05-4843 (SFD)P.O. BOX 1504 4
u�i�trw
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 405=00004843__�"" Owner:
Property Address: 54"155—RESIDENCE CLUB COVE NADADOR, LLC'
APN: 775-380-999-11 -31627 - 78120 CALLE ESTADO, SUITE 203
Application description: DWELLING - SINGLE FAMILY DETACHED D 6 LA QUINTA, CA 92253
Property Zoning: MEDIUM DENSITY RES
Application valuation: 287914
DEC 21actor:
Applicant: chitect or Engineer:L.�� �5 BS HOMES INC, PETER
OF P. BOX 692
2Y�o FINANCE E�t�4 L QUINTA, CA 92247
60)777-9921
C. No.: 799449
--------7-----------------------------------------
LIC SED CONT CTOR'S DECLARATION
I hereby affirm under penalty of -perjury that m I' ensed n er provisions of Chapter 9 (commencing with
Section 7000) of Division 3'of the Busines nd ss' a Code, and my License is in full force and effect.
License Class: B icense No.: 799449
Date. ontractor:
G
OWN6'."rom
UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exe 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).:
1—) 1, as'owner of the property, or my employees with wages as their sole compensation, will do the work, and l
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 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 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: 13 hA
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/31/05
-----------------------------------------------
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.
_1�I have and will maintain workers' compensation insurance, as requiredby 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 HRH INSUR"Orth
y Number 76983305
I certify that, in thework for w ich his permit is issued, I'shall not employ any
person in any me subjec o t workers' compensation laws of California,
and agree that, ibject a orkers' compensation provisions of Section
3700 of the Labcc p with those provisions.
ate/�
Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 application becom null and void if work is not commenced
within 180 days from date of issuance of such per , Or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ab in rmatie
rrect. I agree to comply with all
city and county ordinances and state laws relating to buildi on nreby authorize representatives
of this county to enter upon t e above-mentioned propert o i e i . .
�ete: gnature (Applicant or Agent):
/ 2'/ 2''e
Application Number
05-00004843
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
A BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
.531.00
PATIO SQ FTG
422.00
NUMBER OF UNITS
1.00
------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3365.00
Permit
BUILDING PERMIT
Additional desc .
Permit Fee. .
1297.50 Plan Check Fee
210.85
Issue Date . . . .
Valuation . . .
. 287914
Expiration Date
4/29/06.
Qty Unit Charge
Per
Extension
BASE FEE
639.50'
188.00 3.5000
---------------------------------------------------------------------
THOU BLDG 100,001-500,000
658.0'0
Permit MECHANICAL
Additional desc .
Permit Fee
171.50 Plan Check Fee
10.72
Issue,Date . . . .
Valuation
0
Expiration Date
4/29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA, MECH FURNACE <=100K
36.00
4.00 9.0000
EA MECH B/C <=3HP/100K BTU
36.00
12.00 6.5000
EA MECH VENT FAN
78.00
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit EL -EC -NEW RESIDENTIAL
Additional desc .
Permit Fee .'. . .
145.60 Plan Check Fee
9.10
Issue Date
Valuation
0
Expiration Date
4/29/06
Qty Unit Charge
Per
Extension.
BASE FEE
15.00 '
3365.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
117.78
LQPERMIT
LQPERMIT
Application Number
05-.00004843
Permit . . . . .
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension.
641.0.0 .0200'
ELEC GARAGE"OR NON-RESIDENTIAL
12.82 '
Permit . .
PLUMBING
Additional desc .
Permit Fee
185.25 Plan Check Fee
11.58
Issue Date
Valuation . . . .
0
Expiration Date
4/29/06
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
2.00 7.5000
EA' PLB WATER HEATER/VENT
15.00-
1.00 3.0000'EA
PLB WATER INST/ALT/REP_
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
7.00 .7500.EA
PLB GAS PIPE >=5
5:25
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
4/29/06-: .
Qty Unit Charge
Per
Extension
BASE FEE
15.00
---------------------------------
Special.Notes and Comments
------------
SFD - LOT 11, PLAN A.
PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS,'OR
DRIVEWAY APPROACH..75%
REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
-----.- -------------------
Other Fees . .
---- ----- - ------- ----------
. . ART IN PUBLIC PLACES -RES
-----
222.74
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW'FEE
21:09
DIF FIRE PROTECTION -RES
97.00.
GRADING PLAN CHECK FEE
.00•
DIF LIBRARIES - RES
225.00
DIF•PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
LQPERMIT
Application Number
05=00004843
------------------------
.Other Fees .
-----------
. . . . ..
---------------------------
STRONG MOTION (SMI) - RES
--------------
28.90
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid. Credited
Due
--
Permit Fee Total
---- - - - - --
.1814.85
----- - - - - ------ - - - - ----
.00 .00
-- - - - - - -
1814.85
Plan Check Total
242.25
.00 .00
242.25
Other Fee Total
2677.73
.00 :00
2677.73
_ Grand Total
4734.83
�.00 .00
4734.83