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05-3513 (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: 05-000035.13, 7-9738 PARKWAY 6097590 -033 - ESPLANADE DWELLING — SINGLE FAMII LOW DENSITY RESIDENTIAI 173155 c&t!t 4 XP -,Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ,,<<chitect or En p X83 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury that I ain-licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License C ss: B /�Liceenema No.: 752884 Mate: �� A `� ontractor: t/4 �G�/ OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and ProfessionsCode: `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 sheds exempt therefrom and the basis forthe.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).: (_ 1 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 (Seo. 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 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.). (_ 1 I am exempt under Sec. ' , BAP.C. for this reason 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: Lender's Address: t LQPERMIT Owner: PONDEROSA HOMES II, INC. 6671 OWENS DRIVE PLEASANTON,.CA PLEASANTON, CA 94588 Contractor: PONDEROSA HOMES II, INC. 6671 OWENS DRIVE PLEASANTON, CA 945.88 (760)318-7710 Lic. No.: 752884 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/09/05 ----------------------------------------------— WORKER'S 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. Y_I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the woik for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier TANNER INSUR Policy Number 15671603 1 certify -that, in the performance of the work for which this permit is issued, I shall not employ.any person in'any manner soasto 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 La or e, I'shall ith c0m ply wit hose provisions... te: �� pplicant: WARNING: FAILURE 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 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 S tyn enter upon the above-mentioned pro/pRrflf.for inspecti pur Date' `C O'S ature (Applicant or Agent): /L✓/// C i/L/ Application Number . . . . 05-00003513 LQPERMIT 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 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 654.00 PATIO SQ FTG- 323.00 NUMBER OF UNITS 1-00 ------------------------------- 1ST FLOOR.SQUARE FOOTAGE --------------------------------------------- 2728.00 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 898.50 Plan•Check Fee 584.03 Issue Date . . . . Valuation . . . 173155 Expiration Date 2%05/06 Qty Unit Charge Per Extension BASE FEE 639:50 74`.00 3.500.0 THOU BLDG 100,001-500,000. 259.00 Permit MECHANICAL Additional desc Fee . . . . 77.00 Plan Check Fee 19.25 _Permit 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/10'OK BTU .18.00 3.00 6.5000 EA MECH VENT.FAN 19.50 1.00 6.5000•EA -MECH EXHAUST'HOOD 6.50 Permit. . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 123.56 Plan Check Fee 30.89 Issue Date . . . . Valuation . . . 0 Expiration Date 2/05/06 Qty Unit Charge Per Extension BASE FEE 15.00 2728.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 95.48 LQPERMIT Application Number . . . . . 05-00003513 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 654.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 13.08 Permit . . . PLUMBING Additional desc . Permit Fee 171.75 Plan Check Fee 42.94 Issue Date . . . . Valuation . . . . 0 Expiration,Date 2./05/:06 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 7.00 .7500 EA PLB GAS'PIPE >=5 5.25 . 1.00 15.0000 ---------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee15.00 Plan Check Fee-. .AO Issue.Date . . . . Valuation . . . . 0 Expiration'Date 2/05/06 Qty Unit Charge Per Extension BASE FEE 15.00. Special Notes and Comments SFD - LOT 51. PLAN 1BXL, 2728 SF. PERMIT DOES NOT -INCLUDE BLOCK WALLS, POOL,. SPA OR DRIVEWAY APPROACH. Other Fees ART IN PUBLIC -PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVI.C.ICENTER -. RES 366.00 ENERGY REVIEW FEE 58.40 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 17.31 DIF STREET MAINT FAC -RES 15.00 LQPERMTT Application Number . . . . . 05-00003513 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited Due ----------------- Permit Fee Total 1285.81 ---------- .00 -------------------- .00 1285.81 Plan Check Total 677.11 .00 .00 677.11 .Other :Fee Total 2480.71 .00 .00 2480.71 Grand Total 4443..63.. :'00 .00 4443.63