04-8398 (SFD)t
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BUILDING & SAFETY DEPARTMENT
CITYPpp
FIINV' IY (760) 777-7012
OF I19 - E LET MPICO C^
FAX (760) 777-7011
L_ A QUINTA, CALIFORNIA 92253 INSPEO-TION REQUESTS (760) 777-7153
BUILDING PERMIT
Application`Numbei 04-00008398 Date 4/12/05
Property Address r� 52'357 WHIRLAWAY TR
APN:. 767-200-999746 -312021-
Application description DWELLING•- SINGLE FAMILY DETACHED
Property Zoning . . . . . . LOW DENSITY RESIDENTIAL
-Application valuation 185831 ,
Owner i Contractor
DESERT ELITE, INC.` HERINGTDN DEVELOPMENT, JAMES 0,
78401, HIGHWAY 111 40960 CALIFORNIA OAKS RD, #283
LA QUINTA CA 92253 MURRIETA CA 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/CDNG <=10
Flood Zone . . . . . . . NON -AO FLOOD ZONE
..Other struct info . . . . CODE EDITION 2001
'# BEDROOMS - ,..' 6.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 486.0.0
• PATIO SQ FTG A T - ,183. 00
NUMBER 'OF UNITS 1.00 ~
1ST FLOOR SQUARE;FOOTAGE 3180.00
---------------------------------------------- -------------------------------
Permit BUILDING PERMIT
• Additional desc '' '
t ,
Permit Fee . . . 940.50 Plan heck Fee ..152.83
Issue Date Valuation 185831
Qty Unit Charge Per .Extension
BASE FEE '639.50
86.00 3.5000 THOU-- BLDG 100,001-500,000 301.00
-------------------------------------------w
Permit . . . .. . MECHANICAL
Additional desc.. ..
Permit Fee _1.27.50 Plan;Check Fee • 7.97
Issue Date Valuation 0
Qty Unit Charge Per _ Extension
BASE FEE15.60
.3.00 9.0000 EA MECH FURNACE <=100K 27.00
3.100 9.0000 EA MECH B/C <=3HP/100K BTU 27'.,00
8.00 6.500'0 EA MECH VENT FAN 52.00
P.O. BOC 1504
78-495 CALLE TAMPICO ,
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number: O q - S 398
Applicant:
Applicant's Mailing Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: q' 18' OS
Architect or Engineer:
rchltect or Engineer's Address:
o.:
t$UIL.UING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby arm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professional
affirm s
Code, and my License is ' full force and effect.
.,�License Classense No. /
ntractor L__�2
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 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.).
L) I am exempt under Sec. , BA P.C. for this reason
Date
WORKERS' COMPENSATION DECLARA T iON
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.
_tcI 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
ed�Ayworke �� pensation insurance carrier and p�li� rtumbter)r /
arner J //� //' / / olici�Number
I certify that, in the performance of the wor 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 ag a J�at, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. /f
do-
WARNING:
r
WARNING: FAILURE TO SECURE WORKERS' COt4FENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancel do
I certify that I have read this application and state that the above inform ' s correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby auth;ignatu
rize re resentatives of this county to ent p n the above-mentioned property for inspection purposes.
ate d re (Applicant or Agent):
9 )
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Page
2
Application Number . . . . ._ 04-00008398 Date
4/12/05
Qty Unit'Charge Per
Extension
1.00 6.5000 EA MECH EXHAUST HOO=
6.50
Permit . . . . . ELEC-NEW RESIDENTIAL
Additional desc .. -
Permit Fee 136.0,2 Plan Check Fee
8.50
Issue Date 'Valuation . . .
0
Qty Unit Charge Per .�
Extension
BASE FEE
15.00
31$'0.00 0350 ELEC NEW RES - 1 OR 2 FAMILY
111.30
.`486.00- .0200 ELEC GARAGE OR NON-RESIDENTIAL
9.7.2
-------7--------------------------------------------------------------------
' Permit . . . . PLUMBING
Additional desc
Permit Fee 206.25 Plan Check Fee
12.89
-Issue Date. Valuation . . . .
0 -
Qty Unit Charge Per
Extension
BASE FEE
15.00
2'1.00 6.0000 'EA PLB FIXTURE
126.00
41.00 15.0000 EA PLB BUILDING SEWER
15.00
2.00 7.5000 EA PLB WATER HEATER,'VENT
15,.00
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00'
.1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
.11.00.- .7500 EA PLB'GAS PIPE >=5.
8.25
- 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 46. PLAN TYPE 4YBR"- W/
OPTIONAL GUEST SUITE, 3:180 SQ.FT.
LIVING, R=3 OCCUPANCY, TYPE V -N
CONSTRUCTION, 2001 CODES. PERMIT DOES
NOT INCLUDE BLOCK WALLS, POOL,- SPA OR
DRIVEWAY APPROACH. '75% REDUCTION TO PLAN
CHECK FEE DUE TO MULTIPLE ISSUANCE OF
. SAME.PLAN TYPE,
Page 3
Application Number
. . . . .
04-00008398 Date 4/12/05
Other Fees . . .
. . ... . .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY.REVIEW FEE
15.28
DIF FIRE PROTECTION -RES
97.00
DIF. LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5..00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
18.46
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged'
-Paid Credited
Due
Permit Fee Total.
1425.27
.00 .00
1425.27
Plan Check Total
182.19
.00 00
182.19
Other Fee.Total
2438.74
.00 .00
2438.74
Grand Total
4046.20
.00 .00
•4046`.20