The URL can be used to link to this page

04-5804 (SFD).,i Y R N" • �i'PY�$l,eUl�3P BUILDING & SAFETY DEPARTMENT B EOD gTsr15� 7 °x 04 P-OAMOB ( 60).777-7012 �Vv78-495 CALLE TAMPICO s FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . : . . . 04-000"05804 Date 8/04/04 Property Address . . . . . 81,100 SHINNECOCK HILLS APN:" 762-340-,002- Application description. ;.DWELLING --SINGLE FAMILY DETACHED Property Zoning LOW'DENSI'TY RESIDENTIAL Application valuation . . . . 335607 Owner Contractor ------------------------ WE.ISKOPF PARTNERS 1, ----------------=------- LLC SOUTHERN.HILLS DEVELOPMENT INC .5516 .1 SOUTHERN HILLS 81070 CHANTICLEER DR LA ,QUINTA . CA 92253 LA QUINTA . CA 922.53 (760). 771-3497 WCC: EXEMPT. WC: EXEMPT 05`/31/05 CSLB: 838041" .."05/31/06 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 CBC _# BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 826.00 PATIO SQ FTG 803.00 NUMBER OF UNITS 1.00 ------------------------.---------------------------------------------------- FIRST FLOOR SQ FTG 3821.00 Permit . . . . . . BUILDING PERMIT Additional desc . . I. Permit Fee 1465.50 Plan Check Fee 238.15 +-Issue Date Valuation '.335607 Qty Unit Charge Per. Extension BASE FEE 639.50 236.00 3.5000 THOU BLDG 100,001-500,000 826.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee ., 126.00 Plan Check Fee_: 7.86 'Issue Date Valuation.', '.' 0 Qty Unit Charge Per. Extension P.O. Box 1504 W VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: or C, Date: 4"e— rd!lrc��►�A,LWiIiaffa3J Itzlel .. BUILDING PERMIT DECLARATIONS' t ' LICENSED CONTRACTOR'S DECLARATION I*hergby affirm under�enalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals • -' Code; and my UcCi 6 is in full force and effect. cense Class _� •I_r1_C.nse No.� . Datentractor ��1 �' A" �/ � 1'tQ1,r .fel /,J � • 4 • ' OWNER-QUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt 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 eiempf 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 wifh 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 rsiosale.). U �, es 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 projecs with a contractors) licensed pursuant to tie Contractors' State License Law.), U :I am exempt under Sec: B.& P.C. for this reason Date Owner I `• • 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. My workers' compensation insurance carrier and policy number are: �' ' �arier �PtSlicy Number r' ` . I certify that, in the performance of the work for which this permit is issued,l shall not employ an p y y person in any manner so as to become subject to the workers' t • compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I i DARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 C SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY - I hereby affirrrunderpenalty of perjury that there is a construction lending agency. for t 1. he performance of the work for which this permit is issued (Sec. 3097; Civ. C.). Lenders Name fi C, �pnder's Address IMPORTANT Application is hereby made to the Director of BuildingAPPLICANT aCKNOWLEDGEMENT ~ Safety Apermit 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,behefit 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 0 ; i : F officers, agents and employees for any act or omission rel ted tothe work beihrg performed under or following issuance of this permit. 2: Any permit issued as a result of this application.becomes ull and void if work is not commenced within 180 days from date of issuance of succi permit, or cessation of work for 180 days will subject permit to can Ilation. ,r , ., certify that I have read this application and state that the above i ation is I ree to c ` it l l construction, and hereby authorize representatives of this county t n po > b0 ntion roy writ all city and county ordinances and state laws relating to building ,, f petty for inspection purposes. y e ignature (Applicant or Agent): r Page 2 Application Number . . . 04-00005804 Date 8/04/04 Qty Unit Charge •.:' Per.": Extension _ BASE FEE - 15.,00 4.00" 9.0000 EA MECH FURNACE <=100K .16.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU _. -• 36.00 5.00 .6.5000 EA MECH VENT FAN 32.50 1.00 6.500.0 EA MECH EXHAUST HOOD --------------- Permit ----------- ,ELEC=NEW --------------------------------------- RESIDENT -IAL .. ------ - - - - -- :Additional desc :Permit•" Fee 165...26: Plan: Check Fee i0 .33 I:. ssue Date . . . . Valuation ;:. 0 ` Qty, .:'Un i t Charge Per ....,.Extension " BASE FEE 15.00 3:821: 0:0 .' .03-50 ELEC -•NEW RES - , 1 OR 2 FAMILY". :133.74 826.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL•-- :16.52 Permit ------------------------------------------------------------- PLUMBING Additional desc Permit" Fee 182.25.:. Plan Check Fee i 11.39 __Issue Date .. Valuation 0 Qty Unit Charge Per Extension BASE, FEE 15.00 ..17.00 . 6. 00.0b . EA, PLB-FIXTURE- 102.00 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., 9.000'0 EA., PLB., LAWN,SPRINKLER SYSTEM,-' 9.00 :.11.-00 7500 EAPLB 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 . BAS E::FSE," 15.00 Special Notes and Comments ,..: .... S"FD - LOT 10, PLAN .7. ,FERMI T;<<DOES - NOT :' Page 3 Application.Number . . . 04-0000,5804 Date 8/04/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK. WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75%'REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME . PLAN TYPE Other Fees. . . . ... . . ART IN PUBLIC PLACES -RES 339.01. DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -- RES 366.00 ENERGY REVIEW FEE 23.82 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 33.56 DIF STREET MAINT FAC -RES 15.00 DIF;TRANSPORTATION -.RES 1098.00 Fee..summary Charged Paid. Credited Due Permit Fee Total. 1954.01 .00 .00 1954.01 'Plan,Check Total 26.7.73 .00 :00 267.73 Other Fee Total 2801.39 .00 .00 2801.39 Grand Total 5023.13 .00 .00- 5023.13 r