06-1028 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C' -%06f -;00001-028';x �I;l Owner:
Property Address: 81825 RANCHO SANTANA DR DESERT ELITE, INC.
APN: 767-200-999-26 -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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: 'Architect or Engineer: HERINGTON DEVELOPMENT, JAMES 0
40960 CALIFORNIA OAKS RD, #283
MURRIETA, CA 92562
---z-- —.------__-___ (951)677-8415
Lic. No.: 753190
--------------------------------------------------
ICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury th I licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines an Professionals Code, and my License is in full force and effect.
License Clas B License No.: 753190
ate: 7 6 ' tractor:
`OWNER -BUILDER DECLARATION
I 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 (55001.:
(_ 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 contractor(sl licensed
` pursuant to the Contractors' State License Law.).
1 _ I 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: A
Lender's Address:
LQPERMIT
Date: 3/14/06-
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 far 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 policy number are:
Carrier STATE FUND Policy Number 1542746-2005
1 certify that, in the perfo a of the work for which this permit is issued, I shall not employ any
person in any manner s s o become subject to the workers' compensation laws of California,
and agree that, if I shoul be ome subject to the workers' compensation provisions of Section
� 700 of the Labor Code, sh II forthwith comply with those provisions.
_011re' J— pplicant:
WARNING: FAILURE TO SECURE WOR RS' 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, 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 applic tion 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.
I certify that I have read this application and state that t above information is correct. I agree to comply with all
city and county ordinances and state laws relating to buil . g construction,. and hereby authorize representatives
�of this counnt�t //t//off�%%nes�teS�e(Apove-mentioned grope or inspection purposes.
,e��T plicant or Agent):
G
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Application Number . . . 06-00001028
Permit
. . .
BUILDING PERMIT
Additional
desc .
- Permit Fee
. . . .
937.00
Plan Check Fee
152.26
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
6.44
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date"
9/10/06
c
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
8.24'
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
11.20
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
LQPE MIT .
Application
Number .
. . .
.
06-00001028
-----------------------------------------------------------------=----------
Special Notes and Comments
Permit . .
. . . .
PLUMBING
DOES NOT
Qty Unit Charge
Per
INCLUDE POOL, SPA,
BLOCK WALLS OR
Extension
1.00
7.5000
EA
PLB
WATER HEATER/VENT
7.50
1.00
3.0000
EA
PLB
WATER INST/ALT/REP
3.00
y 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
Issue Date . . . .
Expiration Date 9/10/06
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
E; --tension
'
BASE FEE
15.00
-----------------------------------------------------------------=----------
Special Notes and Comments
SFD - LOT 26, PLAN
4A, 2913 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
20..00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
15.23
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
178.14 .00 .00
178.14
Other Fee Total
3749.70 .00 .00
3749.70
Grand Total
5293.83 .00' .00
5293.83
LQreite1rr
' -.� .- .. �.. ; ',}• :,.. ....... � 43:4375
Sladderi Engineering
6782 Stanton Ave., -,Suite A . 39-725 Garand Ln.; Suite G 114 S. California Ave. 15438 Cholane Road
Buena Park, CA 90621 Palm Desert, CA 92211 Beaumont, CA 92223 Victorville, CA 92392
(714) 523-0952 (760),772-3893 (951) 845-7743 760-962-1868
Fax (714) 523-1369 Fax .(760) 772-3895 Fax (951) 845-8863 Fax 760-962-1878
Date 211 � U
` .'FIELD MEMO Job No. 5? Z _3 I
- ,Project Name , r` ` :r Lr - �: ��; -t ti- �r ° Client:
Site Address `, (i' _t-(� sT i
r'c r A_ " r, I
r
Job Phone
Work Done
(tC4
Test -Summary /Footings Inspected
Comments
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, A
L/` Fleld Tech. .: Supe or gent
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24.houe;notice requested.to schiadulo,Field,Technic'iari' Thank you.for the opportunity to•be of service.
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La��1t.�M�q,•C`
Certificate of Occupancy
V I,
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G OF 9w 9► Buildin & Safet De artment .
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This Certificate is issued pursuant to the requirements of Section 109 of the California Building'
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Code, certifying that, at the time of issuance, this structure was in compliance with the
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provisions of the Building Code and the various ordinances of the City regulating building
'
construction and/or use.
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BUILDING ADDRESS: 81-825 RANCHO SANTANA DR.
-
i
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-1028'
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: DESERT ELITE, INC Address: 78-401 HIGHWAY 111, STE G
City, ST, ZIP: LA QUINTA, CA 92253
k
By: STEVE TRAXEL
Date: FEBRYARY 6, 2008
I
Building Official
POST IN A CONSPICUOUS PLACE
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