The URL can be used to link to this page

04-4685 (SFD)M Tihf 4 4 a" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLE TAMPICO FA(760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUES�TS�(760) 777-7153 BUILDING PERMIT Application Number . . . . . 04-0000�4.6.:85"Date 8�/26/04 Property Address 78880 CITRUS APN: 772-101-008- - T� Application description . . . DWELLING - SINGLE FAMILY�� E ;CH'ED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 328779 Owner Contractor ------------------------------------------------ CAPITAL PACIFIC HOLDINGS CAPITAL PACIFIC HOLDING, INC. 4100 MACARTHUR BLV STE 200 200 SOUTH MAIN ST, STE #300 NEWPORT BEACH CA 92.660 CORONA CA 92882 (909) 279-2447 WCC: EAGLE PCF INS WC: 1S0312202 09/12/04 CSLB: 740745 09/30/05 CCC: B -------------------------- 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 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 817.00 PATIO SQ FTG 716.0,0 NUMBER OF UNITS 1.00 FIRST FLOOR SQ. FTG 3753.00 ------------------------------------------------------------------7--------- Permit . . BUILDING PERMIT Additional desc Permit Fee . . . . 1441.00 Plan Check.Fee 936.65 Issue Date . . . . Valuation . . . . 328779 Qty Unit Charge Per Extension BASE FEE 639.50 229.00 3.5000 THOU BLDG 100,001-500,000 801.50 -----------------------------------------7-----------------7---------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 114.50 Plan Check Fee 28.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension .N P.O. Box 1504ICE VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: QL�- �(p�j✓ Date: C% • G y Applicant: —Ar h' ect or E gheer: Applicant's Mailing Address: ( #-,,647L-T-1kJgA-" or Engineer's Address: No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (tom ting with Section 7000) of Division 3 of the Business and Professionals 90de and myss License 'J in full force and effect. 2! � ` ^ /J 0 License Class icense No._�/' fTCr/ /'7 /bate9—<6ontractorCzU/r`/yr— !%L� �4IV11,C� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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 sate.). (_) 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.). U I am exempt under Sec. , B.& P.C. for this reason Date Owner WORKERS' 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 �ssued. My wo s' cg_mpensation insurance carrier a9d Qel!�y VrP: �rrier �1 �11h ofcy Number / J p 77/ f` _ I certify that, in Me 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 hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pr sions. Jw,// r_.-) rpplicant WARNING: FAILURE TO SECURE 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. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perl'ury 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 fel 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 info on is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and h�erteby authorize representatives of this coun o nt r upon the above-mentioned property for inspection purposes. pate [J " C/ �� Signature (Applicant or A nt I 's: Page 2 Application Number . . . . . 04-00004685 Date 8/26/04 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 . . . . 162.70 Plan Check Fee 40.68 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3753.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 131.36 817.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.34 -------------------------------------------------------------=-------------- Permit . . . PLUMBING Additional desc Permit Fee . . . . 192.75 Plan Check Fee 48.19 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 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 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 =--------- 15.0000 EA PLB GAS METER 15.00 ---------- P.ermit . ------------------------- . . . . . =------------------------------ GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 8 PLAN 2B W/CASITA 3689 SF. Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged _Paid 1925.95 Page 3 Application Number 04-00004685 Date 8/26/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 PERMIT DOES NOT INCLUDE BLOCK WALL; POOL, SPA, DRIVEWAY APPROACH OR TEMP POWER. - ---------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 321.94 DIF COMMUNITY CENTERS=RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 93.67 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 32.87 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged _Paid 1925.95 .00 1054.15 .00 2853.48 .00 5833.58 .00 Credited Due .00 1925.95 .00 1054.15 .00 2853.48 .00 5833.58