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05-2855 (SFD)-�~ P.O. BOX 1504 78-495 CALLE TAMPICO LA .QUINTA, CALIFORNIA 92253 Application Number: _00;002855- N Property Address: 52345 SHINING STAR LN APN: 767-200-999-17 -312022 Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 179688 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Applicant: /Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION . I hereby affirm under penalty of perjury at I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of,the Busi and Professionals Code, and my License is in full force and effect. . License CI s: License No.: 753190 /Datei V Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury t at 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 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 _ 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, 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: LQPERnIIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/11/05 Owner: DESERT ELITE, INC. 78401 HIGHWAY 111 D LA QUINTA, CA 92253 JU I AUG 23 2005 Contractor: Cin, OF LA QUIN HERINGTON DEVELOPMENT,' JAMES O F'NANCE DEPT. TAA 40960 CALIFORNIA OAKS RD, #283 MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 --------------------------------------------- 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 policy number are: Carrier STATE FLTND k Policy Number 1542746 I certify that, in the perf an a of the work for which this permit is issued, 1 shall not employ any person in any manner a become subject to the workers' compensation laws of California, and agree that, if I sho d e ome subject to the workers' compensation provisions of Section [,LI -C 0 of the Labor Cod I all forthwith comply with those provisions. �aacq/ 2Z icant: WARNING: FAILURE TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN 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 conditioris 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 applicat n becomes null and void if work is not commenced within 180 days from date of issuance Jbuilc it, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state thnformation is correct. I agree to comply with all city and county ordinances and state laws relating tostruction, and hereby authorize representatives of this cou to nter upon the above-mentioned prpection purposes. . pate: r ,nature (Applicant or Agent): •- Application Number 05-00002855 1 _ Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . NON -AO FLOOD ZONE Other struct info _ CODE EDITION 2001 CBC #`-BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 634.00 PATIO SQ FTG. 263.00 NUMBER OF UNITS 1.00 -------------------------- 1ST FLOOR SQUARE'FOOTAGE ------------------------------------ 2863.00 -------------- Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 919.50 Plan Check Fee 149.42 Issue Date . . . . Valuation 179688 Expiration Date 1/07/06 " Qty Unit Charge Per Extension BASE FEE 639.50 80.00 -3.5000 THOU BLDG 100,001-500,000 280;00 Permit MECHANICAL Additional desc . Permit. Fee 90.00 Plan Check Fee 5.63 Issue Date . . . . Valuation . . 0 Expiration Date- 1/07/06 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 127.89 Plan.Check Fee 7_.99 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/07/06 Qty Unit Charge Per -Extension BASE FEE 15.00 2863.00 0350 ELEC NEW RES -1 OR 2 FAMILY 100.21 LQPERMIT Application Number 05-00002855 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 634.00 .0200 --------------------------------------------------------------.-------------- ELEC GARAGE OR NON-RESIDENTIAL 12.68 Permit . . . PLUMBING Additional desc.. Permit Fee . . . . 172.50 Plan Check Fee 10.78 Issue Date Valuation . . . . 0 Expiration Date 1/07/06 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 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 1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 -----=-------=-------------------------------------------------------------- Special Notes and Comments SFD - LOT 17, PLAN 3B, 2863 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 DIF CIVIC CENTER - RES 366..00 ENERGY REVIEW FEE 14.94 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 LQPERA4IT Application Number . . . . . 05-00002855 --------=-----------------------------------------.-------------------------- 'Other Fees . . . . . . . STRONG MOTION (SMI) - RES 17.96 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES- 1098.00 Fee summary Charged Paid Credited - Due ----------------- Permit Fee Total ---------- 1324.89 .00 .00 1324.89 Plan Check Total , 173.82 .00 173.82 Other Fee Total 2437.90 ,.00 .00 .00 2437.90 Grand Total 3936.61 .00 .00 3936.61 LQPERDiIT