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04-7863 (SFD)T-1-af 4 4 Q" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . 04-00007863 Date 12/16/04 Property Address f 78415 CLARKE CT APN: 643-170-999-32 -31348.- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 200686 Owner Contractor ----------------------- ------- ---------------- PH RANCH LLC EHLINE COMPANY 78370 HIGHWAY 111 STE 200 55375 MEDALLIST DR LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-8130 WCC: STATE FUND WC: 2290006783 01/01/05 CSLB: 482086 11/30/05 CCC: B ------ Structure Information 3276 SQ. FT. SFD MODEL F-1 ----- Construction.Type . . . . .. TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . NON -AO FLOOD ZONE Other s CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 498.00 PATIO SQ FTG 266.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3276.00 ------------------7--------7------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 993.00 Plan Check Fee'. 645..45 Issue Date Valuation . . . . 200686 Qty Unit'Charge Per Extension BASE FEE 639.50 101.00 3.5000 THOU BLDG 100,001-500,000 353.50 ------------------------------------------- Permit . . . . . . MECHANICAL -------------------------------- Additional desc Permit Fee . . . . 108.00 Plan Check Fee 27.00 Issue Date . . . . Valuation 0 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 5.00 6.5000 EA MECH VENT FAN 32.50 P.O. BOX 1504�� VOICE (760) 777-7012 Tdf 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ooy- 7e9& 3 Date: /il 'M -a y Applicant: --Architect Applicant's Mailing Address: chitect - Lic. No. or Erigineer: or Engineer' dr ss: Clggl0 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pedury 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. License Class License No. Date Contractor 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 stricture, 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 sale.). V6-1, 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 1 am exempt under rSec. B.& P. 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 issued. My workers' compensation insurance carrier and policy number are: Cartier. Policy Number 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, l shall forthwith comply /with/terse r visio Date A licant pP 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 perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address %C 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, indemnity 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c to n bove4nentioned property for inspection purposes. Datet ? -- o Sre (Applicant or Agent . Page 2 Application Number . . . . . 04-00007863 Date 12/16/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc.. Permit Fee . . . . 154.62 Plan Check Fee 38.66 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3276.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 114.66 498.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.96 1.00 15.0000.EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Permit ... . . . . PLUMBING Additional desc Permit Fee . . . . 195.00 Plan Check Fee 48.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 191.00 6.0000 EA PLB FIXTURE 114.00 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 4.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 12.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 32, PLAN F1,3276 SF. PERMIT DOES NOT INCLUDE POOL, SPA BLOCK WALLS, OR DRIVE WAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 Page 3 Application Number . . . . 04-00007863 Date 12/16/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 64.55 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 20.06 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 1465.62 .00 759.86 .00 2509.61 .00 4735.09 .00 Credited Due .00 1465.62 .00 759.86 .00 2509.61 .00 4735.09 �a- e Certificate' of Occupancy s C� OBuilding y p & 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. 14 a a s BUILDING ADDRESS: 78-415 CLARKE COURT f Use classification: SFD Building Permit No.: 04-7863 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL . Owner of Building: EHLINE HOMES Address: 78-375 CLARKE COURT City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: December 07- 2007 Building Official . u POST IN A CONSPICUOUS PLACE • yk•.o.ncra�•�wwi+•rAsem... i.:a - ..^.rsysev-�a..rn3c ..rte _.,-..s,w... �.�-aw,w�uerrric.•....w..-.9„m,.Px. ajr«�.,...w..,.;.g..�.....rn:x.er-••--�e..�Q.•a.�..>.+.wv.•r -- '�no.+eva _ ...«wrt.a,,.n