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04-8031 (SFD)os BUILDING & SAFETY DEPARTMENT �A�Q ryopf� ,,nn C OFTl'9 780-49 C LL'I"AMPlCO�'OJ (760).777-7012 FAX (760) 777-7011 LA Q INTA PAT3 INSPECTION REQUESTS (760) 777-7153 FI ARICE DEf�i BUIL ERMIT Application Number 0Date 12/29/04 Property Address . . . . . . 7-9828 JOEY CT APN: 649-520-998-22 -290533- Application description . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 163482 Owner Contractor --------------------------------- --------------------------------- PM RENAISSANCE, LLC TRANS WEST HOUSING, INC. 996'8 HIBERT STREET,-STE. 102 9968 H-IBERT STREET, STE #102 ,SAN DIEGO, CA 92131 SAN DIEGO, CA 92131 (858) 653-3003 WCC: STATE FUND WC: 1648813 10/01/05 CSLB: 7010.39 01/31/05 CCC: B a P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 //LLZzBUILDING & SAFETY DEPARTMENT Application Number: 41'$vv Date: 3 -fit •or Applicant: Architect or Engineer: Applicant's Mailing Address: --Architect or Engineer's Address: ic. No.: Z o BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals - , and ss License is ' II force and effect. � %�/1 Dense Class icense No. ` �� &«�� --tractor l 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.). (--) 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: _ 1 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 i ued. orkers' c pensatio , cyrence carrier and,po,41y bei /5 amer Poli Number // CO QD ��f 0� _ I 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, I shall forthwith comply with those provisions. W — 66ff-tV ��,45�olicant_ ;*_� WARNING: 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. 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 Lenders Address 1t:7 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Buildi6g 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 penton 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 cored I agree to comply with all city and county ordinances and state laws relating to building co�ak, on, and hereby authorize repre3entatives of this county to enter upon the above-mentioned property for inspection purposes. D/ l.— / p Signature (Applicant or Agent): -+� - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Application Number . . . . . 04-00008031 ---------------------------------------------------------------------------- Structure Information Construction Type . .'.- .''TYPE V - NON RATED Per Occupancy Type . . . . . DWELLG/LODGING/LONG <=10 1.00 Flood Zone . . . . . . . . NON -AO FLOOD ZONE 7.5000 Other struct info . . . . . CODE EDITION 2001 CBC EA 1.00 FIRE SPRINKLERS NO EA 8.00 .7500 GARAGE SQ FTG 589.00 PATIO SQ FTG 328.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST'FLOOR SQUARE FOOTAGE 2580.00 Permit . . . . . . BUILDING PERMIT 'Additional desc . . Permit Fee 863.50 Plan Check Fee 140.32 Issue Date Valuation . . . . 163482 Qty Unit Charge Per Extension BASE FEE 639.50 64.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 224.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee 77.00 Plan Check Fee 4.81 Issue Date . . . . Valuation . . . . 0 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 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 . . . . 117.08 Plan Check Fee 7.32 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2580.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.30 589.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.78 Permit PLUMBING ,. Additional desc Permit Fee . . . . 178.50 Plan Check Fee 11.16 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per 18.00 6.0000 EA 1.00 15.0000 EA 1.00 7.5000 EA 1.00 3.0000 EA 1.00 9.0000 EA 8.00 .7500 EA BASE FEE PLB FIXTURE PLB BUILDING SEWER PLB WATER HEATER/VENT PLB WATER INS.T/ALT/REP PLB LAWN SPRINKLER SYSTEM PLB GAS PIPE >=5 Extension 15.00 108.00 15.00 7.50 3.00 9.00 6.00 ---------------------------------------------------------------------------- Application Number 04-00008031 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Special Notes and Comments SFD - LOT 22, PLAN 2BR, 2580 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, 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 14.03 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 16.34 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ----------------- Due ---------- Permit Fee Total ------------------------------ 1251.08 .00 .00 1251.08 Plan Check Total 163.61 .00 .00 163.61 Other Fee Total 2435.37 .00 .00 2435.37 Grand Total 3850.06 .00 ..00 3850.06