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04-8261 (SFD)v ��trCv Z T -d f BUILDING & SAFETY DEPARTMENT Box 1504 (760).777-7012 95 CALLS TAMPICO FAX (760) 777-7011 �� L 1NTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT cation Number 0=00"Ob�B26a� Date 3/03/05 Property Address . . . . . .VZ COUPLES CT APN: 764-060-042- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 244659 . Owner Contractor BIRDIE HOMES FIRST PACIFICA DEV CORP 5 EAST CITRUS, STE. 105 300 EAST STATE ST, SUITE #100 REDLANDS CA 9237.3 REDLANDS CA 92373 (909) 798-3688 WCC:: STATE FUND WC: 0008.353-2005 01/01/06 CSLB: 760044 03/31/05 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 2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 649.00 PATIO SQ FTG 550.00 NUMBER OF UNITS'. .1.00 1ST FLOOR SQUARR FOOTAGE 2780.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . 1147.00:' Plan Check. Fee 1.86.39 .Issue Date . . . . Valuation 244659 Qty Unit Charge Per Extension BASE 'FEE 6.39.50 145.00 3.500-0 THOU BLDG 10'0,001-500,000 507.50 Permit . . . . . . MECHANICAL Additional desc . Permit Fee 140.50 Plan Check Fee 8.78 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH.FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU •27.00 10.00 6.5000 EA MECH VENT FAN 65.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 P.O. Box 150VOICE (760) 777-7012 4 78-495 CALLS TAMPICO FAX (760) 777-70.11. LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777=7153 BUILDING & SAFETY DEPARTMENT Application Number: D �i - 8 a Date: Applicant: I ArchiteW or EVAneer: cjZ) _ Applicant's Mailing Address: r v BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed: under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professionals Code, and my Livens . fu force and effect. cense Class \"Y� /License No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that lam 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 permit 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 pursuantto 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 exempt therefrom and, the basis forthe,alleged exemption: Any violation of Section 7031.5 by any applicant for a permit subjects theapplicantto a civil penalty of notmore than five hundred 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 nokintended 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 oneyear of completion, the owner-Witderwill havethe burden of proving thathe 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 theiproject (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not applyto 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 j I am exempt under Sec.._. BA P:C. for this reason Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penaltyof, perjury one of the.following declarations: _ I have and will maintain a certificate of consent to seif-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for She performance of the work for which this permit is. issued. maintain My w compens on ' rence tamer mer . olicy Number by Section 3700 of the Labor Code, for the performance of the.work for which this permit is _ I certify that, ln.the performance o the work for which this compensation!laws of California, and agree,that, if I should, become; subject to the workers'tror forthwith, comply, with those provisions. any manner so as to become subject to the workers' 1 provisions of Section 3700of the. Labor Code, I shall WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL;,AND,SHALL SUBJECT AN EMPLOYER TO CRIMINALPENALTIES 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 1 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 ishereby made to the Directorof Building and Safety fora 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 work4s performed under;or pursuant to any permit issued as a result of this application; the owner, and'.the applicant, eaclragreesto, and shall, defend; indemnify and hold harmless the City of La Quint&, Its officers, agenWand employees for any act or'omission miated:tothe work.being'performed under or following issuance of this permit: 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.perrnit°to cancellation. I certify that I have read this application and state that the above information is -correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and -hereby authorize representatives of this,county to enter upon the above-menboned property for inspection purposes. X,t.Signature (Applicant or Agent): tt Page 2 Application Number . . . . 04-000082-61 Date 3/03/05 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 125.28_ Plan Check Fee 7.83 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 278'0.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 97.30 649.0'0 .01200 ELEC GARAGE OR NON-RESIDENTIAL 12.98 ----------------------------------------------------------------------------------- Permit .. . . . . . PLUMBING Additional desc . . Permit Pee . . . . 177.75 Plan -Check Fee 11.11 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 18.0.0 6.0000 EA PLB FIXTURE 108.00 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 1.0.0 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 7.00 .7500 EA PLB GAS PIPE >=5 5.25 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 15..00 Special Notes and. Comments SFD - LOT 8, PLAN 2C, 2780 SF. PERMIT .DOES NOT INCLUDE POOL, SPA, BLOCK.WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 111.64 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 18.64 DIF FIRE PROTECTION -RES 97.00 Page 3 Application Number . . . . 04-00008261 Date 3/03/05 Other Fees . . . .. . . . . . GRADING PLAN CHECK FEE .0'0 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 5.02.00 STRONG MOTION (SMI) - RES 24.46 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 10.98.00 Fee summary Charged Paid Credited. Due Permit Fee Total 1605.53 .00 .00 1605.53 Plan Check Total 214.11 .00 .00 214.11 Other Fee Total 2'559.74 .00 .00 25.59.74 Grand Total 4379.38 .00 .00 4379.38