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06-1021 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,it(t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: E- 96-00001021 �' ) Property Address: 81860- RANCHO -SANTANA DR APN: 767-200-999-6 -312023- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 179688 Applicant: 1"A�rchitect or Engineer: Owner: DESERT ELITE, INC. 78401 HIGHWAY 111 LA QUINTA, CA 92253 Contractor: HERINGTON DEVELOPMENT, 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: 3/14/06 1 D � 012p06 S opUG # ..., n'r IA QUINTA _ D CONTRACTOR'S DECLARATION 'JBus,n - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of peensed 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 fessionals 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: License No.: 753190 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is p /Date O / ISC, ontractor: w[ issued. r I have and will maintain workers'. compensation insurance, as required by Section 3700 of the Labor c— Code, for the performance of the work for which this permit is issued. My workers' compensation NER-BUILDER DECLARATION insurance carrier andpolicy number are: I hereby affirm under penalty of peempt from the Contractor's State License Law for the Carrier STATE FUND K Policy Number 1542746-2005 fallowing reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the pe o nce of the 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 marine to become 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 sh t�ecome subject 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 , X700 of the Labor Co I shall forthwith 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _ 1 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 (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 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 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: Lender's Address: LQPE"IIT WARNING: FAILURE TO SECURE WORfERS' 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 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, and the applicant, each agrees to, and shall defend, in 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 application becomes null and void if work is not commenced within 180 days from date of issuance of uch permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that I have read this application and state that t ove information is correct. I agree to comply with all city a d county ordinances and state laws relating to bu i construction, and hereby authorize representatives of isGcoun to nter upon eabove-mentioned grope r inspection purposes. Date) i �'� ignature (Applicant or Agent): i LQPERMIT Application Number. . . . . . 06.-00001021 Permit Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . Qty Unit Charge 2863.00 .0350 ELEC-NEW RESIDENTIAL 12.7.89 Plan Check Fee Valuation . . . . 9/10/06 Per BASE FEE. ELEC NEW RES -,:1 OR 2 FAMILY 7.99 0 Extension 15.00 100.21 Structure Information Construction Type . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC # 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 2863.00 Permit . . . BUILDING PERMIT Additional desc . Fzrmit Fee 919.50 Plan Check Fee 149.42 Issue Date Valuation- 179688 Expiration Date 9/10/06 Qty Unit Charge Per Extension BASE FEE 639.50 80.00 3.5000 --------------------------------------------------- THOU BLDG 100,001-500,000 ------------------------ 280.00 Permit. MECHANICAL Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 9/10/06 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 5.00 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 ELEC-NEW RESIDENTIAL 12.7.89 Plan Check Fee Valuation . . . . 9/10/06 Per BASE FEE. ELEC NEW RES -,:1 OR 2 FAMILY 7.99 0 Extension 15.00 100.21 Application Number . . . . . 06-00001021 Permit . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 634.00 .0200 -----------------------7---------------------------------------------------- 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 9/10/06 Qty Unit Charge Per Extension BASE FEE. 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00. 7.5000 EA PLB '..ATER 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 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 9/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 6, PLAN 3BR, 2863 SF. PERMIT. DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ----------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY.CENTERS-RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 14.94 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 LQPE"]Tr Application Number . . . . . 06-00001021 ---------------------------------------------------------------------------- Other Fees . . . . . .. . . . DIF 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 1666.00 Fee summary ----------------- Charged Paid- Credited Due Permit Fee Total ---------- 1324.89 -------------------- .00 ---------- .00 1324.89 Plan Check Total 173.82 .00 .00 173.82 Other Fee Total 3728.90 .00 .00 3728.90 Grand Total 5227.61 .00 .00 5227.61 LQPiRm I