05-4303 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4'yl 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C _05--00004303__-77,-1
Property Address: a 46272 POINT HAPPY WY
APN: 643-170-999-10 -31348 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 173868
Applicant: rchitect or Engineer:
------------------
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.: 482086
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 .40
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(s) licensed
pursuant to the Contractors' State License Law.).
(_ ) I am exempt under Sec. , B.kP.C. for this reason
ate: I / I 2 b� wne�)
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
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE 200
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/13/05
Contractor. lof
e a
EHLINE COMPANY
55375 MEDALLIST DR
LA QUINTA, CA 92253 NOV(760) 771-8130 O 17 2005 Nu
LiC. No.: 482086
------------------
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 performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1814972
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation. laws of California,
and agree that, if I Id become subject to the workers' compensation provisions of Section
300 yf the La s f comply with those provisions.
ate: [/ / 7 plicant: -
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 becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation. .
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to b" lin can ucti and hereby authorize representatives
of thiscouryy to a teryaon the bove-mentione i u oses.
D�-, ature (Applicant or Agent):
Application Number . . . . . 05-00004303
------ Structure Information 2800 SQ.FT. SFD MODE- B-1
-----
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
504.00
PATIO SQ FTG
288.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE .
2800.00
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . .
898.50 P1an.Check Fee
584.03
Issue Date . . . .
Valuation . . .
. 173868
Expiratibn Date
3/25/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
74.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
2.59.00
Permit . . .
MECHANICAL .
Additional desc .
Permit•Fee . . . .
101.50 Plan Check Fee
25.38
Issue Date . .
Valuation . . .
. 0
Expiration Date
3/25/06
Qty Unit Charge
'Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
4.00 6.5000
EA MECH VENT FAN
26•.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
138.08 Plan Check Fee
-34.52
Issue Date . . . .
Valuation
0
Expiration Date
3/25/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2800.00 .0350
ELEC NEW RES - 1 -OR 2 FAMILY
98.•00
LQPERMIT
Application Number . . . . . 05-00004303
Permit . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
5.04.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
10.08
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE
15.00
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
174.75 Plan Check Fee
45.75
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/25/06
.Qty Unit Charge
Per
Extension
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
.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
.00
11.00 .75.00
EA PLB GAS PIPE 5=5
8.25
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
3/25/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 10, PLAN B1
-R, 2800 SF.
PERMIT DOES NOT INCLUDE BLOCK WALL ,
POOL,SPA OR DRIVE WAY
APPROACH.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC.PLACES-RES
..00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
58.40
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
LQPERMFr
Application Number
.. . . . .
05-00004303
----------------------------------------------------------------------------
Other Fees . . . .
. . . . .
STRONG MOTION (SMI) - RES
17.38
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------'------
Charged
Paid Credited
Due
Permit Fee Total
----------
1327.83
------------------------------
.00 .00
1327.83
Plan Check Total
689.68
.00 .00
689.68
Other Fee Total
2480.78
.00 .00
2480.78
Grand Total
4498.29'
.00 .00
4498.29
LQPERMTT `
Certificate of Occupancy
C� OF'i'�Building & 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. -
I
BUILDING ADDRESS: 46-272 POINT HAPPY -WAY
t
Use classification: SFD - Building Permit No.: 05-4303
Occupancy Group: -R3 Type -'of Construction: VN Land Use Zone: RL
Owner of Building: PH RANCH, LLC Address: 78-370 HIGHWAY 111 STE. 200
' City, ST, ZIP:,LA QUINTA CA, 92253
By: KIRK KIRKLAND .y
`
&14x -Date:
AUGUST 07, 2007
Building Official
POST IN A CONSPICUOUS PLACE
8' z
`CITY OF LA QUINTA f
.iBUILDING & SAFETY DEPARTMENT
F`y OF
777'7012
`INSPE.CTION REQUEST LINE
777-7153
f.
Owner PH RANC% LLC
Contractor..:.. EHLINE HOMES
Permit Number.-., 04363 3
POST ON JOB. INCONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPAC:F.--,
JOB ADDRESS 46-272 POINT HAPPY WAY
SFD - LOT 10, -PLAN B1 -R, 2800 SF. `
PERMIT DOES NOT INCLUDE POOL, SPA
BLOCK WALLS OR DRIVEWAY APPROACH.
TYPE OF. INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS D
U/G PLUMBING / WASTE
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF -1 d
OKAY TO WRAP _ C
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST 42-
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U%G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS /BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT o
COMMUNITY DEVELOPMENT DEPT. V G
FINAL/ JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING