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06-1026 (SFD)t ' , P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 \ LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT -INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/14/06 Application Number: `06=00001026 Owner: Property Address: 81874 RANCHO SANTANA DR DESERT -ELITE, -INC. APN: 767-200-999-7 -312023- 78401 HIGHWAY 111, SUITE G Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL (760) 777-9920 Application valuation: 184739 D n Contractor: (f Applicant:rchitect or Engineer: HERINGTON DEVELOPMENT, J E O 1 2006 40960 CALIFORNIA OAKS RD, 83 AUGU1177 MLTRRIETA, CA 92562 OF LA (951)677-8415 CITy NANCEDEPTTA Lic. No.: 753190 -- --------------------------------------------------------------------------- LIC SE CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I I sed 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 the Business an Pr f ssionals 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 Clas : License No.: 753190 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: ` Factor: YL 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 NER-BUILDER DECLARATION insurance carrier and policy r are: I hereby affirm under penalty of perjury that I Jexempt from the Contractor's State License Law for the Carrier STATE HIND icy Number 1542746-2005 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance o h work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as t b o e subject to the.workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State // and agree that, if I should bec bject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 1 ' X700 of the Labor Code. I sha 1 with comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of -Section 7031.5 by J . any applicant for a permit subjects the applicant to a.civil penalty of not more than five hundred dollars ($500).: ate9 Q plcant: i (_) I, as owner of the property, or my employees with wages as their sole compensation; will do the work, and ' J ' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an 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.). (_ 1 1, 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 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: r Lender's Address: LQPERMIT 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 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 perry. 2. Any permit issued as a result of this application be mes null and void if work is not commenced within 180 days from date of issuance of such pe i or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abov i ormation is correct. I agree to comply with all city and county ordinances and state laws relating to building c uction, and hereby authorize representatives of thiunfy t/enter upon a above-mentioned property far i ction purposes. (Applicant or Agent): q Application Number . . . . . 06-00001026 Permit BUILDING PERMIT Additional desc-. . Permit Fee . . . . 937.00 Plan Check Fee 609.05 Issue Date . . . . Valuation 184739 Expiration Date 9/10/06 Qty Unit Charge Per Extension BASE FEE 639.50 85.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 297.50 Permit MECHANICAL Additional desc. Permit Fee . . . . 103.00 Plan Check Fee 25.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/10/CS Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K' 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 ----------------------------------------------------------=----------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 131.74 Plan Check Fee 32.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 2913.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 101.96 739.00 .0200 ------------------------------------------------------------------------'---- ELEC GARAGE OR NON-RESIDENTIAL 14.78 Permit PLUMBING Additional desc . Permit Fee . . . . 179.25 Plan Check Fee 44.81 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 LQPERMIT Application -Number . . . . . 06-00001026 Permit . . . . . PLUMBING Qty Unit Charge Per Extension 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 9/10/06 Qty Unit Charge Per .3xtension BASE FEE 15.00 --------------------------------------------- ------------------------------ Special Notes and Comments. SFD - LOT 7, PLAN 4A, 2913 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 20.00 DIF COMMUNITY CENTERS RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 60.91 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 18.47 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged' Paid Credited ----------------- Due ---------- Permit Fee Total ------------------------------ 1365.99 .00 .00 1365.99 Plan Check Total 712.55 .00 .00 712.55 Other Fee Total 3795.38 .00 .00 3795.38 Grand Total 5873.92 .00 .00 5873.92 LQPERMIT