITY OF LA
HERINGTON DEVELOPMENT, DAME FINANCE
40960 CALIFORNIA OAKS RD, #.283
MURRIETA, CA 92562
(951).677-8415
Lic: No.: 753190
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have .and wiltmajntain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for theperformance of the work,for which 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`permk_is;issued. My workers' compensation
insurance carrier -and poli number are:
Carrier STATE FUND Policy Number 1542746-2007
f certify that; in theperfor of the work for which this permit is issued,. 1. shall not employ any
person in any manner so to become,subjectto,the worker' compensation laws; of California,
sIad agree that, if I shoul come subject to the workers' compensation provisions of -Section
700 of the Labor ode, all forthwith.comply with those provisions.
D L % .� ` A
pW nt:
WARNING: FAILURE TO SECUREWORKER ' COMPENSATION COVERAGE: IS, UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO, CRIMINAL PE ALTIES 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 LABOWCODE, 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 Quints, 6.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 a I stion becomes null and voidif work,is not commenced
'within ISO days from date of issuanlththe.,above
such permit, or cessation: of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state information is correct. I agree to comply with all
city and co ty or antes and state lawsrelatingilding construction, and'hereby authorize representatives
of this c to Mer upon the ve-mentoned rty for inspection purposes.
D L7 f re (Applicant or Agen—
Application Number . . . . 0'8-00001078
Structure Information
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 634.0.0
PATIO :SQ FTG 263.00
NUMBER OF UNITS' 1.00
1ST FLOOR SQUARE FOOTAGE- 2863.00
Permit. . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . 919.50
Issue Date
Expiration Date 12/17/08
Plan Check Fee . . 149.42
Valuation . . . . 179688
Qty Unit Charge Per Extension
BASE FEE 639.50
80.00 3.5000 THOU BLDG 100,001-500,000 280.00
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 90.00
Issue Date . .
Expiration Date . 12./17/08
Plan Check Fee . . 5..63
Valuation . . . . 0
Qty
Unit Charge.
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA
MECH
FURNACE <=100K
18.00
2.00
9.0.000
EA
MECH
B/C <=3HP/160K BTU
18.60
5.00
6.5000
EA
MECH
VENT FAN
32.50
1.00
6.5000
EA
MECH
EXHAUST HOOD
6.50
Permit . . .
Additional desc .
Permit Fee . .
Issue Date . .
Expiration Date .
Qty Unit Charge
2863.00 .035:0
LQPERMrf
ELEC-NEW RESIDENTIAL
127.89 Plan Check Fee . .
Valuation . . . .
.12/1.7/08
Per
BASE FEE
BLEC.NEW RES - 1 OR 2 FAMILY
7.99
0
Extension
15.00
100.21
Application Number . . . . . 08-00001078
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per Extension
634.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL .12.68
Permit . . . PLUMBING
Additional. desc . .
Permit Fee . . . . 172.50
Issue Date . . .
Expiration Date 12/11/08
Plan Check Fee . . 10.78
Valuation . . . . 0
Qty
Unit Charge
Per
BASE FEE
Extension
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Special Notes and Comments
SFD - LOT 51, PLAN 3BR,
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
1.00
3..0000
EA
PLB
WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB
DAWN SPRINKLER SYSTEM
9.00
8.00
.7500
EA
PLB
GAS PIPE >=5
6.0D
1.00
15.0000
EA
PLB
GAS METER
15.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee 15.00
Issue Date . . .
Expiration Date 12/17/08
Plan Check.Fee . . .00
Valuation . . . . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
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Special Notes and Comments
SFD - LOT 51, PLAN 3BR,
2863 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOC_.K.WA_LLS
OR DRIVEWAY APPROACH. 75%
REDUCTION TO
PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE..
2007 CBC, CMC, CPC, 2004
CEC, 2007
ENERGY CODES
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Other Fees . . . . . .
. . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
14.94
DIF FIRE PROTECTION -RES
140.0.0
GRADING PLAN CHECK.FEE
:00
DIF LIBRARIES - RES
355.00
LQPE DW
Application Number . . . 08-00001078
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Other Fees . . . . . . . DIF PARK MAINT FAC - RES 22.00
DIF PARKS/REC - RES 892.00
STRONG MOTION (SMI) - RES 17.96
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1930.00
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPE&Mr
Charged Paid
1324.89 .00
173.82 .00
4507.90 .00
6006.61 .00
Credited Due
.00 1324..89
.00 173.82
.00 4507.90
.00 6006.61