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05-2447 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tjht 4.4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00002447 Property Address: 78355 CLARKE CT APN: 643-70 -999-26 -31348 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 200686 Applicant: Architect or Engineer: ----------------- 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. License Class: B License No.: 588920 Date: Contractor: 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 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 riot more than five hundred dollars ($500).: (_) 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.). 4-1) 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.). (_) I am_ exempt under Sec. , B.&Pcr, for this reason 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: LQPERMIT Owner: PH RANCH LLC 78370 HIGHWAY 111 STE 200 LA QUINTA, CA 92253 Contractor: ASARO BUILDERS, INC. 42220 GREEN WAY, H - PALM DESERT- CA 92211 (760)776-0043 Lic. No.: 588920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/12/06 t 1 2006 CITY OF LA QUINTA --------------- - - - 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 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 STATE FUND Policy Number 229002420506 �( 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, nd agree th�.�f-L ould b�jf�oma sl1�f�bject(oo the workers' compensation provisions of Section 0790 of thQ lei[ n ly with those provisions. 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. - 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. I agree to comply with all city ang coun y ordinances and state laws relate [�y�gp tru on, ang hereby authorize representatives O IS y to Ater upon the abode-mentio � TOpCf!¢ mUnspe Q pws. (Applicant or Agent): Application Number . . . . . 05-00002447 ------ Structure Information 3276 SQ. FT. SFD MODEL F-1 ----- Construction Type . . _ . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . 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 7 ---------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3276.00 Permit . . . BUILDING PERMIT Additional desc . --, Permit Fee 993.00 - Plan Check Fee 645.45 Issue Date . . . . 9/19/05 Valuation . . . . 200686 Expiration Date 9/23/06 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 . . . . 9/19/05 Valuation . . . . 0 Expiration Date 9/23/06 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 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------- EA MECH EXHAUST HOOD m 6.50 . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 154.62 Plan Check Fee 38.66 Issue Date . . 9/19/05 Valuation 0 ,Expiration Date 9/23/06 Qty Unit Charge Per Extension BASE FEE 15.00 3276.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 114.66 LQPERMIT Application Number . . . . . 0.5-00002447 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 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 . . . . 9/19/05 Valuation . . . . 0 Expiration Date 9/23/06 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 -- 1.00 15.0000 EA PLB BUILDING SEWER 15.x:• 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 .'. . . 9/19/05 Valuation . . . . 0 Expiration Date 9/23/06 Qty Unit Charge Per - Extension BASE FEE 15.00 - ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 26, PLAN F2,3276'SF. PERMIT DOES NOT INCLUDE POOL, SPA BLOCK WALLS, OR DRIVE WAY APPROACH. ***CHANGE OF CONTRACTOR PER ED ALDERSON AS OF 5/8/06*** -----------------=--------------- Other Fees ------------------------------------------- ART IN PUBLIC PLACES -RES 20.00 CHANGE OF CONTRACTOR 4.50 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 64.55 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 LQPERAIIT r Application Number . . . . . 05-00002447 ---------------------------------------------------------------------------- Other Fees . . . . . . . . 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- ---------==------ Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total 1465.62 1465.62 .00 .00 Plan Check Total 759.86 759.86 .00 .00 - Other Fee Total 2514.11 2509.61 .00 4.50 Grand Total 4739.59 4735.09 .00 4.50 LQPERMIT i • �W P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05`='00002447 Owner: Property Address: 78355 CLARKE CT PH RANCH LLC APN: 643-70 -999-26 -31348 - 78370 HIGHWAY 111 STE 200 Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 200686 Contractor: Applicant: / Architect or Engineer: EHLINE COMPANY 55375 MEDALLIST DR LA QUINTA, CA 92253 (760)771-8130 Lic. No.: 482086 ------------------ 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. License Class: B License No.: 482086 Date: Contractor: 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 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 1$500): (_) 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.). 1:1 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.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: uJ caner. � 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: I� Lender's Address: tjT LQPERI%IIT VOICE (760) 177-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/17/05 QD D SEP I14TA CIT`( OF LA QUncvT_ — ------------------ 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 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 STATE FUND Policy Number 1814972 ' 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, 1L-LAUqVId become subject to the workers' compensation provisions of Section 00/Fif the L s�Z���S* 71 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL, 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. 1 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 co my esn.,ter.upon the bove-mentioned property for inspe on purposes. a1Tte:� /( ) ' at ire (Applicant or Age��tZJ�( Application Number . . . . 05-00002447 ------ Structure Information 3276 SQ. FT. SFD MODEL F-1 ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . 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 -----------------------------------------------7---------------------------- 1ST FLOOR SQUARE FOOTAGE 3276.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 993.00- Plan Check Fee 645.45 Issue Date . . . . Valuation . . . . 200686 Expiration Date 12/14/05 Qty Unit Charge Per Extension BASE FEE 639.50 101.00 3.5000 ----------------------------------------------7----------------------------- 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 Expiration Date 12/14/05 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 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 154.62 Plan Check Fee .. Issue Date Valuation . . . Expiration Date 12/14/05 Qty Unit Charge Per BASE FEE 3276.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY LQPERTIIT 38.66 0 .Extension 15.00 114,66 4 .ar Application Number . . . . . 05-00002447 Permit ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 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 Expiration Date-. 12/14/05 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 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 Expiration Date 12/14/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 26, PLAN F13276 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 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 LQPERMIT s Application Number . . . . . 05-00002447 ----------------------------------------------------------------------------. Other Fees. . . . . . . . . . STRONG MOTION (SMI) - RES 20.06 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited -------------------- Due Permit Fee.Total 1465.62 ---------- .00 .00 1465.62 Plan Check Total 759.86 .00 .00 759.86 Other Fee Total 2509.61 .00 .00 2509.61 -Grand Total 4735.09 .00 .00 4735.09 e L&EPMUT Certificate of Occupancy Isco �whn �.� l G� OF Building 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. BUILDING ADDRESS: 78-355 CLARKE COURT Use classification: SFD - Building Permit No.: 05-2447 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: PH RANCH, LLC Address: 78-355 CLARKE COURT City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: APRIL 27, 2009 Building Official POST IN A CONSPICUOUS PLACE ��� -�