09-0509 (SFD)- :.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 Q"
BUILDING 8c SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: -Orwz=.00000509
Property Address: 81731 CHARISMATIC WY
APN: 767-640-015- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 179688
Applicant: Architect or Engineer:
----------------- - ------------------------------
C t'D CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury the licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the.Business Professionals Code, and my License is in lull force and effect.
License CIM: Ucerse'No:: 753190
Dat441 i .f 4 Comrastor.
OWNER -BUILDER DECLARATION
I hereby, affirm under penalty of perjury that I am exempt from the Contractor's State License Law fortis
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 lts issuance, also requires the applicantfor 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 Icommenrng with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she I&exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
anyapplicant for a permit subjects the applicant to a civil penalty of not more. than five hundred dollars (85001.:
1 _J 1, -as owner of the property; or my employees with wages as their sole compensation; will do the work, and
the structuress 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 ownemployees, provided that the.
improvements are not intended or offered for sale. If, however, the bullding; or'improvement.is sotd,within
one yearof completion; the owner-bullder will have the burden of proving that he or she did not build or
improve for the purpose; of, e.
( )' 1, as owner of the property, am exclu ly tracting with licensed contractors to construct the project (Sec.
7044, Business and Professions C _ T Contra6tors' Stale License Law does not apply to sn owner of
property who builds orimproves t n, d'who contracts'for the projeets-with a contractors) licensed
pursuant to the Contractors' State Li w.l.
(_) I am exempt under. Sec. B.&P :.f this, reason
/te: 'j / S 7
CONST JIUCTION LENDING AGENCY
1 hereby affirm under penalty perjury that there ia'a construction landing agency for the performance of the
work for which this permit is issued (Sec. 3097„Civ. C.).
Lender's Name:. . 1
Lender's Address• i✓
L,QP".MIT
Owner:
DESERT CHEYENNE, INC.
78403 HIGHWAY 111
LA QUINTA, CA 92253
Contractor:
HERINGTON DEVELOP'INC,
40960 CALIFORNIA OAKS
MURRIETA, CA 92562
(951)677-8415
Lic. No.: 753190
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/03/09
-------------------
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 bySectlon 3700 of the Labor
Code, for the pe rma of the.work for whichthis permit is issued. My workers' compensation
insurance carrier a _ I Cy number are:
CarrierO.TATE FUND Policy Number
shall not employ -any
person, in any marine s to.become ”"subject to the workers' compensation laws of California,
and agree that, If 1 sh become subject to the workers' compensation provisions of Section
3700 ofY Labor C e shell forthwith comply with those provisions.
ate[, >t Sy Applicant:
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 3708 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 agreesto, and shall defend, Indemnify and hold harmless the City
of La Quanta, its -officers, agents and employ for any actor omission related to the work being
performed under or following issuance of this k.
2. Any permit issued as a result of this appli do mes null and void if work is not commenced
within 780 days from date of issuance "o c ermit, or ceasation of- work for ,180 days will subject
permit to cancellation.
1 certify that I have read this application and state that a a Information is correct. I agree to comply with all
city -and county ordinances and state laws relating to bui i construction, and hereby authorize representatives
of this cyur jy to,0enter upon th"bove mentioned props r inspection purposes.
(Applicant or Agent):
Application Number 09-00000509
Structure Information
Construction Type . .
. . .. TYPE V - NON RATED
Occupancy Type . .
. DWELLG/LODGING/CONG <=10
Flood Zone. . .
. . .. NON -AO FLOOD ZONE
Other structinfo
'CODE EDITION
2007CBC
# BEDROOMS
3.00_
FIRE SPRINKLERS'
NO
GARAGE SQ FTG
634.,00
PATIO SQ FTG
263.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
28.63.00
Permit• . .
BUILDING .PERMIT
Additionaldesc . .
Permit_ Fee
9.19.50 Pian Check Fee
. 597.68
Issue Date . . . .
Valuation . .
. . 179688
Expiration Date
11/17/09
Qty Unit Charge
Per
Extension
BASE FEE
639.50
80.00 3,.5.000
------------------------------------------------------------------------------
THOU BLDG 100,001_--500,000
.280.00
Permit.. . . MECHANICAL
Add'itionaldesc .
Permit Fee
90_.•00 Plan Check Fee
22.50
Issue Date
Valuation
0
Expiration Date .
11/17/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2...00 9_.00.00
EA MECH FURNACE <=1008
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.
1.00 6.50.00
-----------------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6:50
Permit.. . ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee 127.89 :Plan Check Fee .
Issue Date Valuation . . . .
Expiration Date 11:/17/09
Qty Unit .Charge Per
BASE FEE'
2863.00 .0150 ELEC NEW RES - 1 OR 2 FAMILY
L MMMIT
31.97
0
Extension
15.00
100.21
Application Number . . . _ . 09-00000509
Permit . . . . ELEC=NEW RESIDENTIAL
Qty Unit Charge Per Extension
634.00 .0200 ELEC GARAGR OR NON-RESIDENTIAL 12.68
------------------------------------------------------------------------------------
Permit.PLUMBING
Additional desc .
Permit Fee 172.50
Issue:Date . . . .
Expiration Date 11/17/09
Plan Check Fee . . 43..13
Valuation . . . . 0
Qty
Unit Charge
Per
Extension
Extension
BASE FEE
15.00
Special Notes and Comments
BASE FEE
15.00
17.0.0
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
3.0600
EA
PLB
WATER INST/ALT/REP
3.00
1.00
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.60
8.00
.750.0
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
Issue Date . . . .
Expiration Date . . 11/17/'09
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD - LOT 56, PLAN 3B,
2863
SF.,.PERMIT
DOES NOT INCLUDE POOL,
SPA,
BLOCK WALLS
OR DRIVEWAY APPROACH..
2007
CODES.
-----------------------------------------------------------------------
----- --
Other Fees . . .
. . .
-
. ART IN PUBLIC PLACES=RES
.00
BLDG STDS ADMIN (SB1473)
8.00
DIF COMMUNITY CENTERS -RES
74.0.0
DIF CIVIC CENTER - RES
995.60
ENERGY REVIEW FEE
59.77
DIF_FIRE PROTECTION -RES.
14Q.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
35'5..00
DIF PARK MAINT FAC - RES
22.00
D,IF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
17.96
LQrERMn'
Application Number
. . . . .
0.9-00000509
-----------------.-.--------
Other Fees
--------------
_
------------------------
DIF STREET MAINT FAC -RES
------- -
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1324.89
.00 .00
1324.89
Plan Check Total
695.28
.00 .00
695.28
Other Fee Total
4560.73
.00 :00
4560.73
Grand Total
6580.90
.00 .00
6580.90
LQPERMrr
Certificate of Occupancy
G OFTI4�S Building & Safety Department
This Certificate is issued pursuant to the requirements of Appendix Chapter 1 Section 110 of the
2007 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: 81-731 CHARISMATIC WY
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 09-509
Occupancy Group: RR=3 Type of Construction: VV=B Land Use Zone: RL
Sprinklers Installed: NO Sprinklers Required: NO Occupant Load: 14
Building Official
Owner of Building: DESERT CHEYENNE, INC
Address: 78-401 HIGHWAY 111
City, ST, ZIP: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: APRIL 8, 2010