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04-8394 (SFD)Ir_ ` LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT :► �., ' ` -' , (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application.Number . . . . . C04-000083947 Date 4/12/05 Property.Address- 52382 SHINING STAR LN APN: 767-200-999-47 -312022- Application description . . . DWELLING =" SINGLE FAMILY DETACHED- ETACHED-Property PropertyZoning . . . . . . . LOW DENSITY -RESIDENTIAL Application valuation 185831 Owner Contractor 3ti^ DESERT ELITE, INC. HERINGTON DEVELOPMENT, JAMES 0 78401 HIGHWAY 111 40960 -CALIFORNIA OAKS RD, #283 LA QUINTA_' CA 92253 MURRIETA CA 92562 (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. Flood Zone . . . . . . . . NON -AO FLOOD -ZONE Other•struct info . . . CODE EDITION 2001 # BEDROOMS FIRE SPRINKLERS NO GARAGE SQ FTG .486.00 PATIO. SQ FTG . 83.00- . ' 183.00-, NUMBER NUMBER OF UNI'T'S '1.00 1ST FLOOR SQUARE FOOTAGE a 3180.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 940.50 Plan Check Fee 611.33 Issue Date . . . . Valuation 185831 Qty Unit Charge Per Extension BASE FEE 639.50 86.00 3.5000 THOU BLDG 100,001-500,000' 301.00 ;I Permit ... . . . . MECHANICAL Additional desc ... . Permit Fee . . . . 127.50 Plan Check Fee 31..88 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 ..3.00 9..0000 EA MECH FURNACE <=LOOK - 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 8.00 .6.5000 EA MECH VENT FAN 52.00 P.O. Box 1504 • �� f� VOICE (760) 777-7012 7H-495 CALLS TAMPIG FAX (760) 777-7011 LA QUINTA, CALIFORNIA 9225344 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: o q — $ 3Q( Date: 4. / $•OS Applicant: Architect or En ineer: Applicant's Mailing Address: --Architect or Engineer's Address: ic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licens d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Corte, and my License is i - force and effect. ��'� ` icense Class nse No. ,,-Date� � t nlraclor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am ex mpt 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 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 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' CO:'PEN'SATION 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. 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 (` 35ued. y1y worl�zr� compensation i ante carrier an isy ryber e: arrier )/.G>J7/� / 44., ,/ .Polio Number / S�90 5, I certify that, in the performance of the wor for which 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 ag tyit a t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithfomply with those provisions. , WARNING: FAILURE TO SECURE WORKERS' C0JVFPEI4SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND WOLLARS ($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 const. uction 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, ea6n 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 Ouinta, its officers, agents and employees for any act or omission relat d to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes nL a d 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 cancel) t I certify that I have read this application and state that the above informi t n s 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 enti p n the above-mentioned property for inspection purposes. Signature (Applicant or Agent): Q 0 Page 2 Application Number . . . . .. 04-00008394 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 136.02 Plan Check Fee 34.01 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3180.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.30 486.00 .0200 ELEC GARAGE OR.NON-RESIDENTIAL 9.72 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 206.25 Plan Check Fee 51.56 Issue Date Valuation. 0 Qty Unit Charge Per. Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 '15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA . PLB WATER INST/ALT/REP 3.00 1-.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 11.00 .7500 EA PLB GAS PIPE >=5 8.25 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 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------=---------------------------------------------- Special Notes and Comments SFD - LOT 47. PLAN TYPE 4Y - W/'OPTIONAL. GUEST SUITE, 3180 SQ.FT. LIVING, R-3 OCCUPANCY, TYPE V -N CONSTRUCTION, 2001 CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH -----7------------=---------=----------------------------------------------- Other Fees'`.. DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . .. . 04-00008394 Date 4/12/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 61.13 DIF FIRE PROTECTION -RES 97.0.0 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 " STRONG MOTION (SMI) - RES 18.46 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1425.27 .00 .00 1425.27 Plan Check Total, 728:78 .00 .00 728.78 _Other Fee Total. 2484.59 .00 .00 2484.59- 484.59Grand GrandTotal 4638.64 :00 .00 4638.64