11-0010 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 6t:�lI-00000010%
Property Address: 52341 WHISPERING WY
APN: 767-200-999-18 -312024-
Application description:. DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185831
Applicant: Architect or Engineer:
7
ooi
• aiP
--------------------------------------------------
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: S 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).:
(_) 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 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.).
( _) I, as owner of the property, am excI si ly contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Co The Contractors' State License Law does not apply to an ownerof
property who builds or improves thon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State Li se Law.).
I—) I am exempt under Sec. , B.& for this reason
Date: 1} i. wner:-
C NSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that ther 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:
LQPERMIT
Owner:
DESERT CHEYENNE, INC.
78401 HIG I
LA QUINTA,jf 9225 d
(
. i
1
Controoton J�'dJ 2`' 711
GJH DEVE IOP
27636 YNIZ RO �� QUINTA
TEMECULA, CA t� '� nc r.
(951) 506-1123
LiC. No.: 91622.7
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 1/04/11
-----------------------------------------------
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 and p Iicy number are: '
Carrier E EMPT Policy Number EXEMPT
I certify that, in the4WORKE
the work for which this permit is issued, I shall not employ any
person in any macome subject to the workers' compensation laws of California,
and agree that, ie subject to the workers' compensation provisions of Section
3 00 of the bforthwith comply with those provisions.
ate: 1) �� pplicant:
WARNING: FAILURE TO SECUROMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT ANEMPLOYER 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.
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 t is permit. -
2. Any permit issued as a result of this appes null and void if work is not commenced
within 180 days from date of issuance t, or cessation of work for 180 days will subject
permit to cancellation.
I certify.that I have read this application and state thformation is correct. I agree to comply with all
city and county ordinances and state laws relating totruction, and hereby authorize representatives
oft 'co/u�ty'to nter upon the above-mentioned prection purposes.
Date: < // Si ure (Applicant or Agent):
Application Number
11-00000010
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
2001
# BEDROOMS
6.00
FIRE SPRINKLERS
NO
GARAGE SQ.FTG
486.00
PATIO SQ FTG
183.00
NUMBER OF UNITS'
1.00
1ST FLOOR SQUARE FOOTAGE.
3180.00
Permit
BUILDING PERMIT
Additional desc
Permit Fee
940..50 Plan Check Fee
611.33
Issue Date
Valuation . . .
i85831
Expiration Date
7/03/11 "
Qty Unit Charge
Per
Extension .
BASE FEE
639.50
86.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
301.00
Permit MECHANICAL
Additional desc .
Permit Fee
127.50 Plan Check Fee
31.88
Issue Date . . . .
Valuation
0
• Expiration Date..
7/03/11
Qty 'Unit Charge
Per
Extension
BASE FEE*
15 .00
-3.00 9.0000
EA MECH FURNACE <=100K
27..00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
8.00 6.5000
EA MECH VENT FAN
52.00
- 1.00 6:5000
----------------------------------------------------------------------------
EA MECH-EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
136.02". Plan Check Fee
34.01'
Issue Date . .
Valuation . . .
. 0
Expiration Date
7/03/.11
-
. Qty Unit Charge
Per.
Extension
BASE FEE
15.00
3180_00 .0350
ELEC NEW RES -'1 OR 2 FAMILY-,
111.30
LQPERMIT
Application Number 11-00000010
Permit" . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per
Extension
486.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL'',
9.72.
Permit . . . PLUMBING.
Additional desc .
Permit Fee 206.25 Plan Check Fee..
51.56
Issue Date . . . . Valuation
0
Expiration Date 7/03/iT
Qty Unit.Charge Per
Extension
DADD PDD
.15.00
21.00 6.0000 EA PLB FIXTURE
126.00
1.00• 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 .7.500 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
Expiration Date 7/03/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------
Special Notes and Comments
SFD•- LOT 18. PLAN TYPE 4YRA - 3180
S.F.PERMIT DOES NOT INCLUDE BLOCK WALLS.,
' POOL, SPA OR DRIVEWAY APPROACH.
2010 CODES.
Other, Fees BLDG STDS^ADMIN (SB1473)
8.00
DIF COMMUNITY CENTERS-RES."
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
61.13 "
" DIF FIRE PROTECTION-RES
140.00
DIF LIBRARIES - RES
-355.00
MULTI-SPECIES (MSHCP) FEE
1284.00
*DIF PARK MAINT FAC - RES
22.00
DIF.PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES <
.18.46
Application Number
. . . .
11-00000010
Other Fees . .
. : . .
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00-1
Fee summary
Charged'
Paid Credited
Due.
Permit -Fee Total
1425.27
.00 .00
.1425.27
Plan Check Total
728.78
.00 .00
728.78
Other Fee Total
5846.59
00 .00
5846.59
Grand Total,
8000.64
.00 .00
8000.64 "
LQPERMIT