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05-4356 (SFD)-P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-0000_4356 Property Address: 52320 SILVER STAR ,TR APN: 767-200-999-59 -312021- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: '185831 Applicant: Architect or Engineer: \ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of .perjury t am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Busine nd Professionals Code,. and my License is in full force and effect. Ucomre Cla : License No.: 753190 Date. 6 ntractor:— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I m 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 asigned 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 - - (_) 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. , 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.). Lender's Name: Lender's Address: \ LQPERMTT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: DESERT ELITE, INC. 78401 HIGHWAY 111. LLA QUINTA, CA 92253 Cb trac HER N DEVELOPMENT, JAMES O 40 ALIFORNIA OAKS RD., #283 TA, CA 92562 A95 �) 677-8415 Li No.: 753190 Date: 9/28/05 WORKER'S COMPENSATION DECLARATION Fhereby 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 1542746 _ I certify that, in the pe o as to of. the work for which this permit is issued, I shall not employ any 'person in any mann o as to become subject to the workers' compensation laws of California, and agree that, if I sl Id become subject to the workers'. compensation provisions of Section 3 CO of the L bot C , I shall forthwith comply with those provisions. ate: cant: WARNING: FAILURE TO SECURE W"KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 ove information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi construction, and hereby authorize representatives of this coyrryy toynter upon above-mentioned property r inspection purposes. (Applicant or Agent): Application Number . . . . . 05-00004356 Structure Information . Construction Type . . . .. TYPE V - NON RATED Occupancy Type. . . . DWELLG/LODGING/LONG."<=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info '. . . . . CODE EDITION 2001 # BEDROOMS 6.00 �- FIRE SPRINKLERS NO GARAGE SQ FTG 486.00 PATIO.SQ FTG 183.00 NUMBER OF UNITS 1.00 ----------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3180.00 Permit BUILDING PERMIT Additional desc . Permit.Fee . . . . 940.50 Plan Check Fee 611.33 Issue Date Valuation 185831 Expiration Date 3/27/06 Qty ;Unit Charge Per Extension BASE FEE 639.50 86.00 3.5000 ------------------------------------------------------------------------------ THOU BLDG 100,001-500,000 301.00 Permit . . . MECHANICAL Additional desc .. . Permit Fee . . . . 127.50• Plan Check.Fee 31.88 Issue Date Valuation . . . . 0 Expiration Date •. - 3/27/06 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 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc -,_- Permit Fee 136.02 Plan Check Fee 34.01. Issue Date . . . . Valuation . . . . 0 - Expiration Date 3/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 3180.00 .0350 ELEC NEW RES = 1 OR 2 FAMILY' 111.30 LQPERMrr Application.Number . . . . . 05-00004356 ' Permit ELEC-NEW RESIDENTIAL ' Qty Unit Charge Per Extension + ` ``486.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL r --------------- ----------------- ------------------------ - 9.72, 1 1 1 - ------------Permit . . . PLUMBING Additional desc . Permit Fee . . . .r 206.25., Plan Check Fee 51.56.E ' Issue Date . . . . ,Valuation . . .. 0 Expiration Date 3/27/06 ` ' Qty ' Unit Charge Per Extension BASE FEE. 15.00' 21.00 6:0000 EA PLB FIXTURE 126.00 ' 1.00 15.0000 EA PLB BUILDING SEWER' 15.00 2.00 7.5000 .EA -PLB WATER HEATER/VENT 15.00 1.00 # 3.0000 EA PLB WATER INST/ALT/REP 3.00 ' 1.00 .9.0000 EA PLB LAWN SPRINKLER,SYSTEM 9.00" ; 111.00 .7500 EA PLB GAS PIPE >=5 8.25 ' ' 1.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 15.00. Permit GRADING PERMIT' -. Additional desc Permit Fee 15.00 Plan Check Fee x.00 ' Issue Date. -Valuation 0 - Expiration Date 3/27/06 • Qty Unit Charge Per ` Extension ^ BASE FEE 15.00 -- - - - - - - - - - - - - - - - -- - -- ,------------------------------------------ Special Notes and Comments ------------ , SFD -'LOT 59. PLAN TYPE 4YBR,=; W/ . OPTIONAL �.• • ti .• ,� r f GUEST SUITE; ' 3180 SQ. FT. LIVING, R-3 .�-0f BLDG.' M "'P/ 04 CEC/'05 ENERGY. OCCUPANCY,: TYPE V -N CONSTRUCTION, 2001 }: _ , CODES. PERMIT DOES NOT ' INCLUDE BLOCK WALLS, POOL, SPA,OR..DRIVEWAY APPROACH • •' r 4. t • • -------------- - --------- - - - - - - ------------ - -------------------- Fees 'DIF .COMMUNITY. CENTERS _RES - - - - - - - ------ J4.00. -Othe1. DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 61-.13 DIF FIRE PROTECTION -RES 140.00 DIF. LIBRARIES - RES 355.'00 '. DIF PARK MAINT FAC - RES 22.00 - DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI)'- RES 18.46 • , • �. " LQPERMII• �•_, - • - . a • ` • ; Application Number. . . . . 05-00004356 ----------------------------------------------------------------------- Other Fees . . . . . . . . DIF STREET MAINT FAC -RES.• 67.00 DIF TRANSPORTATION - RES 1666..00 `. Fee summary Charged Paid Credited Due Permit Fee Total. 1425.27 .00 .00 1425.27 Plan Check Total 728.78 .00 .00 728.78 Other Fee Total 37.75.59 .00 .00. 3775.59 Grand Total 5929.64 Ob .00 5929.64 r l LQPERMIT - ..