05-4361 (SFD)P.O. "BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 000_04361_
Property Address: 52410 SILVER STAR TR
APN: 767-200-999-35- -312022—
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 184739 //L
Applicant: /krch
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ine9%
X88- 1 �
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DESERT ELITE, INC'.
78401 HIGHWAY 111, SUITE G
LA QUINTA, CA 92253
(760)777-9920 y
Contractor:
HERINGTON DEVELOPMENT, JAMES O
.40960 CALIFORNIA OAKS RD, #283
MURRIETA,. CA 92562
(951)677-8415
Lic. No.: 753190
Date: 9/29/05
---------------- --------------------------------------------------------------------------------
- CENSED CONTRACTOR'S DECLAR-ATION' - I - - - O
I hereby affirm under penalty of perjury 'I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin s nd Professionals Code, and my License is in full force and effect.
License Clyt: P License No.: 753190
bate. = %%G Cctor.
1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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, 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 ownerofproperty 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. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1. 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
W RKER 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 number are:
Carrier STATE FUND Policy Number 1542746
I certify that, in the per1hrmance of the work for which this permit is issued, I shall not employ any .
person in any manne as to become subject to the workers' compensation laws of California,
and agree that, if I sh become subject to the workers' compensation provisions of.Section
70o o�theLa C ,Ishall forthwith comply with those provisions.
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI AL 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 foi 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 LaQuinta; 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 s h 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 b ve information is correct. 1 agree to comply with all
city and county ordinanc�ure
nd stat laws relating to build onstruction, and hereby authorize representatives
of thiss c�ter uthe ove-mentioned propert r inspection purposes.
Z =' Si (Applicant or Agent):
L -
LQPERMU
Application Number .
. . . . 05-00004361
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
937.00 Plan Check Fee..
152.26
,Issue Date
Valuation
184739
Expiration Date
3/28/06
Qty, Unit Charge
Per
Extension
BASE FEE
639.50
85.00 3.5000
-------------------------------------------
THOU BLDG 100,001-500,000
------------------------
297.50
--------
Permit
MECHANICAL,,
Additional desc
Permit Fee
103.00 Plan Check Fee
6.44
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/28/06
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
7.00 6.5000
EA MECH VENT FAN
45.56
1.00 6-.5000
----------------
EA MECH EXHAUST HOOD
6.50
----------
-------------------------------------------------
Permit ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
131.74 Plan Check'Fee
8.24
Issue Date . . . .
Valuation . . . .
0,
.Expiration Date
3/28/06
Qty Unit.Charge
Per
Extension.
BASE FEE
15.00
291'3.0.0 .0350
ELEC NEW RES 1,OR 2 FAMILY
101.96
739.00 .0200
-----------------------------------------
ELEC GARAGE.OR NON-RESIDENTIAL
I ---------------------------
14.78
Permit . . . . . . .
PLUMBING
Additional desc
Permit Fee-_ . . . -
_179.25 Plan Check Fee
.11.20,
Issue Date . . . .
Valuation . . . .
-
0
Expiration Date
3/28/06
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
18.00 6.0000
EA PLB FIXTURE
108.00
1.00 15.0000
EA PLB BUILDING SEWER-
15.00
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Application Number . . . . . 05-00004361
Permit` . . . . . . PLUMBING
Qty Unit Charge Per
-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
9:00 .7500 EA PLB GAS PIPE >=5
6.75'
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 3/28/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
-----------------------------------------------------------------------------
--
Special Notes and Comments
Special
---- ---- ---
_
l
SFD - LOT 35,.,PLAN 4A. PERMIT DOES NOT
.
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH. 75% REDUCTION TO -01 BLDG M'
;
P/
04 CEC/ OS
ENERGX-�
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
Other Fees . . . . . ART IN PUBLIC PLACES -RES,
20.00 -
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE'
15.23
l - 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
18.47
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION,- RES
1666.00
Fee summary Charged Paid Credited
Due
-
- ---- - - - - - - - - - - ------ - - - - ------ - - - ------- - - - - ----
Permit Fee Total 1365.99 .00 .00
-- - - - - -
1365.99
Plan Check Total 178.14, .00 .00
178.14
Other Fee Total 3749.70" .00 .00
3749.70 -
Grand Total 5293.83 .00 .00
5293.83
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