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08-1074 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001074 Property Address: 81718 RICOCHET WY APN: 767-200-999-17 -312021- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 165860 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner:��i D DESERT(, INC. 78401 HIGHWAY 111, SUITE DETACHED LA QUINTA, CA 92253 (760)777-9920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: Applicant: . Architect or Engineer: HERINGTON DEVELOPMENT, JAMES O 40960 CALIFORNIA OAKS RD, #283 MURRIETA, / 92562 (951)677-84141 5 Lic. No.: 753190 \/-------------------------------------------------------------------------- --- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 753190 Date: Contractor: 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 ($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 (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 Co e: The Contractors' State License Law does not apply to an owner of property who builds or improves the n, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State Li se Law.). 1 _) I am exe� pt u2tler Sec. , B.& for this reason ate: v '1 r �ner: CON TRUCTION 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: LQPERA1IT AUG 2 7 2000 CITY OF LA QUINTA 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. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfor nce of the work for which this permit is issued. My workers' compensation insurance carrier and olicy number are: Carrier STATE FUND I Policy Number 1542746-2007 I certify that, in theJWOE of the work for which this permit is issued, I shall not employ any person in any mao become subject to the workers' compensation laws of California, and agree that, iome subject to the workers' compensation provisions of Section 1700 of the aball forthwith comply with those provisions. 'irr WARNING: FAILURE TO SECUR' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT ANEMPLOYER TO CALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). INADDIE 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 'cation becomes null and void if work is not commenced within 180 days from date of issuan f such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have 'read this application and state the above information is correct. I agree to comply with all city and c umv rdinances and state laws relating uilding construction, and hereby authorize representatives of this penter upon the above-mentioned o rty for inspection purposes. at /' Si re (Applicant or Agent) 08 t Application Number . . . .. . 08-00001074 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 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 658.00 PATIO SQ FTG 319.00 NUMBER OF UNITS 1.00 ----------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2600.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee 870.50 Plan Check Fee 565.83 Issue Date . . . . Valuation . . . . 165860 Expiration Date . . 12/17/08 Qty Unit Charge Per Extension BASE FEE 639.50 66.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 231.00 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 119.16 Plan Check Fee 29.79 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 2600.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 91.00 LQPERA11T. Application Number . . . . . 08-00001074 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension `658.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.16 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 166.50 Plan Check Fee 41.63 Issue Date . . . . Valuation 0 Expiration Date . . 12/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 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 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 12/17/08 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 17, PLAN 2BR, 2600 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 56.58 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 16.58 LQPEPWIT Application Number . . . . . 08-00001074 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- Charged ---------- Paid ---------- Credited -------------------- Due Permit Fee Total 1261.16 .00 .00 1261.16 Plan Check Total 659.75 .00 .00 659.75 Other Fee Total 4548.16 .00 .00 4548.16 Grand Total 6469.07 .00 .00 6469.07 LQPERA11T Certificate of Occupancy0 o C� OF Building Y p & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 81-718 RICOCHET WAY Use classification: SINGLE FAMILY DWELLING Building Permit No.: 08-1074 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: DESERT CHEYENNE, INC. Address: 78-401 HIGHWAY 111, STE. G City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: JUNE 3, 2009 Building Official POST IN A CONSPICUOUS PLACE