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13-1604 (SFD)P.6.�-BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: A plicant- F W —a-� C�z 13-00001604 4.6107 ROUDEL LN 600 -040 -019 - DWELLING - SINGLE MEDIUM DENSITY RES 174548 T-ity 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT FAMILY DETACHED Architect or Engineer: "k__ Owner: ROUDEL VENTURES LLC 77-682 COUNTRY CLUB DR. PALM DESERT, CA 92211 (949)533-9408 Contractor: GHA ENTERPRISE, INC. 30875 DATE PALM DRIVE, S CATHEDRAL CITY, CA 92234 (760)969-1400 Lic. No.: 750957 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/26/14 :MAR 2 20.14 1: A C C1Ty0FLLAQU1N7A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - — LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under 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 Business and Professionals Code, 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 Class: B LicenseNo.: 750957 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ION. '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 Contractoi'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, 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 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, as owner of the property, am exclusively contracting with licen sed 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.&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 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: "t'a—frier-STATIE FUND — Policy Number 9076853-2014 :;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 3700 of the Labor Code, I shall forthwith comply with those provisions. late. a7SZ�611 �k4, I.. I i c a n t:_J tE" 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 LABORCODE, 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 a9d 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 permi t. 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,lor, 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-this7cou-nty to enter upon the above-mentioned property for inspection purposes. (Applicant or-Agi Application Number .. . . . . 13-00001604 ------ Structure Information 2,632SF DWELLING/VB/RES-3/CLASS-A/13D ------ - Other struct info . . . . . CODE EDITION 2010" # BEDROOMS 4.00 FIRE SPRINKLERS 3232 -GARAGE SQ FTG 600.00 PATIO SQ FTG 507.00 NUMBER OF UNITS 1.00 ----------------------------------- 1ST FLOOR SQUARE FOOTAGE ---------------------------------------- 2632.00 Permit . . . . ... BUILDING PERMIT Additional desc ADJUSTED TO 2013 FEE SCHEDULE Permit Fee 553.36 Plan Check Fee 1149.75 Issue Date . . . . Valuation 174548 Expiration Date 9/22/14. Qty. Unit Charge Per Extension ------------------------------ BASE FEE L ---------------------------------------------- 553.36 Permit . . . . . . ELECTRICAL 2013 Additional desc Permit Fee . . . . 203.31 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 9/22/14 Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 .00 23.8300 EA ELEC SERVICES .00 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 1.00 143.0000 LS ELEC NEW RES_FIRST 1 KSF 143.00 3.00 12.1600 ---------------- ---------------------------------------------------------- EA. ELEC NEW RES, ADD -L I KSF 36.48 Permit . . . . . . MECHANICAL 2013 Additional desc Permit Fee . . . . 238.36 Plan Check Fee .00 Issue Date Valuation . . . . -0 Expiration Date 9/22/14 .Qty Unit Charge Per Extension 2.00 .35;7500 EA MECH FURNACE .71.50 .2*.00 35.7500 EA MECH CONDENSER/COMP 71.50 7.00. 11.9200 EA. MECH VENT FAN 83.44 1.00 11.9200 ---------------------------------- EA MECH EXHAUST HOOD --------------------------------- 11.92 Permit . . . . .. . PLUMBING 201 . 3 LQPERMIT Application Number . . . . . 13-00001604 Permit . . . . . . PLUMBING 2013 Additional desc Permit Fee . . . . 309.91 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 9/22/14 Qty Unit Charge Per Extension 19.00 11.9200 EA PLBG,FIXTURE/TRAP 226.48 1.00 -11.9200 EA PLBG BUILDING SEWER 11.92 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 -jAT. , ALT/im r 1. 11-2200 EA PLBC i En INGT/, 11.92 1.00 11.9200 EA PLBG BACKFLOW DEVICE 11.92 1.00 35.75OU LS PLBG-GAS SYS, 5+ OUTLETS 3-5.75 -------------------------------------------------------- --------------- Special Notes and Comments 2,632SF DWELLING - PLAN 1A, LOT 22 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT.INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2010 CALIFORNIA BUILDING CODES. January 21, 2014 1:18:19 PM JJOHNSON. BUILDING PERMIT MANUALLY ADJUSTED TO 2013 FEE SCHEDULE DUE TO DEPOSIT FEE BEING TAKEN INCORRECTLY AT SUBMITTAL. ***DO NOT DUPLICATE/COPY FOR CREATION OF TRACT SINGLE FAMILY DWELLING PERMITS**t February 10, 2014 10:26:10 -AM AORTEGA ------------ --------------------------------------------------------- Other Fees . . . . . . . . . . BLDG STDS ADMIN (SB1473) 7 ------ 7.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES - RES 344.00 MULTI -SPECIES (MSHCP) FEE 12-78.00 PLAN CHECK, ELECTRICAL 78.90 DIF PARK MAINT FAC - RES 40.6o PLAN CHECK, MECHANICAL. 133.48 PLAN CHECK, SFD'GRADING 143.00 PLAN CHECK, PLUMBING 286.07 DIF PARKS/REC - RES 2048.00 STRONG MOTION (SMI) - RES 17.45 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION RES, 2842.00 Fee -summary Charged' Paid Credited Due ----------------- ----------- ---------- ------------ ------ Permit Fee Total 1304.94 .00 1�04.94 LQPERMIT LQPERMIT