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05-3512 (SFD)P.O. 'BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05,00010'3;532 Property Address: 79735 PARKWAY ESPLANADE S APN: 609 -590 -003 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 194630 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PONDEROSA HOMES II, INC. 6671 OWENS DRIVE DETACHED PLEASANTON, CA 1dZ7_A4 PLEASANTON, CA 94588 ,-,-Crchitect or Engineer: 06��3 SEP.2 n ontractor: JONDEROSA HOMES II, INC. CJj�.CF #5 671 OWENS DRIVE Fj � u PLEASANTON, CA 94588 (76.0)338-7710 Lic. No.: 752884 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/09/05 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I-am,licensed.under provisions of'Chapter 9 (commencingwith I. hereby affirm under penalty of.perjury one of the:i-011 wing declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. :1 have and will maintain'a certificate:of consent to self -insure for workers' compensation, as provided License C ass: B License o.: 752884_ QoZB o.� _ for by Section 3700.of the Labor Code,.fovthe performance of the work for which this permit is issued. /Date: ontractor:°=-�rcY�Y�MliO�/n /�I have and will maintain workers' compensation insurance,,as required by Section 3700'of the Labor. - Code, for the performanceof the work for whichthis permit is issued.My'workers' compensation _ OWNER -BUILDER DECLARATION insurance carrier -and policy number; are: •- - hereby. affirm undeapenalty. of perjury_ that 1 am exempt from the Contractor's State License Law for the Carrier TANNER INSUR , Policy'Number 15671603 a ' following reason (Sec. 7031:5, Business and Professions;Code:: Any city or county that requires a permit to I certify that, in the performance of'the work for which this permit is issued, I shalrnot employ any construct, alter,' improve; demolish, or repair any structure, prior to its issuance, also.requires the applicant for the - person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement.that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or heor she is exempt therefrom and. the basis for the alleged exemption. Any violation of Section 7031.5 by 700 of the Labor Code, I shall forthwith co �those o�visiio�nss..„/that �-05 any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: te:' pplicant: ' Ie�'�/ Ute/ (_ 1 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. 704'4, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner -of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES, AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his of her own employees, provided that the DOLLARS ($100,000). IN ADDITIOMTO THECOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ” improvements arenot intended oroffered for sale. If, however, thebuilding or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -' . 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as. owner of the property, am exclusively. contracting with licensed contractors to construct the project (Sec. IMPORTANT. Application is hereby made to the Director of•Building and'Safety;for a permit subject to the 7044, Business and Professions Code: - The Contractors' State License Law' does not apply to an owner of conditions and restrictions set forth on this application. .property who builds or improves thereon, and who contracts for the projects with a contractor(s)"licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State*Ucense Law.). whose benefit work is performed under or pursuant to:any permit issued as a result of this application, 1 _ 1 I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify. and hold harmless the City Date: Owner: 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: tp�r Lender's Address: ( ` LQPERMIT of La Qumta, 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 !ythorize representatives of this cou y enter upon the above-mentioned propyMy for inspe n pufpecac.� Datey� �(]� ' nature (Applicant or Agent.: /�/ Application Number . . . 05-00003512 LQPERMTT Structure Information . Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 681.00 PATIO SQ FTG 500.00 NUMBER OF UNITS 1.00 1ST'FLOOR SQUARE FOOTAGE 3053.00 Permit BUILDING PERMIT• Additional desc . Permi't.Fee 972.00 Plan Check Fee 157.95 Issue Date . . . Valuation . . . . 194630 Expiration Date 2/05/06 Qty Unit Charge Per Extension BASE FEE 639.50 95.00 3.5000 THOU BLDG 100,001-5.00,000 332.50 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . . 83.50 Plan Check Fee 5..22 Issue Date Valuation 0 'Expiration Date 2/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE '<=100K 18.00 2.00 9:0000 EA MECH B/C <=3HP/•100K BTU 18.00 4.00 6.5000 EA MECH VENT FAN 26.00 11.00 6.5000 EA MECH EXHAUST HOOD --------------------------------- 6.50 ------------------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . ... 135.48 Plan Check Fee 8.47 Issue'Date . . . . Valuation . . . . 0 Expiration.Date 2/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 3053.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.86 LQPERMTT Application Number . . . . . 05-00003512 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 681.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.62 ---•------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 178.50 Issue Date . . . . Expiration Date . . 2/05/06 Plan Check Fee . . 11.16 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 . . 2/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 21. PLAN 3BXR, 3053 SF. PERMIT DOES NOT 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 .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.80 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 LQPERMIT Application Number . . . . . 05-00003512 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 19.46 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1384.48 Plan Check Total 182.80 Other Fee Total 2440.26 Grand Total 4007.54 LQPERMIT Paid Credited Due .00 .00 1384.48 .00 .00 182.80 .00 .00 2440.26 .00 .00 4007.54