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11-0009 (SFD)P.O. BOX 1504 •ty000,. 4, IINI {l� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: [,7_11-00000009 Property Address: 52313 WHISPERING WY APN: 767-200-999-17 -312024- Application description: DWELLING = SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 165860 Applicant: Architect or Engineer: ------------------ 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 Code, and my License is in full force and effect. License Class: 13 License No.: 916227 Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury. that I am exempt from the Contractor's 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 Contractor's 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).: 1 _ 1 1, 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 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 61 completion, the owner -builder will have the burden of proving that he or she did not build or Yimprove for the purpose of sale.). (/� 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions C de: The Contractors' State License Law does not apply to an owner of property who builds or improves th r n, and who contracts for the projects with. a contractor(s) licensed pursuant to the Contractors' State L -T- -a Law.l. ' (_) I am exempt under Sec. , B.All for this reason ate: l Owner: I hereby affirm under penalty of perjury that the work for which this permit is issued (Sec. 3097 Lender's Name: Lender's Address: ' LQPERMIT 3TRUCTION LENDING AGENCY a construction lending agency for the performance of the . C.). VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: DESERT CHEYENNE, INC. 78401 HIGHWAY 111, SUITE X' LA QUINTA, CA 92253 (760)777-9920 ID Contractor: GJH DEVELOPMENT INC 27636 YNEZ ROAD C7 #151 TEMECULA, CA 92591 (760)578-3545 Lie. No.t 91622; Date: 1/04/11 G°Q U \ a C1iY 0>: --------------------------7-------------------- WORKER'S 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. 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 issued. My workers' compensation insurance carrier an policy number are: Carrier EXEMPT Policy Number EXEMPT I certify that, in the per nce of the work for which this permit is issued, I shall not employ any person in any manner s s to become subject to the workers'. compensation laws of California, and agree that, if I sh become subject to the workers' compensation provisions of Section - p 3.700 of the Labor Co shall forthwith comply with those provisions. - plicant: /WARNING: FAILURE TO SECURE WO KERS'. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP.TO ONE HUNDRED THOUSAND DOLLARS ($100,0001'. IN ADDITION. TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 ap lication 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.th he above information is correct: I agree to comply with all city and county ordinances and state laws relating to ilding construction, and hereby authorize representatives ofthis coo y to enter upon the above-mentioned pr rty for inspection purposes. 2late:� 1 3/ 9rgnature (Applicant or Agent): Application Number 11-00000009 Structure Information Construction'Type TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/CONG <=10 Flood Zone . . NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 658.00 - •PATIO SQ -FTG 319.00 NUMBER OF UNITS. i 1.00 ------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE - 2600.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee 870.50 Plan Check Fee 565.83 Issue Date Valuation 165860 -. Expiration Date'. 7/03/11 Qty Unit Charge Per Extension BASE FEE 63.9.50 66.00 3.500,0 THOU BLDG 100,001-500,0.00. 231.00 Permit MECHANICAL Additional desc . Permit Fee 90.,00 Plan Check Fee. 22.50. Issue Date Valuation' 0 _ Expiration Date 7/03/11 Qty '"Unit Charge Per �- Extension' - BASE FEE 15.00 2..00 9.0000 EA MECH FURNACE <=100K • 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.,00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL_ Additional desc Permit -.Fee 119.16 Plan Check Fee 29.79 Issue Date Valuation 0 ` " Expiration Date .7/03/11 Qty Unit Charge .Per Extension BASE FEE15.00 2600.00 .0350 • ELEC-NEW RES - 1 OR 2 FAMILY 9.1.00 , r LQPERMIT _ .. ... C\ - - - - Application Number 11-00000009 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge. Per Extension' . 658.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.16" Permit . . . PLUMBING Additional desc . Permit Fee 166.50- Plan Check Fee 41.63 Issue Date Valuation - 0 Expiration.-Date 7•/03/11 . Qty Unit Charge Per Extension BASE 'FEE 15.00 16.-00; 6.0000 EA PLB FIXTURE 96.,•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 FLB. LAWN 9PR,TAWT.FR SYSTEM: p.QO 800 .7500 EA_ PLB GAS PIPE >=5., 6:00 1.00. 15.00.00 ------------------------------------------------------------------------- EA PLB GAS METER 15.00 Permit . . GRADING PERMIT Additional desc.. > Permit Fee 15.00' Plan Check Fee .00 ' Issue Date Valuation 0 Expi-ration Date '. 7/03/11 Qty Unit Charge Per. Extension BASE FEE 15.00 -• Special Notes and Comments SFD - LOT 17, PLAN 2A, 2600 SF. PERMIT' - DOES NOT INCLUDE POOL,.SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. 2010 CODES. ---------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES-RES` .00 ..BLDG STDS ADMIN (SB1473) 7.00 DIF.COMMUNITY CENTERS'-RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW 'FEE 56.58 DIF FIRE PROTECTION-RES 140.00 GRADING PLAN CHECK'FEE .00 DIF LIBRARIES - RES 355.00 'MULTI-SPECIES (MSHCP) FEE 1284.00 DIF PARK MAINT FAC.- RES 22.00 DIF PARKS/REC - RES 892.00 LQPERMIT - . Application Number . . . 11-00000009 -------------------_--- Other Fees ------------- ---------------------_----- STRONG MOTION (SMI) RES --- 16.58 DIF STREET MAINT FAC -RES 67..0U DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due' Permit Fee Total. 1261.16 .00 .00 1261.16 Plan,Check Total 659.75 .00 .00 659.75 Other Fee Total 583.9.16 00 00 Grand Total 7760.07 .00 .00 7760.07 LQPERMIT