04-7175 (SFD)P.O.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
04-00007175
Property Address:
46041 ROADRUNNER LN
APN:
649-040-007-2 -31816 -
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
195966
Applicant:
Architect or
C +R-2_7
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with .
Section 7000) of Divi ion 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 808912
Date! )"T"�i " C actor:
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 ($5001.:
(_) 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 improvementissold 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 contractorls). licensed
pursuant to the Contractors' State License Law.).
1 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:
LQPERMIT
Owner:
LA QUINTA NORTH PARTNERS
2 CROOKED STICK DRIVE
NEWPORT BEACH, CA 92660
Contractor:
URBAN HABITAT
2 CROOKED STICK DRIVE
NEWPORT BEACH, CA 92660
(949)759-1018
Lic. No.: 808912
VOICE (760) 777-7012
FAX (760) 7.77-7011
INSPECTIONS (760) 777-7153
Date:. 7/27/05
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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 1741937-2005
_ 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 should become subject to the workers' compensation provisions of Section
,3/700 of rhos_=sMOJ.cbaL forthwith comply with those provisions.
Dat�j-4—OY Apylie —
WARNING: FAILURE T E 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 building construction, and hereby authorize representatives
of this county to enter onn the a �._ AiiegeFI property for inspection purposes.
r
Date — Q i Signa
�pplitor nt):
i
LQPERMIT
1 o f
Application Number .. . . . . 04700007175
St t I f tion "
Construction Type . .
ruc ure norma
. . . TYPE V - NON RATED
Occupancy Type
DWELLG/LODGING/LONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . .CODE EDITION _
2001
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
743.00
PATT.n SO FTC,
436.00.
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3070.00
Permit . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
975.50 Plan Check Fee
'. 634.08
Issue Date . . . .
Valuation
195966
Expiration Date
1/23/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
96.00 3.5000
---------------------------------------.-------------------------------------
THOU BLDG 100,001-500,000
336.00
Permit
MECHANICAL
Additional desc .
.Permit Fee
114.50 Plan Check Fee
28.63
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
1/23/06
Qty Unit Charge
.Per
Extension
BASE FEE
15.00
3.00 9.000.0
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00_
6.00 6.5000
EA MECH VENT FAN
39.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL*
Additional desc .
Permit Fee
146.03 Plan Check Fee
36.51
Issue Date . . . .
Valuation . .
. . 0
Expiration.Date
1/23/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3070.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY 107.45
Application Number .
. . 04-00007175
Permit
ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1179.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
23.58
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
161.25 Plan Check Fee
40.31
Issue Date . . . ...
Valuation . . .
•0
Expiration Date
1/23/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
15.00 6.0000
EA PLB FIXTURE
90.00
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
9.00 .7500
EA PLB GAS PIPE >=5
6.75
1.00 15.00.00
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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
1/23/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
---------------------------------------------------------------
Special Notes and Comments
------------
SFD - LOT 2 PLAN TYPE
2AR, 3,070 SQ.FT.
PERMIT DOES NOT INCLUDE POOL, SPA,
_---_BLOCK WALLS OR DRIVEWAY APPROACH
---------------------------
Other Fees . . . . .
. . . . DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
63.41'
DIF FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
19.59
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged
Paid Credited
Due
LQPERAfIT
1
LQPERMIT
Application Number
- . . . .
04-00007175
----------------- ----------
Permit Fee Total"
1412.28
------
.00
.00
1412.28
Plan Check Total
739.53
500.00
00
239.53
Other Fee Total
2488.00
-00
.00
2488.00
Grand Total
4639.81
500.00
.00"
4139.81 .
1
LQPERMIT