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06-1919 (SFD)%' 4 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 06_60001-919_ Property Address: .81923 RANCHO SANTANA DR APN: 767-200-999-20 312023 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY' RESIDENTIAL Application valuation: 195053 Applicant:r` hitect or Engineer: �/;.�, /✓UPJ/.r i�d/��-� f.2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury t 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi s and Professionals Code, and my License is in full force and effect. Licen Date ! Z/Cla B LicenseNo.: 753190 ;'_ 6 9 ntractor. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I 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 requires the 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 3 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 ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale ISec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with_a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERntIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/17/07 Owner: DESERT ELITE, INC. 78401 HIGHWAY 111, SUITE G _ LA QUINTA, CA 92253 (760)777-9920 Contractor: D d HERINGTON DEVELOPME , JAMES O 40960 CALIFORNIA OA D,�3� �� MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 '$ - �...L bA :.gib eaar�. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p )icy number are: Carrier STATE FUND Policy Number 1542746-2006 I certify that, in the perfor ante of the work for which this permit is issued, I shall not employ any person in any manner s as to become subject to the workers' compensation laws of California, and agree that, if I sho become subject to the workers' compensation provisions of Section / 3]00 of the Labor Cod ha11 forthwith comply with those provisions. WARNING: FAILURE TO SECURE WPRKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND. DOLLARS IS 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. 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, andthe applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its 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 applicatio ecomes null and void if work is not commenced within 180 days from date of issuance of suc er it, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the a o e formation is correct. I agree to comply with all city and county ordinances and state laws relating to buildin truction, and hereby authorize representatives of this1^ur}ty toAnter upo Ahe above-mentioned property fo ection purposes. i % ignature (Applicant or Agent): q" . - J Application Number . . . . . 06-00001919 Permit . . . BUILDING PERMIT Additional desc,. Permit Fee . . 975.50 Plan Check Fee 634.08 Issue Date Valuation . . . . 195053 Expiration Date-. 7/16/07 Qty Unit Charge Per Extension BASE FEE 639.50 96.00 3.5000 THOU BLDG 100,001-500,000 336.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 127.50 Plan Check Fee 25.75 Issue Date . . . . Valuation . . . . 0 - Expiration Date 7/16/07 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 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee .. 136.02 Plan Check Fee 32.94 Issue Date Valuation . . . . 0 Expiration Date 7/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 - 3180.00 0350 ELEC NEW. RES - 1 OR 2 FAMILY 111.30 486.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.72 Permit .. PLUMBING Additional desc . Permit Fee 206.25 Plan Check Fee .. 44.81 Issue Date - Valuation 0 Expiration Date 7/16/07 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6:0000 EA PLB FIXTURE 126.00- 26.001.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPE"11T lie Application Number _ . . . . 06-00001919 Permit PLUMBING Qty Unit Charge Per Extension 2.00 7.5000 EA PLB WATER HEATER/VENT 15.:00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 15.0000 EA PLB GAS METER 15.00 Permit GRADING PERMIT Additional des'c . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/16/07- /16/07Qty QtyUnit Charge Per Extension BASE FEE 15.00 -------------------------------------------------------------- Special Notes and Comments -------------- SFD - LOT 20, PLAN 4YA, 3180 SF: PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ------------=--------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 2.0.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 63.41 DIF •FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 3.55.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 18.47 DIP STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited -- - Due - - - - - - - - - - - - - ----- Permit Fee Total - - - - - ----- - - -------- - - - - ---- 1460.27 .00 .00 -- - - - - - - 1460.27 Plan Check Total 737.58 .00 .00 737.58 Other Fee Total 4576.88 .00 .00 4576.88- 576.88Grand GrandTotal 6774.73 .00 .00 677.4..7.3 LQPE%-%IIT