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04-8001 (SFD)� 09 44 �Ir4V BUILDING & SAFETY DEPARTMENT TA (760).777-7012 OFTttti9 78-495 CALLS TAMPICO. FAX (760) 777-7011 LA QUINTA•, CALIFORNIA 92253 INSPECTION. REQUESTS (760)'777-7153 BUILDING PERMIT Application Number 04-00008001 Date 12/29/04 Property Address . . . . . . 79 97 8 DANIELLE CT APN: 649-520-998-14 -290533- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 183341 Owner Contractor --------------------------------- ---'------------------------------ PM RENAISSANCE, LLC TRANS WEST HOUSING, INC. 9968 HIBERT STREET, STE, 102 9968 HIBERT STREET, STE #102 SAN DIEGO, CA 92131 SAN .DIEGO, CA 92131 (858)653-3003 WCC: STATE FUND WC: 1648813 10/01/05 CSLB: 701039 01/31/05 CCC: B P.O. Bdx 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 u��c�cv BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7.011 INSPECTIONS (760) 777-7153 Application Number: Date: .3 r4 •off Applicant: Architect or Erigineer: Applicant's Mailing Address: elect or Engineer's Address: lc. No.: � ll19 Ta 'BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licenfull force and effect. rise Class icense No.�/ OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fro a 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 stricture, prior to its issuance, also requires the applicanifor 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 tot a perrwt 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 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 1 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 self4nsure for workers' compensation, as provided for by Section 3700 of ft Labor Code, for the performance Kof 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 theperformance of the work for which this permit is issu M vyorkers' coreg6nsationarance carrier and /(;artier ,�V y7T -/! O[ ./Policy Number � " _ I certify that, in the performanf of the work for which this permit is issued,,) 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 shad forthwith comply with those provisions. 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 Lender's Address 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, indemnity and hold harnless 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 re esentatives of this county to enter upon the above-mentioned property for inspection purposes. ate `3 C Signature (Applicant or Agent): ` "-=-------------------------------------------------------------------------- Application Number 04-00008001 - --------------------------------------------------------------------------- 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 1.00 9.0000 FIRE SPRINKLERS NO .7500 EA GARAGE SQ FTG 648.00 PATIO SQ FTG 474.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 2873.00 Permit BUILDING PERMIT Additional desc Permit Fee . . . . 933.50 Plan Check Fee 151.70 Issue Date . . . . Valuation . . . . 183341 Qty Unit Charge Per Extension BASE FEE 639.50 84.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 294.00 Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 5.22 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . ELEC-NEW RESIDENTIAL 128.52 Plan Check Fee . . 8.03 Valuation . . . . 0 Qty -Unit Charge Per Extension BASE FEE 15.00 2873.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 100.56 648.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.96 ----------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 184.50 Issue Date . . . . Qty Unit Charge Per 19.00 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 Plan Check Fee . . 11.53 Valuation . . . . 0 BASE FEE PLB FIXTURE PLB BUILDING SEWER PLB WATER HEATER/VENT PLB WATER INST/ALT/REP PLB LAWN SPRINKLER SYSTEM PLB GAS PIPE >=5 Extension 15.00 114.00 15.00 7.50 3.00 9.00 6.00 ' -'-------------------------- --------- -------------------------- --------------- Application Number . . . . . 04-00008001 ---------------------------------------------------------------------------- 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 14, PLAN 3B, 2873 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 15.17 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- 02.00STRONG STRONGMOTION (SMI) - RES 18.33 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited Due ----------------- Permit Fee Total 1345.02 ------------------------------ .00 .00 1345.02 Plan Check Total 176.48 .00 .00 .176.48 Other Fee Total 2438.50_ .00 .00 2438.50 Grand Total 3960.00 .00 .00 3960.00