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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