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05-2522 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA. 92253 Application Number: Property Address: APN: - Application description: Property Zoning:. Application valuation: 05-'000 _0 52'2 79789 PARKWAY ESPLANADE 609-590-001- - - DWELLING - SINGLE'FAMILY LOW DENSITY RESIDENTIAL 13630.6 4 o BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: Sa 0'6 AR HOMES 401 HIGHWAY DETACHED QUINTA, CA MAR ���� --QUINTA, CA OF CALIFORNIA 111, STE C 92253 QUI---� C tractor: ­ Applicant: rchitect or Engineer: FINANCE DEP L NNAR HOMES -OF 40004 COOK ST. PALM DESERT, CA " (951)817'=3600 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 CALIFORNIA INC 92211 Date: 6/22/05 r Lic. No.:,7281Q2 ------------------------------ �23`�_------------------.---- - ----• - ------- LICENSED - ,- - - - _ CONTRACTOR'S DECLARATION - - - WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perlury.that I'am licensed under;:provisions, of Chapter 9 (commencing with •: I hereby affirm under penalty of perjury one.of the following declarations: Section 7000) of Division 3 of the Business and Professionals, Code, ad�my License is in full force and "effect. Vhave and will maintain 6 6ertifi6ate of. consent to'self-insure for workers' compensation, as provided , License CI . �' - - License Noir 728102 .1t. "'for by Section 370'0 of the Labor.Code, for the performance of the work for whichthispermit is issued s h ate. ✓ ractor.. t uve V.I have and.will maintain:workers' compensation insurance, as reqd'by. Section 3700 of the Labor _ - - - Code, for the performance of the work for, which this permit -is issued. My workers' compensation OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of per)ury,tha am exempt.from the Contractor's State License Law for the Carrier AON RISK' SRVC Policy Number MWClll•14500 'following reason (Sec. 7031.5, Busine "and Professions Code: ,Any,city.or county that requiresa. permit to _ I certify,that` in the performance of the work for which this permit is issued; Ishall not employ any construct, -alter,* improve �demolish;'or repair, any structure prior to its issuance, also.reg6ires the applicant for the person in any manner so as'to become subject to.the workers' compensation`lews of California, •..permit to file a signed statement that. he or sheds licensed pursuant to -the provisionsof'the.Co4mator's State - and.agreethat, if I should, become subject to the workers' compensation provisions of Section vLicense Law (Chapter;9 (commencing with Section:7000) of Division 3 of the Business and Professions Code) ort. 31700 of the Labor Code" ( II forthwith•co ply with those provisions. - that he or "she is exempt ,therefrom and thebasis for the alleged' exemption. Any violation of Section 7031.5 by anyapplicant fora permiYsubjects'the,applicant to a civil penalty of not more than five hundred dollars'($500).: Dat - o pplicant: f—I— I'as ownerof•the property, or, my employees with wages as their sole compensation,.will do the work, and • the structure is -not intendd or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORK RS' LPENSATION COVERAGE IS UNLAWFUL; AND SHALL - C 1. ontractors; State License.L'aw doesmot apply to an ownerof property'who builds or improves thereon, S68JECT AN.EMPL6YER'•TO+CRIMINAL IES AND .CIVIL FINES UP,TO ONE HUNDRED THOUSAND and•whodoes the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION'TO THE COST. OF COMPENSATION, DAMAGES AS PROVIDED FOR IN '�. improvements are notintended•or offered.for. sale: If, however; the building, or improvement is sold within SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one'year of completipn,_the�owner-builder will have the burden of proving that he or did not build or improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT 1—) 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 restrictionsset forth on this application. property who:builds or improves thereon, and who contracts for the projects with a contractors) licensed 1 . Each person upon whose behalf this application is made, each; person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under. or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant,,each agreesto, andshall 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. Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work isnot commenced within 186 days from date of issuance of such permit, or cessation of work for 180 days will subject _ CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm underpenalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this ap'plicatio and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city c my ordinances and state la s to building co struction, and hereby authorize representatives of thi o ty enter upon the above- a on properf for i pecti oses. Lender's Name: - - /L te: gnature (Applican r .qt1: Lender's Address: r1 \l OPERMIT V LQPERAITT Application Number . . . . . 05 -00002522 - 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 F.IRE.SPRINKLERS NQ GARAGE SQ -FTG .425.00 PATIO -SQ FTG 53.0,0 NUMBER `OF­trkItS - 1.00 ----------------------------------------------------------------------------- 1ST FLOOR:SQUARE FOOTAGE 2225.00 Permit . . . . . . . BUILDING PERMIT',. Additional desc i.,•Fee P�6 =.t -769.00 Plaif. Check- Fee 499.85 -Issue Date Valuation. 136306" Expiration Date 12./19/05 Qty Unit Charge Per Extension ."BASE FEE. 639.50- 37..00 3.-,5000 ------------------------------- THOU BLDG 100,001-500,000 ------ ------------- * ---------------------- 129.50 Permit MECHANICAL Additional des c I . Permit , Fee. . . . . . 3-9-.50 Plan. -,"Check Fee 9-.88 Issue: -Date Valuation . . . . 0 Expiration ration -Date '12/15/05 Qty Ifni t Charge Per Extension BASE1FEE 15.00 1.00 9.0000 EA MECk' FURNACE 9.06 1.00 .9.0000 kA -�MECk * B/,.q-,, 3H'P'/.l 0 OK 9-00- .1.00, 6.5000 ------------------------------------- EA MECH EXHAUST HOOD --------- - - - - - - - - - - - - - - ---- - - - 6,:5.0p' - - - - --- - --- - - Permit ... . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Veie'.," . . . 101.38 Plan Check Fee 25.35. Issue Date Valuation 0 Expiration Date 12/19/05 Qty Unit Charge, Per Extension BASE" "FEE 1.5.00 2225.00 .0,350 ELEC NEW RES -'l OR 2 FAMILY, 77.88 425.00 .0200 ELEC GARAGE:OR NON-RESIDENTIAL 8.*50 V . Application Number 05-00002522 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee . ... 152.25 Plan Check Fee 38.06 Issue "Date Valuation . . . . 0 Expiration Date 12/19/05 r" Qty Unit Charge --Per Extension BASE .FEE 15a:-00 - 14.00 6.00'00 EA" `PLB FIXTURE 84.00 - ,R, 1.00 15.0000: EA PLB BUILDING SEWER 1.5.00 1.00 7.5000 "EA PLB "WATER=.',HEATER/VENT.. 7":50 ` 1. 00 3_000.0 -EA . PLB ,WATtk -INST/ALT/REP. 3.00 1.00 - 9. -.0000, -EA PLB DAWN SPRINKLER SYSTEM 9.. 0 0 5.-00 . 750.0:. EA PLB GAS :PIPE >=5° 3.75 1.00 15.0000 EA PLB GAS METER -----------------"-----;;-;-_-.----------------------------------------------.----- 15.00 Permit GRADING PERMIT Add tional desc ` - Permit Fee 15..00 Plan Check Fee .00 Issue•Date Valuation . . . . 0 Expiration Date 12/19'/05 Qty. Unit Charge- Per Extension ;BASE FEE. ------------------ Special Notes..and Comments -------------- .-:.SFD'-:c;LOT 19. PLAN..4, 2225 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAYAPPROACH. --------- - - - - -- ---------------------------------- Other Fees-.... ART IN PUBLIC PLACES -RES -------------- 00 `DIF -COMMUNITY CENTERS -RES 97.-00 DIF CIVIC`CENTER - RES 366.00 ENERGY REVIEW;_FEE 4,9,99 " DIF•.FIRE'•.yPROTECTION-RES 97-:00 GRADING PLAN.CHECK FEE 00 DIF LIBRAR"IES - RES 225.00 DIF.,PARK-;MAI-NT- FAC - RES 5.0.0' D.IF PARKS%REC -- RES 502.00 . STRONG MOTION (SMI) - RES 13.63 DIF STREET_MAINT FAC-RES 15.00 DIF TRANSPORTATION - RES 1098.00 " Fee summary Charged Paid Credited Due LQPEMIIT . Application Number . . . . . 05-00002522 Permit Fee Total 1077.13 .00 .00 1077.13 ' Plan Check Total 5.73.14 .00 .00 573.14 . Other Fee Total 2468.62 .00- .00 2468.62 Grand Total` 4118.89 .00 .00 4118.89 LQPERDIIT -