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09-0508 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 09-00000508-1 Property Address: 52285 SILVER STAR TR APN: 767-630-015- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 165860 Applicant: Architect or Engineer: 7 Owner: DESERT CHEYENNE, INC., 78401 HIGHWAY 111,.SU) LA QUINTA, CA 92253// (760)777-9920 1 J Contractor: HERINGTON DEVELOPMENT, 40960 CALIFORNIA OAKS MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190. VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 I Date: 5/21/09 --------------- -------------------------------------------------------------------------- - - - - - — I hereby affirm under penalty of pe Section 7000) of Division 3 of the License C ass: ",;;--'D t.. i ` ontractor: LICENSED CONTRACTOR'S DECLARATION at I am licensed under provisions of Chapter 9 (commencing with es and Professionals Code, and my License is in full force and effect. i License No.: 753190 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury t I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business nd 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, 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.). ` - - (_) 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—) I am exempt under Sec. BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 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 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 er are: Carrier STATE FUND olicy Number 1542746-2008 I certify that, in the performance he work for which this permit is issued, I shall not employ any person in any manner so as to ome subject to the workers' compensation laws of California, and agree that, if I should beco subject to the workers' compensation provisions of.Section 700 of the Labor Code, I shal i rthwith comply with those provisions. s at� L i plicant: I WARNING: FAILURE TO SECURE WORKERS'MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE OST 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 benefitwork 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 o this permit. 2. Any permit issued as a result of this appli tion becomes null and void if work is not commenced within 180 days from date of issuance 1buing permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thove information is correct. I agree to comply with all city and county ordinances and state laws relating to construction, and hereby authorize representatives of this conty t enter upon the above-mentioned prr inspection purposes. �/ 'i' e— nature (Applicant or Agent): r Application Number . . . . . 09-00000508 , Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy.Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . .CODE EDITION 2007 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 658.00 PATIO SQ FTG 319.0.0 NUMBER OF UNITS 1.00 ----------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2600.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 870.50 Plan Check Fee 565.83 " Issue Date Valuation . . . . 165860 Expiration Date 11/17/09 Qty Unit Charge Per Extension BASE FEE 639.50 66.00 3.5000 THOU BLDG 100,001-500,000 231.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . .90.00 Plan Check Fee 22.50 Issue Date . . . . Valuation . . . . 0. Expiration Date 11/17/09 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 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- 119.16 Pian Check Fee 29.79 Issue Date . . . . Valuation 0 Expiration Date 11/17/09 Qty Unit.Charge Per Extension BASE FEE 15.00 2600.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 91.00 LQPERMIT Application Number . . . . . 09-00000508 Permit . . . ... . ELEC-NEW RESIDENTIAL Qty Unit Charge Per. Extension 658.00 .0200 ------------------------------------------------------------------ ELEC GARAGE OR NON-RESIDENTIAL 13.16 ---------- Permit . . . PLUMBING Additional desc . Permit Fee 166.50 Plan Check Fee 41.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA- PLB FIXTURE 96.00 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 11/17/09 Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFD - LOT 15, PLAN 2BR, 2600 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. 2007 CODES. Other Fees . . . . . . ART IN PUBLIC PLACES -RES .00. BLDG SIDS ADMIN (SB1473) 7.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE- 56.58 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 16.58' LQPERNM LQPERA1IT _ - ' Application Number . . . . . 09-00000508- --------------------------------------- Other Fees' . . . -------- . . . . . . ---------------------------------------- 7 -------------------------- DIF STREET MAINT FAC -RES --------- 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary ----------------- ~Charged ---------- Paid Credited ---------- ---------- Due Permit Fee Total 1261.16 ---------- .00 .00 1261.16' Plan Check Total 659.75 .00 .00 659.75 Other Fee Total 4555.16 .00 .00 4555.16 Grand Total 6476.07 .00 .00 6476.07 LQPERA1IT _ - '