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04-7442 (SFD)My c3innh BUILDING & SAFETY. DEPARTMENT Pi�iETi1 ; (76.0).777-7012 `a c� OF'' - CALLE AMPI o -' " FAX (766) 777-7011 r.LA.,Q�UtNTA, CALI.F.,oRNtA:92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number' 04=00007442 Date 11/23/04 Property Address= `� 577.8-0__TROON� WY APN: 762-360-007 - - Application. description ,DWELLING - SINGLE FAMILY DETACHED Property Zoning -LOW,DENSITY RESIDENTIAL Application valuation 422425. y w _ Owner '.Contr-actor' - - - - - - - - - - - - - - - - - - - - - - . " 1 -i:f - - -- - - SOUTHERN HILLS DEVELOPMENT SOUTHERN HILLS DEVELOPMENT INC 55161 SOUTHERN HILLS 81070 CHANTICLEER DR LA QUINTA CA 92253 LA QUINTA CA -92253 (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'TypeDWELLG/LODGING/CONG <=10. Flood Zone . . . . . . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE -SPRINKLERS NO GARAGE SQ FTG 811.0.0. PATIO SQ.FTG 986.00 NUMBER OF UNITS 1.-00 1ST FLOOR•SQUARE FOOTAGE 4869.,;00 Permit BUILDING PERMIT_ Additional desc G{:• Permit Fee 1770.00 Phan Check -.Fee ; �' y`� " 1150.50 Issue Date Valuation 422425 Qty Unit Charge Per Extension BASE FEE 639.50 323.00 31'.5000 THOU BLDG 100,001-500,000 1130.50 ---------------.-------------�:----------------- Permit . . MECHANICAL Additional desc m Permit Fee 121.00 Plan Check Fee 30.25 Issue Date, Valuation 0 .,Qty, Unit.Charge Per Extension —BASE FEE. 15.00. 3.00 9.0000 EA MECH FURNACE <=100K 27.00- 3.00 9.0000 EA MECHr,,B/�C <`=„-3HP'/100K BTU 27.00 7.00 6.5000 EA MECH VENT FAN �� 45.50 1.00 6,.5000 EA MECH EXHAUST HOOD 6.50 01W 1%, 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: o4- 744 a Date: 1.2,17-04 Applicant: chitect or Engineer: 1F A(�ZcYi -C A%We-,b Applicant's Mailing Address: Archil ct or En ineerd �K 0 2 �i� p(&5.4C4. �Zlr✓�o tic. No.: -C Z /./ ?Z— BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals r,ede and my Lice is in full force and effect. e No. License Class �ns{{• ✓ 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 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 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 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 agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date., scant WARNING: FAILURE TO SECURE KERS' COMPE ATION 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. 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 Bui.ding 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, indemnity 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 t ntegupa above- tioned property for inspection purposes. ate Sig�pplicant or Agent), Page 2 Application Number 0:4-00007442 Date .11/23/04 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 201.64',P.lan Check Fee 50.41 Issue Date Valuation 0 Qty Unit Charge Per Extension" •BASE'FEE 15.00 4869.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 170.42 811.00 .0200 ELEC GARAGE OR NON=RESIDENTIAL 16.22 ---------------------------------------------------------------------------- Permit PLUMBING Additional, desc, :..- " -Permit Fee 236.25 Plan Check Fee 59:06 Issue Date Valuation 0' Qty Unit Charge Per Extension' BASE FEE 15.00 26.00 6.0'000 EA PLB FIXTURE. 156.00 1.00 15.0000 EA PLB BUILDING .SEWER 15.00 2.00. 71. 5000, EA PLB WATER HEATER/VENT 15.00 1.00, 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 90000 EA PLB LAWN SPRINKLER SYSTEM 9.00_ .11.00 .7500 EA PLB GAS'PIPE >=5'. 8.25 1.0.0 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. BASE FEE 15,.00 Special Notes and Comments . SFD - LOT 32, PLAN.3B, PERMIT DOES_N_OT INCLUDE POOL, SPA, BLOCK WALLS. OR DRIVEWAY APPROACH ------------------------------------------------------------------'- other Fees . . . . . . . . ART IN PUBLIC PLACES-RES 556.06 DIF COMMUNITY CENTERS-RES 97.00 DIF CIVIC CENTER.- RES 3,66.00 ENERGY REVIEW FEE" 115.05 DIF FIRE PROTECTION-RES 97.'00 GRADING PLAN CHECK FEE 00 DIF LIBRARIES - RES 225.00 Page 3 Application Number 04-00007442 Date 11/23/04 ------------------------------------------------------------- Other Fees, •DIF PARK MAINT FAC -.; RES 5.00 DIF PARKS/REC - I RES 502.00 STRONG MOTION' (SMI) -'RES- 42•.24 DIF.•STREET.MAINT FAC -RES 15.00.. DIF TRANSPORTATION'- RES 1098.00,.- Fee summary Charged Paid Credited 'Due Permit..Fee Total 2343:89 :00 W -`2343.89 Plan Check Total 12,90.22 .00' 00: 1290.22 Other ,Fee Total 3118.35,: .00 00 3118.35 Grand Total 6752.46 .00 00 6752.46