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05-2876 (SFD)t.P.0"BOX 1504 78-495 CALLE TAMPICO LA' QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: C`_05-00002876-_ Property Address: 52405 SHINING STAR LN. APN: 767-200-999-19 -312022- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 157506 Applicant: _<Chitect or Engineer: Owner: DESERT ELITE, 78401 HIGHWAY LA QUINTA, CA (760)777-9920 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 INC. 111, SUITE G FFD 92253 Contractor: HERINGTON DEVELOPMENT, J7 40960 CALIFORNIA OAKS RD, MURRIETA, CA 92562 (951)677-8415 Lic. No.: 753190 O 3 Date: 7/11/05 AUG 23'2005 L CITY OF LA QUINTA ------------------------------------------------- -----------------------------------------------— CENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury tha I amli nsed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business n P essionals 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 C ss: License No.: 753190 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /Da l Q ✓ ontractor: 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 OWNER -BUILDER DECLARATION insurance carrier and polic number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law. for the Carrier STATE FUND . Policy Number 1542746 _ fallowing reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performan e f 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 b come 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 b e 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': of the Labor Code, I s 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 700 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): D f ant: - 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 WARNING: FAILURE TO SECURE WORKE ' 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.). • APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed- 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). _ whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: 0 O LQPERMIT 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 applicati n becomes null and void if work is not commenced within 180 days from date of issuance of s permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that th a ove information is correct. I agree to comply with all city and county ordinances and state laws relating to buil n co struction, and hereby authorize representatives of this co ty t enter upon the above-mentioned propert f ' pection purposes. - .atum (Applicant or Agent): Application Number 05-00002876 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 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO - GARAGE SQ FTG 650.00 PATIO SQ FTG 23.6.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2476.00 Permit BUILDING PERMIT Additional desc.. *Permit Fee . . . 842.50 Plan Check Fee 547.63 Issue Date 'Valuation . . 157506 Expiration.Date 1/07/06 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 27.00 Issue.Date Valuation 0 Expiration Date 1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 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 114..66 Plan Check Fee 28.67 Issue Date Valuation 0 Expiration Date .1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 2476.00 .0350 ELEC NEW RES -<1 OR'2 FAMILY 86.66 LQPERMIT Application Number 05-00002876 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 650.00- -. .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.00 Permit PLUMBING Additional desc . Permit Fee 172.50 Plan Check Fee 43.13 Issue Date . . . . Valuation . . . . 0 Expiration Date . 1/07/06 J 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 19, PLAN 1CA, 2476 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH --------------------------------=------------------------------------------- Other Fees . . . . . . . . . .ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 ` DIF C -IVIG- C -ENTER,- RES- . _._366.00 _-_.--- ENERGY REVIEW FEE 54.76 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 I . LQPERMIT . Application Number . . . . . 05-00002876 ---------- ------------------------------------------------------------------ Other Fees': . . . . . .... DIF TRANSPORTATION - RES 109.8.00 Fee summary Charged Paid Credited Due Permit Fee Total 1252.66 .00 .00 1252.66 Plan Check Total 646.43 .00 .00 646.43 Other Fee Total 2475.51 .00 .00 2475.51 Grand Total 4374.60 .00 t .00 4374.60 - t . l LQPERDIIT .