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08-1275 (SFD).V P.O. BOX 1504 78-495 CALLE TA\4PICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT seer's,.. Application Number: 07-00_0_0.,X 7_'5M Property Address: 80865 PASEO DE ROSARIO APN: 766-110-016-55 -33597 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 200883 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 LicenseNo.: 750957 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 thavhe 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; as owner of the property, or my employees with wages as their sole compensation, will do,the work, and the structure isnot 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.). (�) 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 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: I.QPF:RD1tT VOICE (760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/08 Owner: R.T. HUGHES 78-900 AVENUE 47, STE. 200 LA QUINTA, CA 92253 Contractor: D GRA ENTERPRISE, INC.. 36875 DATE PALM DRIVE, SUITE APR .18 2008 CATHEDRAL CITY, CA 92234 (760)969-1400 CITY OF LA QUINTA Lic. No.: 750957 CILI A GI^- --.— 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 LaborCode, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, 6s -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 719000223 1 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 l 3700 of the Labor Code, I shall forthwith comply with those provisions. ate: �1 plicant: WARNING: FAILURE TO SEC RE WORK ERS'C MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE,HUNDRED THOUSAND DOLLARS (5100,000). 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 and county ordinances and state laws relating to building construction, and hereby authorize representatives of thi unty to enter upon the above-mentioned pr pert cpeciipspurposes. at ��±� Si amre (Applicant or Agem): Application Number . . . . . 07-00001275 Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 993.00 Plan Check Fee 645.45 Issue Date . . . . Valuation . . . . 200883 Expiration Date . . 10/14/08 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 . . . . 117.50 Plan Check Fee 29.38 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/14/08 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 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 . . . . 139.81 Plan Check Fee 34.95 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/14/08 Qty Unit Charge Per Extension BASE FEE 15.00 3207.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 112.25 628.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.56 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 179.25 Issue Date . . Expiration Date . . 10/14/08 Qty Unit Charge Per BASE FEE LQrrH, + rr Plan Check Fee . . 43.31 Valuation . . . . 0 Extension 15.00 Application Number . . . . . 07-00001275 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension Extension 18.00 6.0000 EA PLB FIXTURE 108.00 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15.00 10/14/08 Plan Check Fee Valuation . . Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 55, PLAN 2A, 3207 SF. 'PERMIT DOES NOT INCLUDE -POOL, SPA, BLOCKWALLS, 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 64.55 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 20.08 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Permit Fee Total 1444.56 .Plan Check Total 753.09 Other Fee Total 4579.63 Grand Total 6777.28 1,QrrwAnT Paid Credited Due .00 .00 1444.56 709.78 .00 43.31 64.55. .00 4515.08 774.33 :00 6002.95