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06-0206 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO " LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING IT Application Number: C.6-00000206 ® Owner: Property Address: 52890 PALAZO TAYLOR WOODROW HOMES, INC. APN: 767-200-011-44 -318742- D 15 CUSHING Application description: DWELLING - SINGLE FAMILY DETA 1 ,,a �5 ZO®� IRVINE, CA 92618 Property Zoninp: LOW DENSITY RESIDENTIAL. J� (341) 000-1200 Application valuation: 176769 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/13/06 Contractor: Applicant: Architect or Engineer: TAYLOR WOODROW HOMES INC 15 CUSHING IRVINE, CA 92618 (760)275-0598 Lic. No.: 352047 X - V - ;_ - - - - 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 Profe ionals 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 Licen e C ss: Ell e e 2047 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: I ntractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor it Code, for the performance of the work for which this permit is issued. My workers' compensation OW E -BUILD R DECntractor's LARATIO insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exe pt from the Coto License Law for the Carrier LIBERTY MUTUAL Policy Number WA765D283614055 following reason (Sec. 7031.5. Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in.any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coder or q700 of the L or Code, I shall fonhwwiiilT�s pl ith tos rovisions. 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).: ate: A scant: li (_ 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 WARNING: FAILUf ECURE WORKERS' C M ENSATION COVERAGE IS U AWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALT AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to'the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued asa result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold .harmless the City Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERM T 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 constructiotpd hereby au a resentatives of this o my to nter upon above-mentioned pr perty for inspection purSpo te: nature (Applicant or Agent): U Application Number . . 06-00000206" - Permit BUILDING PERMIT Additional desc . Permit Fee 909.00 Plan Check Fee 147.71 Issue Date . . . Valuation . . 176769 Expiration Date 7/12/06 Qty' Unit Charge Per -Extension BASE FEE 639.50 77.00 3.5000 THOU ELDG 100,001-500.000 ?.F9.5(1 Permit MECHANICAL Additional desc . Permit Fee. . 65.50 Plan Check Fee 4.10 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE- 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 125.35 Plan Check Fee 7.84 Issue Date . . . . Valuation 0 Expiration Date .. 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 2754.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.39 698.00 .0200 ------------------------------------------------------------------------ ELEC GARAGE OR NON-RESIDENTIAL 13.96 Permit . . PLUMBING Additional desc . Permit Fee . . . . 166.50 Plan Check Fee .. 10.41 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 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 LQPERMIT Application"Number . . . . . 06-00000206 : Permit PLUMBING Qty Unit Charge Per•Extension: ;SPRINKLER 1.00 9.0000 EA PLB LAWN SYSTEM 9.00 , 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 EA • PLB GAS METER ---------------------------------------------------------------------------- 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee 15.00 Pian Check Yee UU " Issue Date - Valuation . . . . 0 Expiration Date 7/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------------ Special Notes'and Comments SFD -LOT 44 PLAN 2B, 2754 SF PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY. ' APPROACH.75% REDUCTION TO PLAN CHECK FEES 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 14.77 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 17.67 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1281.35 .00 .00 Total. 1281.35 Plan Check Tota170.06 .00 .00 170.06 Other Fee Total 2437.44 .00 .00 2437.44 Grand Total 3888.85 .00-. x-00 3888.85 • LQPERMIT - -