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05-3729 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-00003729 81893 THOROUGHBRED TR' 767-200-999-24 -312024- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 285041 ------"----- - - - � -- I hereby affirm under penalty of perjury that Section 7000) of Division 3 of the Business License CI ks: 1__111_.t4 1� Q�C, Factor: ./hitect.or Engineer: 4 A- - y ----------------"---------- - - - - -- %sECONTRACTOR'S DECLARATION i licensed under provisions of Chapter 9 (commencing with J� rofessionals Code, and my license is in full force and effect. license No.: 753190 WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 m exempt from the Contractor's State License Law for the following.reason ISec. 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).: (_) 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 ISec. 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.). (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 1 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: LQPERMIT Owner: DESERT ELITE, INC. 78401 HIGHWAY 111, SUITE G LA QUINTA, CA 92253 (760) 777 - 9920 Contractor: HERINGTON DEVELOPMENT, JAM 40960 CALIFORNIA OAKS RD, MURRIETA,. CA 92562 (951)677-8415 Lic. No:: 753190 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/08/06 AUr 2 �,- 2006 CIN OF LA QUEPITA ------------------------------------------------- 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. 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 11crumber are: Carrier STATE FUND Policy Number 1542746-2005 I certify that, in the perfor of the work for which this permit is issued, I shall not employ any person in any manner so t become subject to the workers' compensation laws of California, ang agree that, if I shoul a orae subject to the workers' compensation provisions of Section 3 00 of the Labor Code, h II forthwith comply with those provisions. ?lae <� licant: WARNING: 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 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 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 thi permit. 2. Any permit issued as a result of this applicati becomes null and void if work is not commenced within 180 days from date of issuance of su mit, or cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the a information is correct. I agree to comply with all city and county or finances and state laws relating to buildin struction, and hereby authorize representatives of thisycou ty to n er upon the above-mentioned property fo spection purposes. ate C/ `�Si ture (Applicant or Agent): 41 Application Number . . . 05-00003729. Permit . . . BUILDING PERMIT _ Additional desc . Permit.Fee 1290.50 Plan Check Fee.. 838.83 Issue Date . .Valuation 285041 Expiration Date 1/22/`07 Qty Unit Charge Per Extension BASE FEE .639.50 186.00 3.5000 THOU BLDG 100,001-500,000 651.00 Permit . . . MECHANICAL Additional desc . _ Permit Fee 145.50 .Plan Check Fee 36.38 Issue Date . . . . ..Valuation 0 Expiration Date" 1/22/07 Qty. Unit Charge "Per Extension - BASE FEE 15.00 4.0.0 9.0000 EA MECH FURNACE <=100K .36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 8.00 6.5000 EA MECH VENT FAN 52.00 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST -HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 183.69 Plan Check Fee 45.92 Issue Date Valuation . . . . 0 Expiration Date 1/22/07 Qty Unit Charge Per Extension BASE FEE 15.00.. 4475:00 .0350ELEC NEW RES - 1 OR 2 FAMILY 156.63 603.00 .0200 ELEC GARAGE.OR NON-RESIDENTIAL 12.06 Permit PLUMBING Additional desc . Permit Fee 236.25 Plan Check Fee .' 59.06 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/22/07 Qty Unit Charge Per Extension BASE FEE 15.00 26.00 6.0000 EA PLB.FIXTURE. 156.00 1'.00 15.0000 EA PLB.BUILDING SEWER 15.00 LQPERMIT LQPERAIIT Application Number . . . . ., 05-00003729 Permit . . ... . . PLUMBING Qty Unit Charge Per' Extension 3:00 7.5000 EA PLB WATER HEATER/VENT 722.50 1.00 3:0000 EA PLB WATER INST/ALT/REP •3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 1.00 .7500 EA PLB GAS PIPE >=5 .75 -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 1/22/07 . Qty Unit Charge Per Extension' . BASE FEE 15.00 --------------------------------------------------- ------------------------- Special Notes and Comments SFD - LOT 24., PLAN 5BR/CASITA/CABANA - 447S SF. PERMIT -DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.. 2001 CBC,CMC,CPC,2004CEC,2005 ENERGY ^ CODES. Other .Fees . . . . .1 ART IN PUBLIC PLACES -RES 476.62 ..DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 83.88 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK.MAINT. FAC - RES 22.00 DIF PARKS/REC•- RES 892.00 STRONG MOTION (SMI) - RES 39.06 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00. Fee summary Charged. Paid Credited' Due ----------- Permit Fee Total --------------- - ----- 1870.94 .00 .00 1870.94 Plan Check Total 980.19 250.00 .00 730.19 Other Fee Total 4295.56 .00 .00 4295.56 Grand Total 7146.69 250.00 .00 6896:69 Project i-4ame i Client.: Site Address -77 A, Job Phone Work Done Test. -Summary o tifig, . _'pJmpeatec C- C Test NO. Location Elev. Dry Density Sladden -Engineering- .............. 035704 6782 Stanton Ave.,,51'uite A. 39-725 Garand Ln., Suite G 114S. California Ave. 15438 Cholane Road Buena- Park CA 40621'\ ' Palm Desert, CA 92211 Beaumont, CA 92223' Victorville, CA 92392 (714) 523-0652 I \ ` . (760) 772-3893 - (951) 845-7743 760-962-1868, Fax (714).52371369 Fax (760) 772-3895 Fax (951) 845-8863 Fax.e7607962-1878 0. Date e7 10 C' FIELD MEMO_ Job No. 2- _Z 71 -P Project i-4ame i Client.: Site Address -77 A, Job Phone Work Done Test. -Summary o tifig, . _'pJmpeatec C- C Test NO. Location Elev. Dry Density Moist %Relative Compaction Ref. Max pcf Moist % '4(dT4ch.-.- Superfor Agent 9- 1CR 24 hour notice requested to-�schedule Field Technician. Thank you- for the opportunity to be of -service.