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05-5119 (SFD)4 P.O. BOX 1504 ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00005119 `- 1 Owner: Property'Address: 52195`SHINING-STAR IN LENNAR HOMES APN: 767-200-999-12 -312022- 004 COOK STREET Application description: DWELLING - SINGLE-FAMILY DETACHED M DESERT, CA 92211 Property Zoning: LOW DENSITY RESIDENTIAL 0) 601-3100 Application valuation: 173670 _ 3 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/21/05 yQ 6 onto ctor: Applicant: �rchitector Engineer: `{�� l©�a HOMES OF CALIFORNIA INC A.4000 COOK ST: DESERT, CA 92211 ,�C�►Q�Ci�o�� (951) 817-3600 LiC. No.: 728102 ----------------- _--------------------- ___________________________________________________________ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7 00) of Division 3 of the Business and Professionals Code, and my License -is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License.0 ss: License No.: 728102 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: ` Contractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor elCode, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: _ Thereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the Carrier AON RISK SRVC Policy Number MWC11148500 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county. that requires a permit to_ I certify that,.in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person•in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Lab , 1 shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �f any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D 1 scant: (_) 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 WAR TNG: FAIL RE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 1, 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 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: LQPERMIT 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 issuancg of such permit, or cessation of work for 180 days will subject - permit to cancellation. I certify that I have read this applicat and state that the above. information is correct. I agree to comply with all city and unty ordinances and s e laws relating to ilding construction, and hereby authorize representatives of th' Lc unty t enter upon above-mentioned pr rty r inspection urposes. ate: " ature (Applicant or Agent). JApplication Number . . . . .' 05-00005119 " Permit . . . BUILDING PERMIT Additional desc Permit Fee . .. 898.50 Plan Check'Fee 146.01 Issue Date Valuation 173670 Expiration Date 5/20/06 Qty Unit Charge Per Extension BASE FEE - 639.50 74.00 3.5000 THOU BLDG 100,001-500,000 259.00 Permit . . . MECHANICAL Additional desc . Permit Fee 95.00 Plan'Check Fee.'. 5.94 Issue Date Valuation . . . 0 Expiration Date 5/20/06 Qty Unit Charge Per Extension BASE FEE 15.0.0 3.00 9.0000 EA MECH FURNACE <=1,00K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU: 27.`00 3.00 6.'50.00 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc .'. . Permit Fee 124.53 Plan Check Fee 7.78. 'Issue Date - Valuation 0 t> Expiration Date 5/20/06 Qty Unit Charge Per Extension BASE FEE' 15.00 2742.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 95.97 i 678.00 .0200 ----------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.56 -.Permit _ PLUMBING Additional desc . Permit Fee . . . . 161.25 Plan Check Fee 10.08 Issue Date Valuation . . . . 0 Expiration Date 5/20/06 Qty. Unit Charge Per. Extension BASE FEE 15.00' 15.00 6.0000 EA PLB FIXTURE 90.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 r . . LQPERMIT . • Application Number . . . ... 05-00005119 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 . Fee 15.00 Plan Check Fee .00 ..Permit Issue Date . . . . Valuation 0 Expiration Date_. 5/20/06 Qty Unit Charge Per Extension BASE FEE 15.00 -------------------------------------------------.-------------------------=- __ Special Notes and Comments SFD - 2742 SF. LOT 12, PLAN 1CR/3 CAR GARAGE 678 SF.PERMIT DOES NOT INCLUDE POOL,. SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ----------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 58.40 DIF FIRE PROTECTION -RES 97.00 GRADING�PLAN.CHECK FEE .00 DIF LIBRARIES - RES 225..00 DIF PARK MAINT FAC --RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 17.36 DIF STREET MAINT FAC -RES' 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1294.28 .00 .00 1294.28 Plan Check Total 169.81 .00 ,00 169.81 Other Fee Total 2500.76 .00 .00 2500.76 Grand Total 3964.85 .00 .00 3964.85 r LQPERMrr