08-1077 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
eolt-1-10
08-00001077
81676 CHARISMATIC WY
767=200-599-35 -312021-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
179688
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
DESERT CIAENel' NC.
784.01 HIGHWAY III
DETACHED LA QUINTA,, CA 92253
Architect or Engineer:
P / i -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
N
Contractor: L
HERINGTON DEVELOPMENT, JAMES O
40960 CALIFORNIA OAKS RD, 4283
MURRIETA, CA 92562
(951)677-8415
LiC. No.: 753190
AUG 212008
OF
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATIoN DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
.Section 7000) of Division 3 of tfie Business'and Professionals Code, and my License is in full force,and effect.
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No;: 753190
_
for by Section 3700.W the Labor Code, for the performance of the work for which this permit is
issued.
Date: Contractor:
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
.I hereby affirm under penalty of perjury that I am exemptfrom the Contractor's State License Law for the
Carrier gy.4TE FUND Policy Number
following reason,(Sec. 7031;5, Business and Professions. Code: Any city or county that requires a permit:to
the work for which this permit is issued,,) shall not.employ any
1 certify that, in theIso,me
construct, alter, improve, demolish, a repair any structure, prior to its issuance, also requiresalro applicant for the
person in any mme aubjectto the workers' compensation laws of GalHornie,
permit to file a•.signed statement that he or she is licensed' pursuant to the provisions of the Contractor's State
and agree that, tsubject to the workers' compensation provisions of Section,
License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3 of the Laborthwith comply with those provisions.
that he.orshe,is exempt: therefrom and'the basis;for the alleged exemption. Any violation of Section 7031.5 byanyapplicant for apermitsubjects the' applicant to'a civil penalty of not,more then five hundred dollars (6500).:
e)fL / L Anal ant:I,
asmwner of the property, or my employees with wages as their sole compensation, will do the work;the
structure Isnot intended or offered for sale (Sec. 7044, Business and Professions Cade: The
WARNING:' FAILURE TO SECUROMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does:not apply town owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS (¢100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 owner of the properly, am eirolusively comr cting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: ractors' State License:Law does not apply to an owner,of
property who builds or improves thereon, ho contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State Lice ).
C_ 1 I am:exempt under Sec. - „ B;&P.C. f reason
CONSTRUC N LENDING AGENCY
I hereby affirm under penalty of perjury that there is a co ruction lending agency for the performance of the
work:for whichthis permit is issued (Sec. 3097, Civ. C.)•
Lender's Name:
Lender's Address: I -
LQPMx> &
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety fora permitsubject to the
conditions and restrictions set forth on this application.
1'. Each person upon whose behalf this application is made,each person at whose requesuand 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 Le Quints, its officers, agents end-employees,forany act or omission related to the.wori(being
performed under or following issuance of this permit:
2. Any permit issued as:a result of this.applicad n becomes null and void if woWismaucommenced
within 180 days from date of issuance of it, or cessation: of work for 180 days will subject
permit to cancellation;
I certify that I have read this application and state that the a :information is correct. I agree to comply with all
city and county,ordinances a state laws.relating to build nstructlon, and hereby authorize representatives.
of th' ou to ter upo he above-mentioned property r nspecrion.purposes.
6/at� 2 �gneture (Applicant or Agent):
.—
Application Number . . . . 08-00001077
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
2001 CBC
# BED_ROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE 'SQ FTG
634.00
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 Plan Check Fee
149.42
Issue Date . . . .
Valuation . .
. . 1'79688
Expiration.Date : .
12/17/0:8
Qty Unit Charge
Per
Extension
BASE FEE
639.50
80.00 3.5000
THOU BLDG 100,001=.500,000
280.00
Permit . . . MECH_ANIC_AL
Additional desc . .
Permit Fee . . . .
9.0.0.0 Plan Check Fee
5.63
Issue. Date . . . .
Valuation
0.
Expiration Date . .
12/1.7/0'8
Qty Unit Charge
Per'
Extension
BASE•FEE
15.00.
2.00 9.0000
EA MECH FURNACE <=10OK.
18:00
2.00 9.0000
EA MECHB/C <=3HP/100K BTU
18.00
5.010 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 .0350
114�ow,m
ELEC-NEW RESIDENTIAL
127.89 Plan Check Fee .
Valuation-
12/17/08
aluation12/17/08
Per
BASE FEE
ELEC NEW RES -;1 OR 2 FAMILY
7.99
0
.Extension
15.00
1001.21
,:
LQPEL"r
Application Number .
. . . .. 08-00001077
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 Plan Check Fee
10.78.
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
12/17/08
Qty Unit Charge-
Per
Extension
BASE FEE
15..00
1.7.00 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 9.0.000
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 . .
12/17/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
--- ------------------ - -- -- ------ -
Special Notes and Comments
SFD - LOT 35, PLAN 3BR, 2863 SF'. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR ;DRIVEWAY APPROACH.
7.5% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
2007 CBC, CMC, CPC, 2004 CEC, 2007
ENERGY CODES
------------------------------------------
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
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355,00
Application Number . . . . . 08-00001071
------------ - - - - -- --------------------_ - - -- --
Other Fees . . . . . . . DIE 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 Charged. Paid Credited Due
Permit Fee Total 1324.89 .0.0 00 1324.89
Plan Check Total 173.82 .00 .00 173.82
Other Fee Total 4507.90 .00 .00 4.507.90
Grand Total 6.006.'61 .00 .00 6006.61