04-8377 (SFD)T-Vf 4 4 Q"�
.O. Box 1504
8-495 CALLS TAMPICO
A QUINTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY .DEPARTMENT
(760).777-7012
FAX (760) 777-7011.
INSPECTION REQUESTS (760) 777-7153
Application Number .
. . . . 04-000`08377
Date 4/12/05
Property Address
81660 CHARISMATIC WY
APN:
767-200-999-36 -31202.1-
Application description DWELLING - SINGLE FAMILY
DETACHED
Property Zoning .
. . . . LOW DENSITY RESIDENTIAL
Application valuation
. 17.9688
Owner
Contractor
DESERT ELITE, INC-
HERINGTON DEVELOPMENT, JAMES 0
784.01 HIGHWAY 11.1
40960 CALIFORNIA
OAKS RD, #28.3
LA QUINTA CA 922'53 MURRIETA
CA 92.562
(951) 677-8415
WCC: STATE FUND
WC: 154.2746
11/01/05
CSLB: 7531,90
04/30/06
CCC: B
-----------------------------
Structure Information' -=-----------------------
Construction Type .
. . . TYPE,V - NON RATED
Occupancy Type . .
. . . DWELLG/LODGING/CONE <<=10
F1ood.Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION _.
2.001 CBC
# BEDROOMS
3.0.0
FIRE SPRINKLERS
NO
GARAGE SQ FTG
6.34.00
PATIO SQ.FTG
263.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
286:3.00
----------------------------------------------
Permit . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . ..
919.50 Plan Check Fee
597.68
Issue Date . . . .
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 Plan Check Fee
22.50
Issue Date.
Valuation . .
. . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2_00 9,0:000
EA MECH FURNACE <=100K
18.00
2.00 9.0000
EA MECH B/.0 <=3HP/100K BTU
18.00
5.00 6.5,000
EA MECH VENT FAN
32.50
P.O. BOX 1504 VOICE (760.) 777-7012 ^.
78-495 CALLE TAIMPICO FAX (760) 777-701.1
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (.760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: D 14- b 3 71 Date: 1q• �
Applicant: I Architect or Engineer:
Applicant's Mailing Address:.
No.
or Engineer's Address:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm, under penalty of perjurythat I em licensed under provisions of. Chapter 9 (commencing with Section 000) of Division 3 of the Business and Professionals
Code. and my License is in. force ,and effect.
�llcense Class lLicense No. d
.Date / J i onC tractor ����ri �r.� �./�j.�. 9► ��—� d�n/��fif% (,
OWNER -BUILDER DECLARATION
I. hereby affirm under penalty of perjury"that I am exempt from the Contractors' State License. Law for the following reason (Sec. 7031.5,, Business, and Professions Code: Any
city or county that requires a perrnit,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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) orthat 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 rhundred dollars ($500),):
U 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 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, 1, as owner 0f the properly, 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:).
U I am exempt under Sec: , B.8 P.C. for this reason
Date Owner
WORKERS' CO-17;fNSAT1ON Dc„LARATiON
I,hereby affirm under penalty of perjury one of the following declarations:
_ Ihave,and will maintain a certificate of consentto 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
mer fsued. ,(�y w ers' c mpensation i ce camer and
_I certify that, in the performance of the wr hich 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 t, if'I should become subject to the workers' compensationprovisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions
s;
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE: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.
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 !�
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 rthis application is made, each person at whose request and for whose benefit work is,perfomied 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 Duinta. its
officers, agents and employees for any actor omission related to the work being performed under or following issuance:of this,pernit.
2. Any permit,issued as a result:of this application becomes null and void if.work is not commenced within 160 days from date of issuance of such permit, or
cessation of work for 180 days -will subject -permit to cant tion.
1 certify thatdl have read this application and state that,the above info i is correct. I agree to comply with all city and,county ordinances and state lawsrelatingto.building
construction, and hereby authorize representatives of this county to an Wn theabove-mentioned property.for inspection, purposes.
ignature (Applicant or Agent):
Page
2
Application Number
. . . 04-00008377 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
. .
127.89 Plan Check Fee
31.97
Issue Date
Valuation . . .
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.0.0
2863.00
.0.3,50
ELEC NEW RES - 1 OR 2 FAMILY
100.21
63`4.00
.0200
ELEC GARAGE OR .NON-RES'.IDENTIAL
12.68
Permit .. .
. . . PLUMBING.
Additional desc
.
Permit Fee
172.50 Plan Check Fee
43.13
Issue Date .
. . .
Valuation . . . .
0
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
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
1.5.00
-----------------------------------------------------------------------------------
Permit . . .
. . . GRADING PERMIT
Additional desc
. .
Permit Fee .
. . .
15.00 Plan Check Fee
.00
Issue•Date .
. . .
Valuation
0
Qty Unit
Charge
Per
Extension
BASE FEE
15.00
Special Notes
and Comments
SF'D - LOT 36,
PLAN 3A,
2863 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
366.00
ENERGY REVIEW FEE
59.77
Page 3
Application Number
04-0,00;0;8377 Date
4/12/0:5
Other Fees . .
. . . .
DIF FIRE PROTECT,.ION-RE'S
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RE'S
225.00
DIF PARK MAINT FAC - RES
5..00
DIF PARKS/REC - RES
502.00
STRONG MOTION -(,SMI ) - RES
17.96
DI.F STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION -.RES
10,98..00
Fee summary,
Charged
PaidCredited
Due
Permit Fee Total
1324.8'9
.00 .00
1324.8<9
Plan Check Total
695.2x8
..00 .00
695.28
Other Fee Total
2482.73
.00 .00
2482.73.
Grand Total
4502.90
.00 .00
4502.90
Certificate of Occupancy
T'ar ot xP a"
Building. & Safety Department
This Certificate is issued pursuant to the requirements of Section 909 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: 81-660 CHARISMATIC WAY
Use classification: SFD
Occupancy Group: R-3
Owner of Building: DESERT ELITE INC.
1 46—
Building Official
Type of Construction: V -N
A
Building Permit No.: 04-8377
Land Use Zone: LDR
Address: 78-401 HWY 111 SUITE G
City, ST, ZIP: LA QUINTA 92253
By: GARY SHOWALTER
Date: 11 /02/05