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04-8388 (SFD)cip BUILDING & SAFETY DEPARTMENT � ox A s- -7012 OF-495�CALL1504 (viFlco � (760) 777FAX (760) 777-7011 APRL1�.UIN.TA, FORMA 92253 INSPECTION REQUESTS (760) 777-7153 2005 BUILDING PERMIT CITY OF �q 4UIN FTq IN y DEPT. Application Number` C04�_0_00.08.3.8. Date 4/12/05 Property Address .52320 WHIRLAWAY TR APN: 767-200-999-40 -312021- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW-DENSITY RESIDENTIAL Application valuation 179688'" Owner Contractor ---------- ---------- - ------------------------- DESERT ---- ---- ---DESERT ELITE, INC. HERINGTCN DEVELOPMENT, JAMES 0 . 78401 HIGHWAY -111 40960 CALIFORNIA OAKS RD; #283 LA ,QUINTA CA. 92253 MURRIETA CP; 92562 (951) 677-8415. WCC: STATE FUND - WC.: 1542746 11/01/05 CSLB: 753190 04/30/06 CCC: B --------- ---- ------ Structure Information --- =---.--------- ---------- Construction Type ... TYPE V NON RATED. Occupancy Type DWELLG/LODGING/LONG <.=10 Flood Zone NON -AO FLOOD ZONE Other struct info . CODE EDITION .200l.CBC #.BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG PATIO,..SQ FTG 263,.00 NUMBER OF UNITS .1.00 1ST FLOOR'SQUARE FOOTAGE. 2863.00 Permit BUILDING PERMIT Additional desc Permit Fee 919.50-1 Plan Check Fee 149.42 Issue Date . . . Valuation 179688 Qty Unit Charge Per Extension BASE FEE 639.50 80.00 3.500.0 THOU BLDG 100,001-500,000. 280.00 Permit MECHANICAL Additional desc Permit Fee ,90.00 Plan Caeck Fee 5.63 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE. 15.00 2. 001. 9.0000 EA MECH FURNACE <=100{ 18.00 2.00 9•.0000 EA MECH. B/C <=3HP/100:x .BTU 18.00 5.00- 6..5000 EA MECH VENT FAN 32.50 P.O. Box 1504 • ���� 78-495 CALLE TAMPICO FAX (760) 777-701 l VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0q_`83 Applicant: Applicant's Mailing Address: LIP I hereby affirm under penalty of perjury that I am C e, and my License i full force and effect. icense Class ,,�ate . Date: `y' Architect or Engineer: ---Architect or Engineer's Address: c. No.: J .Z ? BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals se No. 3 �/ d 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.). 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 I am exempt under Sec. . BA P.C. for this reason Date Owner 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 1of the work for which this permit is issued. I have and will maintain workers' compensate n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued. My wo>re�s' compensation i ance carrier and�� rt�er are: arrier _��/� olicy Number / J" 7 Y I certify that, in the performan compensation laws of Calif forthwith comply with those p><C plicant_ work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' J agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall WARNING: FAILURE TO SECURE WOFRERS' 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 N 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 n II 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 cancell ti I certify that I have read this application and state that the above inform ti is correct. I agree to comply with all city and county ordinances and state laws relating to building ;construction, an hereby authorize representatives of this county to ent pon the above-mentioned property for inspection purposes. te �/� + gnature (Applicant or Agent): Page 2 Application Number . . 04-00008388 Date 4/12/05 Qty Unit Charge Per Extension " 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . ELEC-NEW RESIDENT"IAL Additional desc Permit Fee 127.89 Plan Check Fee 7.99 Issue Date Valuation 0 Qty Unit Charge Per Extension` BASE FEE 15.00 2863.00 .0350 ELEC NEW RES - 1 C-R 2 FAMILY 100.21 634.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 1.2.68 Permit PLUMBING Additional desc.. Permit Fee 172.50 Plan Check Fee 10.78. Issue Date . . . . Valuation . . . 0 Q'ty 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. 5 0 0 0. EA PLB WATER HEATER/ V_ENT > 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 8.00 .7500 EA PLB GAS.PIPE >=5 6.00 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 40, PLAN 3AR, 2863 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"C:ENTERS-RES 97.00 Page 3 Application Number 04-00008388 Date 4/12/05 Other Fees DIF CIVIC CENTER -'RES 366.00 ENERGY REVIEW FEE 14.94 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 ISMI),- RES 17.96 DIF STREET MAIriT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited. Due Permit Fee Total 1324.89 ."00 .00 1324.89 Plan Check Total 173.82 0.0 '.00, 173.82 Other Fee Total 2437.90 .00 .00 2437.90 Grand Total 3936.6.1 00 .00 3936.61_