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08-1076 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 08-00001076 `, 81706 RICOCHET WY 767-200-999-18 -312021- DWELLING 7 SINGLE FAMILY LOW DENSITY RESIDENTIAL 179688 Applicant: I hereby affirm under penalty of per Section70 01 of D'vision 3 of the I License CI s: ate actor: - T414t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CH F q&4tJE DESERT E, INC. 78401 HIGHWAY 111 DETACHED LA QUINTA, CA 92253 Architect or Engineer: Wjo Vhat CENSED CONTRACTOR'S DECLARATION I amlicensed under provisions of Chapter 9 (commencing with and Professionals Code, and my License is in full force and effect. License No.: 753190 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury t at I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business nd 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).: 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.). (_ 1 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.). 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: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/20/08 DFAUG z7 zoos IU Contractor: I HERINGTON DEVELOPMENT, JAMES O CITY OFCE QUINTA 40960 CALIFORNIA OAKS RD, #2 FINANCEDEPT. MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I 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. X I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanc of the work for which this permit is issued. My workers' compensation insurance carrier and polic number are: Carrier STATE FUND I Policy Number 1542746-2007 I certify that, in the perford a ce of the work for which this permit is issued, I shall not employ any person in any manners to become subject to the workers' compensation laws of California, d agree that, if I shoul ecome subject to the workers' compensation provisions of Section 700 of the Labor Code hall forthwith comply with those provisions. A cant: WARNING: FAILURE TO SECURE WORKRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 1ENALTIES 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 app anon becomes null and void if work is not commenced within 180 days from date of issuance such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thaa above information is correct. I agree to comply with all city and co my dmances and state laws relating to 'ding construction, and hereby authorize representatives of this co my tnter upon the above-mentioned pro rty for inspection purposes. i � SJ"ture (Applicant or Agent): Application Number 08-00001076 LQPERMIT 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 # 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 . . Permit Fee 919.50 Plan Check Fee 597.68 Issue Date Valuation 179688 Expiration Date 12/17/08 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 22.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/17/08 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 . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 127.89 Plan Check Fee 31.97 Issue Date . . . . Valuation . . . 0 Expiration Date 12/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 2863.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 100.21 LQPERMIT Application Number . . . . . 08-00001076 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge PerExtension 634.00 .0200 Per. GARAGE OR NON-RESIDENTIAL 12.68 ---------------------------------------------------------------------------- Permit . . . Additional desc'. . Permit Fee . . . . Issue Date . . . . Expiration Date . . PLUMBING 172.50 Plan Check Fee . . 43.13 Valuation . . . . 0 12/17/08 Qty Unit Charge Per Extension Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 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 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 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 Issue Date . . . . Expiration Date . . 12/17/08 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 18, PLAN 3A, 2863 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2007 CBC, CMC, CPC, 2004 CEC, 2007 ENERGY CODES -------------------------------------------------------- Other Fees . . . . . . . . ------------------- . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 59.77 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 17.96 LQPERMIT Application Number . . . . . 08-00001076 -----------------------------------------------------------------7---------- Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 1324.89 .00 695.28 .00 4552.73 .00 6572.90 .00 Credited Due .00 1324.89 .00 695.28 .00 4552.73 .00 6572.90