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04-7012 (SFD) (2)9 Taf 4 XA-4" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 ^INSPECTION REQUESTS '(760) 777-7153 BUILDING PERMIT Application Number�04�=0'00070:12; . Date 2/08/05 Property Address . . . . . . .. 784-42 TAYL`k±- TGA OCK TURN APN:. 7707300-012- - Application'description . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . LOW DENSITY RESIDENTIAL Application valuation 5146373 Owner Contractor 'SUN VISTA SUN VISTA DEVELOPMENT CORPORAT P 0 BOX 1144 P.O. BOX 1144 LA QUINTA CA 92247 LA QUINTA CA 92247 (760) 771-4722 WCC:` HRH INS WC: 17054605 01/01/06 CSLB: 744091 '12/31/05 CCC: B ------ .Structure Information 6294 SQ.' FT. SFD ----- ..Construction Type . TYPE V - NON RATED Occupancy TypeDWELLG/LODGING/LONG <=10 Flood Zone p. NON -AO FLOOD ZONE Other strut info . �. TODE EDITION 2001 CBC. #BEDROOMS- 4.00 FI E SPRINKLERS NO .. ofgyp,p� GP��GE SQ FTG 1162.00 C>n�„01; V 01 PATIO SQ FTG 1131 .00 NUMBER OF'U14ITS 1.00 1ST FLOOR SQUARE FOOTAGE 6294.00 Permit BUILDING PERMIT Additional desc Permit Fee 2180.50 Plan Check Fee 1417.33 Issue Date Valuation 546373 Qty Unit Charge Per Extension BASE FEE 2039.50.. 47.00 3.0000 THOU BLDG 500,001-1,000,000 141.00 ----------------------------------------------------------------------=----- Permit . . ELEC-NEW.RESIDENTIAL Additional desc Permit. Fee 273.53 Plan Check Fee 68.38 Issue Date Valuation' 0 Qty Unit Charge Per Extension BASE FEE 15.00 ..6294.00 .0350 ELEC NEW:RES - 1 OR 2 -FAMILY 220.29 1162.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 23.24 1.00 15.0000°EA ELEC TEMPORARY POWER POLE. 15.00 P.O. Box 1504 ^/ 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: Date: 29 -— Applicant: O Architect or Engineer: Applicant's Mal g Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions cf Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licenq# is in full force and effect. OWNER -BUILDER 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 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 w.11 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. , B.& P.C. for this reason Date WORKERS' COMPENSATION DECLARATION 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 Dolicv numher armor I certify that, in the performance of the work f6Y-which,thi 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 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. D'2te 2 _ fJ pile t_Li'� WARNING FAILURE TO SECURE WORKERS'rC, MPENSATION 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, A+4Q AT-ORNEY'S FEES. 1 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 Buiding 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 rade, 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 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. I certify that I have read this application and state that the above information is 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 enter upon the above-mentioned property for inspection purposes. to _S gnature (AppZZ licant or`Qgent): .� J Page 2 Application Number a 04-00007012 Date 2/08/05 ---------------------------------------------------------------------------- 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 170.00 Plan Check Fee 42.50 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 5.00 9.0000 EA MECH FURNACE <=100K 45.00 5.00. 9.0000 EA MECH B/C <=3HP/100K BTU 45.00 9.00 6.5000 EA MECH VENT FAN 58.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ----7----------------------------------------------7------------------------ Permit . . . . . . PLUMBING Additional desc Permit Fee 260.25 Plan Check Fee 65.06 Issue Date . . . . Valuation . . . 0 Qty Unit Charge Per Extension BASE -FEE 15.00 25.00 6.0000 EA PLB FIXTURE 150.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 6.0000 EA, PLB ROOF DRAIN 18.00 3.00 7.5000 EA PLB WATER HEATER/VENT 22.50 1.00 3.0000 EA- PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 17.00 .7500 EA PLB GAS PIPE >=5 12.75 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 Special Notes and Comments 6294 SQ. FT. SFD THIS PERMIT DOES NOT - INCLUDE POOL & SPA, BLOCK WALLS OR DRIVEWAY.APPROACH. 11/17/04 6:57:00 AM JJOHNSON -------------------------------------------------.--------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 865.93 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . . . 04-00007012 Date 2/08/05 --------------------- 7------------------------------------------------------ O'ther Fees . . . . . . . . . ENERGY REVIEW FEE 141.73 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- 54.63 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 2899.28 .00 .00 2899.28 Plan Check Total 1593.27 500.00 .00 1093.27 Other Fee Total 3467.29 00 .00 3467.29 Grand Total 7959.84 500.00 .00 7459.84