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04-6363 (SFD)L. BUILDING & SAFETY DEPARTMENT (760).777-7012 OF 78-495 E AMPICO FAX (760) 777-7011 CITY 0 A C LIFORNIA 922.53 CE INSPECTION REQUESTS (760) 777-7153 • BUILDING PERMIT Application Number .. . . . . C04 -00006363A Date 4/04/05 Property Address 81913 IL SERENATA DR APN: 764-010-011-2 -30092 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . ... . . . . LOW DENSITY RESIDENTIAL Application valuation 175679 Owner Contractor ------------------------ --------------------------- K. HOVNANIAN FORECAST HOMES K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 4240 E. JURUPA STREET CHINO CA 91710 ONTARIO CA 91761 (909) 937-3270 WCC: ZURICH INS WC: WC3436 ' 66302 10/31/05 CSLB: 700788 10/31/05 CCC: B --------------------------- Structure Information ------------------------- Flood Zone . . . . .. . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION .2001 CBC FIRE SPRINKLERS NO GARAGE SQ FTG 629.00 PATIO SQ FTG 713.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2690.00 ------------------------- -------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 905.50 Plan',Check Fee 588.58 Issue Date . . . . Valuation . . . . 175679 Qty Unit Charge Per Extension BASE FEE 639.50 76.00 3.5000 THOU BLDG 100,001-500,000 266.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 77.00 Plan Check'Fee 19.25 .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 ------------------------------------I ------- I ---------------- ------------------- Permit . . . . . . ELEC-NEW'RESIDENTIAL P.O. BOC 1504 • '�C�� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: Applicant: I Architect or Engineer: Applicant's Mailing Address: or 1OMWA Lic. No.: t$UILUING 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 C9de, and my Linse is in full force and effect. /yOb icense Class Licen No. A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the7ollowing 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 1, 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 Owner 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. 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 i ance carrier and policynumber ar arn^ er olicy Number _ I certify (hat, in the performance of the work for which this permit is issued, I shall no 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 provisior)s, 1_1 WARNING: FAILURE TO SECURE WORKERS' COMPENSAfION 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 IIJ 1A 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 Ouinta, 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 to a er upon the ab v entioned property for inspection purposes. ate J V Signature (Applicant or Agent): I Page 2 Application Number . . . . .. 04-00006363 Date 4/04/05 Additional desc Permit Fee . . . . 121.73 Plan Check Fee 30.43 Issue Date . . . . Valuation . . . . 0. Qty Unit'Charge Per Extension BASE FEE 15.00 ` 2690.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 94.15 629.00 .0200 ° ----------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.58 Permit . . . . . . PLUMBING Additional desc °. ' Permit Fee . . . . 155.25 Plan Check Fee 38.81 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 14.00 6.0000 EA PLB FIXTURE 84.00, - 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 2, PLAN 1A/713 SF. PATIO. PERMIT DOES NOT INCLUDE POOL_, SPA, BLOCK WALLS OR DRIVEWAY APPROACH ----------------------------------------------------------- Other Fees . . . . . ------------------ . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 58.86 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 r Page 3 Application Number . . . 04-00006363 Date 4/04/05 ----------------------------------------------------------------------------- Other Fees. . . . . . . . . . STRONG MOTION (SMI) - RES 17.56 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total •---------- 1274.48 ---------- ---------- 00 .00 ---------- 1274.48 Plan Check Total 677.07 250.00 .00 427.07 Other Fee Total• 2481.42 .00 .00 2481.42 Grand Total i 4432.97 250.00 .00 4182.97 r