07-3154 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:07-00003154
Property Address: 57403 PASEO DE LA PAZ
APN: 764-010-008-16 -31910 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL.
Application valuation: 191185
Applicant:
I hereby affirm under penalty of pe
Section 7000) of Division 3 of the
LicenseSlass: B
Architect or Engineer:
1)i9i✓/,� ,4f1 -6/i-,17
Owner:
LA QUINTA 57 ESTATES INC
78401 HWY 111 STE G
LA QUINTA, CA 92253
Contractor:
HERINGTON DEVELOPMENT, JAM
40960 CALIFORNIA OAKS RD,
MURRIETA, CA 92562
(951)677-8415
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/1.7/07
^^' LIC: No.: 753190 U
- ... ,.
LICENSED CONTRACTOR'S DECLARATION
at I am licensed under provisions of Chapter 9 (commencing with
ss and Professionals Code, and my License is in full force and effect.
License No.: 753190
i
i f
' 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 ($500).:
1 _ I 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 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.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date
Owner:
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.I.
Lender's Name:
Lender's Address:
LQPERMIT
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 Performa ce of the work for which this permit is issued. My workers' compensation
insurance carrier and p li y number are:
Carrier STATE FUND Policy Number 1542746-2007
I certify that, in the perfor nce of the work for which this permit is issued, I shall not employ any
person in any manner s to become subject to the workers' compensation laws of California,
and agree that, if I sho I become subject to the workers' compensation provisions of Section
/ 37000 of the Labor C I shall forthwith comply with those provisions.
Date/-�-S PPlicant:
WARNING:. FAILURE TO SECURE W RKERS' 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 ermit.
2. Any permit issued as a result of this applicatio becomes null and void if work is not commenced
within 180 days from date of issuance of suc ermit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and'state that the a ve information is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin onstruction, and hereby authorize representatives
of/thi/s�y�ount to a ter upon the above-mentioned property fo inspection purposes.
of [e! 2 1 a >W<UrIApplicant or Agent):
4_
LQPEPNfIT
Application Number . . . . . 07-00003154
Permit . . . .
. .
BUILDING PERMIT
Additional desc
.
Permit Fee . .
. .
961.50
Plan Check Fee _
624.98
Issue Date . .
. .
Valuation . . . .
191185
Expiration Date
6/14/08
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
92.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000.
322.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
.
83.50
Plan Check Fee
20.88
Issue Date . .
. .
Valuation
0
Expiration Date
. .
6/14/08
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA MECH
FURNACE <=100K
18.00
2.00
9.0000
EA MECH
B/C <=3HP/100K BTU
18.00
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc
.
Permit Fee
134.66
Plan Check Fee
33.67
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
6/14/08
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3037.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
106.30
668.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
13.36
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 172.50
Issue Date . . . .
Expiration Date 6/14/08
Plan Check Fee . .
Valuation . . . .
Qty Unit Charge Per
BASE FEE
17.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
43.13
0
Extension
15.00
102.00
15.00
�w "
LQPERDI IT
Application Number . . . . . 07-00003154
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
.Charge
BASE FEE
15.00
Extension
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
8.00
.7500
EA
PLB
GAS PIPE >=5
6.00
1.00
-----------------------------------------------------------------------------
15.0000
EA
PLB
GAS METER
15.00
Permit . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
GRADING PERMIT
15.00
6/14/08
Plan Check Fee .00
Valuation . . . . 0
Qty Unit Per
Extension
.Charge
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 16, PLAN 4Ar, 3037 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 2001 CBC,
CMC,
CPC, 2004 CEC, 2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC.CENTER - RES
995.00
ENERGY REVIEW FEE
62.50
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF.LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
19.11
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total 1367.16
.00 .00
1367.16
Plan Check Total 722.66
.00 .00
722.66
Other Fee Total 4576.61
.00 .00
4576.61
Grand Total 6666.43
.00 .00
6666.43
Certificate of Occupancy
ot XP aawcu
Building & 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.
Use classification: SFD
Occupancy Group: R-3.
BUILDING ADDRESS: 57-403 PASEO DE LA PAZ
Type of Construction: V -N
Owner of Building: LA QUINTA 57 ESTATES INC
Building Official
Building Permit No.: 07-3154
Land Use Zone: RL
Address: 78-401 HWY 111 SUITE G
City, ST, ZIP: LA QUINTA 92253
By: STEVE TRAXEL
Date: MAY 20--2008
POST IN A CONSPICUOUS PLACE