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05-4838 (SFD)+a, P.O. BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: CO5 0QO0483.8�_] . Property Address: 54540 WEST RESIDENCE CLUB APN: 775-390-999-32 -31627 - Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM DENSITY RES Application valuation: .287914 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DR DETACHED Applicant: itect or Engineer: co Owner: . NADADOR, LLC 78120 CALLE ESTADO, SUITE 203 LA QUINTA, CA 92253 P S HOMES.INC, BOX -692 PETER UINTA, CA 92247 0)777-9921 . No.: 799449 "1 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/31/05 ------------------------------------------------------------------------------------------------- LIC SED CONTR OR'S DECLARATION - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that m censed u e 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 Busine nd rofessi s ode, 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 B L' ense No.: 799449 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is nClass: /'D // Date: ontractor: i ssued, JC 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 OWN -BUILDER DECLARATION insurance ca,rrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier HRH INSUR. Policy Number 176983305 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ 1 certify that, in the perfor ce of the work f r 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 manner as become s j ct 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 s Id come s ' o the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor d a fo t 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 %j /`� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: plicant: ( ) 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 offere&for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' C15MPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. .property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for ' pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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 *nfatio of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that tcorrect. I agree to comply with all city and county ordinances and state laws relating to buhereby authorize representatives of this county to enter upon fie above-mentioned propees. Date: ignature (Applicant or Agent): /Zj'L40­ LQPERMIT - Application Number . . . . . 05-00004838 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 531.00 PATI6'SQ FTG 422.00 ` NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3365.00 Permit . . .' B_UILDING'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 100,001-500,000 658.00 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 . . . ELEC-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 LQPERMTT -Application Number. . . . . . 05-00004838 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge /Per Extension 641.00 .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 32,,PLAN BR. 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 9.7.00 GRADING.PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 LQPERMTT Application Number . . . . 05-00004838 ------------------------- 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 t r ' LQPERMTT. ..