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04-8397 (SFD)a BUILDING & SAFETY DEPARTMENT Ito 1 4 , (760)-777-7012 MOF QP�78-49-�\. LE T MPICo FAX (760) 777-7011 ALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 , BUILDING PERMIT Qty Unit Charge Per -3.00 9.0000 EA 3.00 9.0000 EA 5.00 6.5000 EA c BASE FEE MECH FURNACE <=100-K MECH B/C'<=3HP/100K BTU MECH VENT.,FAN Extension 15.00 27.00 27.00 32.50 Applicat"ion-'Number . . . . . 04100008397, Date 4/12/05 Property' Address , . . . . . .. 52274 SHINING STAR LN " APN: 767-200-999-50 -312022- Application description.. DWELLING - SINGLE FAMILY DETACHED Property Zoning . LOW DENSITY RESIDENTIAL Application valuation _ 157506 Owner Contractor DESERT CHEYENNE, INC. HERINGTON DEVELOPMENT,'JAMES 0 78401 HIGHWAY 111, SUITE G 40960 CALIFORNIA OAKS RD, 4283 LA QUINTA CA 92253 MURRIETA CA 92562 (760) 777-9920 (951) 677-8415 WCC: STATE FUND WC: 1542746 11/01/05 CSLB: 753190 04/30/06 CCC: B -------------------------- Structure Information' ---=--------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 F1ood.Zone . . . . . . . . NON -AO FLOOD ZONE Other-'struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS ,NO GARAGE SQ FTG 650.00 t PATIO SQ FTG NUMBER`OF UNITS X236.00, 1.00 1ST FLOOR SQUARE FOOTAGE 2476.00 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc •,` - Permit Fee 842.:50 Plan Check Fee 136.91 Issue Date Valuation 157506 Qty Unit Charge Per Extension BASE FEE 639.50 58.00 3.5000 THOU BLDG 100,001-500,000 203.00 ---------------------------------- = -------------------=--=----------------- Permit .. . . . . . MECHANICAL' Additional desc Permit Fee . . . . 108.00 Plan Check Fee 6.75 Issue Date Valuation . . . . 0 Qty Unit Charge Per -3.00 9.0000 EA 3.00 9.0000 EA 5.00 6.5000 EA c BASE FEE MECH FURNACE <=100-K MECH B/C'<=3HP/100K BTU MECH VENT.,FAN Extension 15.00 27.00 27.00 32.50 P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760)777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D 4-18 3 % Date: 41. 1k. 05 Applicant: Architect or Engineer: Applicant's Mailing Address: I hereby affirm under penalty of perjury that I am Cod , and my License i full force and effect. ense Class ,-�ate Contractor Architect or Engineer's Address: No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals se No. 7 �/-7/ 11;4 k OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex pt from the Contractors' 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 Contractors' 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).): U 1, 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 or 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.). U 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.). U I am exempt under Sec. . BA P.C. for this reason Date Owner. WORKERS' 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 workers' compensation in nce carrier an ?,y yy /q art: er / / 7 (/�// olicy N antumber / _ I certify that, in the performance of the rk for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and re at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provision C ate //" X, 2pplicant WARNING: FAILURE TO SECURE WORKERS' 0UPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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. 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 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 n I an 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 cancell ion/1 I certify that I have read this application and state that the above inform ioJ il correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ant p n the above-mentioned property for inspection purposes. Date o / Signature (Applicant or Agent): Page 2 Application.Number 04-00008397 Date 4/12/05 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 114.66 Plan Check Fee 7.17 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2476.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 86.66 650.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.00 ------------------------------=--------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 172.50 Plan Check Fee 10.78 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 X1.00 15.0000 EA PLB GAS METER 15.00 ------------------------------------7--------------------------------------- Permit . . . . . . GRADING PERMIT Additional desc.. Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty. Unit Charge Per Extension ---------- BASE FEE 15.00 ------------------------------------------------------------------ Special Notes and Comments SFD - LOT 50, PLAN 1CA, 2476 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK'WALLS, OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 Page 3 Application Number . . .. 04-00008397 Date 4/12/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF CIVIC CENTER - RES 366.00- 66.00ENERGY ENERGYREVIEW FEE 13.69 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 15.75 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1252.66 .00 .00 1252.66 Plan Check Total 161.61. •.00 .00 161.61 Other Fee Total" 2434.44 .00 .00 2434.44 Grand Total 3848.71 .00 .00 3848.71