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12-1404 (SFD)" P.'(0, BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12m60001464-- � BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: .81875 SEABISCUIT WY APN: 767-200-999-41 312023 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 192063 Owner: DESERT CHEYENNE,.INC. 78401 HIGHWAY 111 LA QUINTA, CA 92253 (760)777-9920 Contractor: Applicant: Architect or Engineer: GJH DEVELOPMENT INC 27636 YNEZ ROAD C7 #1 TEMECULA, CA 92591 (951)506-1123 LiC. No.: 916227 ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under'penalty of perjury that I am licensed under provisions of Chapter? (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.: 916227 Date: Contractor: �s • 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 70001 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 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 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: T e Co tractors' State License Law does not apply to an owner of property who builds or improves thereon, Qt o contracts for the projects with a contractor(s) licensed . pursuant to the Contractors' State License L 1 1 I am exempt under Sec. , B.&P.C. fors contracts Date / � rcaner CONSTRUCT(PN LENDING AGENCY I hereby affirm under penalty of perjury that there is a constr tion lending agency for the performance of the Work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's. Address: k LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/03/12 ?FJAN16 2013 CITY OF LA QUINTA FINANCE DEPT ------------------ WORKER'S COMPENSATION DECLARATION 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 EXEMPTIshould Policy Number EXEMPT I certify that, ic of the work for which this permit is issued, I shall not employ any person in ao a become subject to the workers' compensation laws of California, and agree tld b me subject to the workers' compensation provisions of Section/�/3700 of the, I s all forthwith comply with those provisions. ate>// ' 6/'. AppliIWARNING: FAILURE TO SKER OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PELTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TCOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE EST, 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 ap 'cationbecomes null and void if work is not commenced nce within 180 days from date of issuas h permit, or cessation of work for 180 days will subject permit to cancellation.. I certify that I have read this application and state that above information is correct. I agree to comply with all city and county ordinances and state laws relating to b IJing construction, and hereby authorize representatives of this cou ty toe er upon the above-mentioned prope for inspection purposes. Natet//d/ Si ature (Applicant or Agent): LQPERMIT Application Number 12-00001404 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 6.00 .FIRE SPRINKLERS NO GARAGE SQ FTG 486.00 PATIO SQ FTG 183.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3180.00 Permit . . . BUILDING PERMIT Additional desc . Permit. Fee . . . 965.00 Plan Check Fee.. .. 627.25 1. Issue Date . . . Valuation 192063 Expiration Date 6/01/13 Qty Unit Charge, Per Extension BASE FEE 639.50 93.00. 3.5000 THOU BLDG 100,001-500,000 325.50 Permit MECHANICAL Additional desc . Permit Fee . . 127.50- Plan Check Fee 31.88 Issue Date Valuation . . . . 0 - Expiration,Date 6/01/13. . c 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 8.00 6.5000 EA MECH VENT FAN 52.00 1.00' 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . 136.02- Plan Check Fee : 34.01 Issue Date Valuation . . . . 0 .Expiration Date 6/01/13 Qty Unit Charge Per Extension BASE FEE 15.00 3180.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.30 LQPERMIT Application Number 12-00001404 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 486.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.72 ---------------------------------------------------------------------------- ) Permit . . . PLUMBING Additional desc . Permit Fee . . . . 206.25 Plan Check Fee 51.56 Issue Date Valuation 0 Expiration Date 6/01/13 Qty Unit Charge Per Extension BASE PEE 15.00 21.00 6..0000 EA PLB FIXTURE 126.00 1.00. 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 11.00 .7500'EA PLB GAS PIPE >=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 6/01/13 Qty Unit Charge Per Extension • ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 18. PLAN TYPE 4YRA - 3180 S.F.PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 2010 CODES. ----------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) . 8.00 DIF COMMUNITY CENTERS -RES 104.00 DIF CIVIC CENTER - RES 1089.00 ENERGY REVIEW FEE 62.73 DIF FIRE PROTECTION -RES 612.00 DIF LIBRARIES - RES 334.00 MULTI -SPECIES (MSHCP) FEE 1254.00 DIF PARK MAINT FAC - RES 51.00 DIF PARKS/REC - RES 1773.00 STRONG MOTION (SMI) - RES 18.58 LQPERMIT Application Number . . . . . 12-00001404 •---------------------------------------------------------------------------- Other Fees . . . . . . . DIF STREET MAINT FAC -RES 158.00 DIF TRANSPORTATION - RES 3592.00 Fee summary Charged Paid - Credited Due ----------------- ----------- ---------- ---------- ---------- Permit Fee Total 1449.77 .00 .00 1449.77 Plan Check Total 744.70 .00 .00 744.70 Other Fee Total 9056.31 .00 .00 9056.31 Grand Total 11250.78 .00 .00 11250.78 LQPERMIT PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE COACHELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QUINTA MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RuBIDOUx CSD SAN JACINTO TEMECULA WILDOMAR BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 RIVERSIDE COUNTY FIRE DEPARTMENT IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886, • Fax (760) 863-7072 www.rvcfire.org July 9, 2012 Symons Fire Protection 1050 Pioneer Way Suite R EI Cajon, CA 92020 Re: Residential Fire Sprinkler Plan Review LQ -12 -RS -040 Rancho Santana Model Home Plan #4 81-875 Seabiscuit Way La Quinta, CA The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: A minimum of three spare fire sprinklers of each type and temperature rating along with a sprinkler wrench should be located in a spare head cabinet at the system riser or other approved location. Permanently marked identification signs shall be attached to all control valves. The completed Contractor's Material and Test Certificate for Aboveground Piping shall be provided to the fire inspector prior to a final inspection. A typical certificate is shown in Figure 10.10.1 NFP A113. A warning sign, with minimum Y4 inch letters, shall be affixed adjacent to the main shutoff valve and shall state the following: WARNING: The water system for this, home,supplies fire sprinklers that require certain flows and pressures to fight a fire. Devices that restrict the flow or decrease the, pressure or automatically shut off the water to the fire sprinkler system, such as water softeners, filtration systems, and automatic shut-off valves, shall not be added to this system without a review of the fire sprinkler system by a fire protections specialist DO NOT remove this sign. The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: (a) Fire Riser Flush: Prior to connection of above ground sprinkler system a flush shall be witnessed. (b) Overhead Rough and'Hydro static test: All piping shall be visible and pumped.at normal, operating pressure. (c) Final inspection. The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a.minimum_of 72 hours prior to the requested inspection date.