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05-3250 (SFD)Y.O: B'OX 1504 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property ZQnjnq: Application valuation: Applicant: 05-00003250 4 RL 4621OUDELN 649-040-007-12 -31816 - DWELLING - SINGLE FAMILY MEDIUM DENSITY RES 195966 4 :1X4a Q - 1. - azaz VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/27/05 O Owner: d LA QUINTA NORTH PARTNERS 2 CROOKED STICK DRIVE DETACHED NEWPORT BEACH, CA 92660 A(to 4 ?ODS //--------- /rchitect or Engineer: _\ ld t v t Vi c...—eYt cl`. k.%_ W; 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. LiSpnpe C`asf. B •W �, - license No.: 808912 I — 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 ISec. 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 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 _ 1 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.). (_) I, as*owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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—) 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: LQMRMIT 'URBAN HABITAT 2 CROOKED STICK DRIVE NEWPORT BEACH, CA 92660 (949)759-101,8 Lic. No.: 80.8912 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 t xissued. I have and will maintain workers' compensation insurance, as required by Section 3706 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 _ f r 1700 of t. 'th comply with those provisions. WARNING: FAILURE TO S7 $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. 1 agree to comply with all city and count ordinances ands construction, and hereby authorize representatives of is �oyu%-ty /o'e�nter�upon t eabove-mentioned operty for insp coon purposes. �. 1 �\ ignature pplicant or entl: ' Application Number . . . ... 05-00003250 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 i PATTO SQ FTG 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 j 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 . . . . . 05-00003250 Permit . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 1179.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 23.5.8 Permit . . . PLUMBING Additional desc . Permit Fee. 161.25 Plan Check Fee 10.08 Issue Date . . . _ Valuation . . . . 0 Expiration Date 1/23/06 QtyUnit 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 12 PLAN TYPE 2CR, 3,070 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 . . . . . 05-00003250 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 LQPERMIT Certificate of Occupancy 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. BUILDING ADDRESS: 46-214 ROUDEL LN Use classification: SINGLE FAMILY DWELLING Occupancy Group: R-3 Type of Construction: VN Owner of Building: LA QUINTA NORTH PARTNERS Building Official Building Permit No.: 05-3250 Land Use Zone: RL Address: 2 CROOKED STICK DRIVE City, ST, ZIP: NEWPORT BEACH, CA 92660 By: STEVE TRAXEL Date: December 11, 2007 POST IN A CONSPICUOUS PLACE