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05-3248 (SFD)P_-0. £SU'�X 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 055-00003248_, --� 46279 ROADRUNNER LN 649-040-007-9 -31816 - DWELLING - SINGLE FAMILY E MEDIUM DFNSTTY RES 195966 /Architect or Engh �(( (� C 40z"�. ------------------ LICENSED CONTRACTOR'S DECLARATION T4ht 4 4 Q"_ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3aj�e Busines< ar,e a.�fecsionals Code, and my license is in full force and effect. ClLicen sB a License No.: 808912 ntract 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 sheds 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 ofthe 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 _ 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 contractor(s) 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: LQPER111IT 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) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/27/05 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. 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 (4 3700 o t abor Code, I sh forthwith comply with those provisions. 1 Ap WARNING: FAILURE TO SEC 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 (puny tp enter upon the above -r. —l'.n=dr ^•..nem• for inspection purposes. LQPERMIT - Application Number . . . . . 05-00003248 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 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 743.00 PATIO SQ FTS 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 158.52 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'. 7.16 Issue Date Valuation . .}. .. 0 Expiration Date 1/23/06 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 -.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 9.13 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 LQPERMIT LQPERMIT _ - - Application Number . . . . . 05-00003248 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 10.08 - 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•.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 1/23/•06 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 9 PLAN TYPE 2CR, 31070 SQ.FT. 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 . . . . - -- - - -- ----------------- DIF COMMUNITY CENTERS -RES ------- 97.00 DIF_CIVIC CENTER - RES 366.00 . ENERGY REVIEW FEE 15.85 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 LQPERMIT _ - - Application Number 05-00003248 Other Fees . . . . . . ... . DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1412.28 .00 .00. 1412.28 Plan Check Total 184.89 .00 .00 184.89 Other Fee Total 2440.44 .00 .00 2440.44 Grand Total 4037.61 00 .00 4037.61 `L•c Ce'dificate of Occupancy INCORPORAIM OF�w Building &Safety Department k 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. { % Si %v BUILDING ADDRESS: 46-279ROADRUNNER LN 1 4 j Use classification: SINGLE FAMILY DWELLING Building Permit No.: 053248 z; Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RM Owner of Building: LA QUINTA NORTH PARTNERS Address: 2 CROOKED STICK DRIVE City, _ST, ZIP: NEWPORT BEACH, CA 92660 By: STEVE TRAXEL Date: February 11, 2008 Building Official x POST IN A CONSPICUOUS PLACE