05-4354 (SFD)P.O. BOX 1504
78-495 CALLE. TAMPICO
LA.QUINTA, CALIFORNIA 92253
Tity/ - 4 4 0",
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: �05-00004354
Property Address: `-52350-SILVER-STAR TR
APN: 767 -200 -999 -58 -312021 -
Application description: DWELLING - SINGLE FAMILY DET
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 165860
Applicant:
rchitect or Engineer:L
Sz3
------------------Jad
------------------------------
UD CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury thatcensed under provisions of Chapter 9 (commencing with
Section 7000) of Division of the Businessofessionals Code, and my License is in full force and effect.
License Clap'. B license No.: 753190
Date: Qi ntractor: '
WNER-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 Yo 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).:
(_) 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.).
(_ 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:
eason
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: a
Lender's Address: 1
LQPERMIT
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/28/05
Owner:
DESERT ELITE, INC.
78401 HIGHWAY 111, SUITE G
LA QUINTA, CA 92253
(760)777-9920
Contractor:
HERINGTON DEVELOPMENT,
40960 CALIFORNIA OAKS
MURRIETA, CA 92562
(951)677-8415
Lic. No.: 753190
JAMES O
RD, 4283
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 pol y number are:
Carrier STATE FUND IN Policy Number 1542746
_ 1 certify that, in 3CRIMINAL
ce of the work for which this permit is issued, I shall not employ any
person in anyto become subject to the workers' compensation laws of California,
and agree thacome subject to the workers' compensation provisions of Section
�0 of the all forthwith comply with those provisions. ,
at 1 Q t plica
WARNING: FAILURE TO SECS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO.ENALTIES 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 permit.
2. Any permit issued'as a result of this appli, atioh becomes null and void if work is not commenced -
within 180 days from date of issuance o such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state th a above information is correct. I agree to comply with all
city and county orCinanca and to laws relating to Iding construction, and hereby authorize representatives
of this uht to enter upon t above-mentioned pro y for inspection purposes.
to S' ature (Applicant or Agent):
LQPERMIT
. i
Application Number .
. . . 05-00004354 .
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 CBC i
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
658.00
PATIO SQ FTG
319.00
NUMBER -OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
2600.00
Permit .. . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
870.50 Plan'Check Fee
141.46
Issue Date
Valuation . . .
. 165860
Expiration Date
3/27/06
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
5.63
Issue Date
Valuation
0 .
J Expiration bate
3/27/06
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 Plan Check Fee
7.45
Issue Date . . .
Valuation
0
Expiration Date
3/27/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00-
2600.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
91.00
Application Number
05-00004354
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
10.41
Issue Date
Valuation . . . .
0
Expiration Date
3/27/06
Qty Unit "Charge
Per
Extension
BASE FEE
15.0.0
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
1.50
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
_ `
PPrmi t rF_ADIATG PERMIT
Additional desc .
Permit Fee
15.0.0 Plan Check Fee
.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 58, PLAN 2B,-"2600
SF. PERMIT ■
�I -
DOES NOT INCLUDE POOL,
- OR DRIVEWAY APPROACH.
SPA, BLOCK WALLS,
75%,REDUCTION TO
��O1`,B ENERGY
"M M P/
04 CEC/ 05
PLAN CHECK FEES DUE TO MULTIPLE .
ISSUANCE OF SAME PLAN
TYPE
Other Fees . . . . .
. I . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
14.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
14.15.
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-
Application Number
. . . .).
05-00004354
------------------ 7 -_-------------------------------------------------------
Other Fees ...
. . .
STRONG MOTION (SMI) - RES
16.58
DIF STREET.MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
.1666.00
Fee summary
Charged
Paid Credited.
Due .
PermitFee Total
---
1261.16
----
--- --- ----------- -----------
.00 .'00
----Permit
1261.16
Plan. Check Total
164.95
.00 .00
164.95
Other Fee Total
3726.73
.00. .00
3726.73
Grand Total
5152.84
.00 .00
5152.84,
LQPERMIT