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04-6588 (SFD) (2)O El LA 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT _ (760).777-7012 FAX (760') 777-7011 INSPECTION REQUESTS (760).777-7153 Application Number . . . . 04-00006588 Date 11/29/04 Property Address . . . . . .8362 .TALKING ROCK TURN APN: 770-300-002- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 433793 .,• Owner Contractor ; ------------------------ SAPORITO CHARLES_ J -------'-.-.--_-----=--.-----, HUDSON CONSTRUCTION, INC., K.P 99 BRIARWOOD CR 77622 COUNTRY CLUB DR; STE M OAK BROOK IL 60523 PALM DESERT CA 92211 (760) 345-5154 WCC: EXEMPT WC: EXEMPT 07/31/05 CSLB: 818121 03/31/05 . CCC: B ------ Structure Information 4885 SQ. FT. SFD ----- 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 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 907.00 PATIO SQ FTG 1602.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4885.00 ------------------------------------------------`=---------------------------- Permit ... . . . . BUILDING PERMIT Additional desc - Permit Fee . . . . .1808.50 Plan Check.Fee 1175.53 Issue Date . . . . Valuation . . . . 433793 Qty. Unit Charge Per. Extension BASE FEE 639.50 334.00 -3,.5000 =----------------------------------------------------=------ THOU BLDG 100,001-500,000 1169.00 ---------------- Permit . . . . . ELEC-NEW,RESIDENTIAL Additional desc Permit Fee . . . . 219.12 Plan Check Fee 54.78 Issue Date Valuation . . . . 0. Qty Unit Charge Per Extension BASE FEE 15.00 4885.00 .0350 ELEC NEW RES, 1 OR 2 FAMILY •}�,_�:170.98 907.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.14 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING &c SAFETY DEPARTMENT Application Number: _ tl— Applicant: Applicant's Mailing Address: I hereby affirm under penalty of perjury that I am __2,oJ,e.and-rrsy nse is in full force and effect. cL,oase-Rlass .p Date -V,0)( Date: )Z•za'd- Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals / OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that Im 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 applicanffor 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 1, 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' 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 Policy Number _ I certify that, in the performance of the work 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 a fee that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionW , WARNING: FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU AND 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. 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 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 persori 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 related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and 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 cancellation. 1 certify that I have read this application and state that the above informatio s correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorizeyeptesectatives ot-tbis county to enter on theabove-mentioned property for inspection purposes. r- = Signature (Applicant or Agent): Page 2 Application Number 04-00006588 Date 11/29/04 ------------------------------------------------=--------------------------- 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 ---------------------------------------------------------------------------- Permit MECHANICAL— Additional desc Permit Fee . . . . 132.50 Plan Check Fee 33.13 Issue Date Valuation . . . . 0 Qty Unit Charge Per "Extension BASE FEE 15.00 4.00 9.0000 EA MECH`FURNACE <=100K 36.00 4.00 9.0000,*EA MECH B/C <=3HP/100K BTU. 36..00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . PLUMBING Additional desc Permit Fee 2.11.50 Plan Check Fee 52..88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 22.00 6.0000 EA PLB FIXTURE • 132.00, 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 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 15.0000 EA PLB GAS METER 15.00 - --------- -----_------------------------------------------------------------ Special Notes and Comments 4885 SQ..FT. SFD. THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. --------7------------I------------------------------------------------------ Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 584.48 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ' ENERGY REVIEW FEE 117.55 DIF FIRE PROTECTION -RES 97.00 Page 3 ,Application Number . . . . . 04-00006588 Date 11/29/04 ---------------------------------------------------------------------------- Other Fees 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. 43.37 DIF STREET MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ---------- - - Charged Paid Credited - Due -- - - - Permit Fee Total ---- - - - - -- 2386.62 ---- - - - - ------ - - - 00 ---- .00 -- - - - - -- 2386.62 Plan Check Total 1316.32 00 .00 1316.32 Other Fee Total 3150.40 .00 .00 3150.40 Grand Total 6853.34 .00 .00 6853.34