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13-1673 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: ,APN: Application description: Property Zoning: Application valuation: Applicant: VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/20/14 13-00001673 Owner: 53353 VIA PISA DAVID & KAREN HUFFMAN 772-520-059- - - 6 WEATHERLY DRIVE DWELLING - SINGLE FAMILY DETACHED COTO DECAZA LOW DENSITY RESIDENTIAL _�;._ _ COTO DE LAZA, CA 92679 868378 Architect or Engineer Lic. No.: OOR LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjuryam ' ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu s and P fessionals Code, and my License is in full force and effect. License Class: 13 License No.: 457228 sT" 'WJD ------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, 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 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.). I—) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: LQPERMIT Contractor: MONARCH HOMES DESERT DIVSN INC 49950 JEFFERSON ST, #130-134 INDIO, CA 92201 (760)413-8863 Lic. No.: 457228 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 arid 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 policy number are: Carrier STATE FUND Policy Number 9045509-13 I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person m any ma so to bec subject to the workers' compensation laws of California, and agree that, if I sho ect to the workers' compensation provisions of Section —37.00_of the Labor C e, 1 II fo th comply with those provisions. -21- IW17.12 rl•.ti_: 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. 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 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 formation is correct. I agree to comply with all city and county ordinances and state laws relating to bui ons ruction, and hereby authorize representatives of this county to en_te:upon the above-mentioned grope for in ion purposes. f9� r� .mss Date: ?_I �� (Signature (Applicant or Agent): Application Number . . . 13-00001673 tom, Permit BUILDING PERMIT Additional desc ADJUSTED TO 2013 FEE SCHEDULE Permit Fee . . . . 948.47 Plan Check Fee 2065.13 Issue Date . . . . Valuation . . . . 868378 Expiration Date . . 9/16/14 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 948.47 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 226.65 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/16/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC FIXTURES, FIRST 20 23.83 1.00 23.8300 EA ELEC SERVICES 23.83 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 .1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 1.00 ----------------------------------------------------------------------------- 12.1600 EA ELEC NEW RES, ADD'L 1 KSF 12.16 Permit MECHANICAL 2013 Additional desc . . Permit Fee .. . . . 703.14 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 9/16/14 Qty Unit Charge Per Extension 7.00 35.7500 EA MECH FURNACE 250.25 7.00 35.7500 EA MECH CONDENSER/COMP 250.25- 50.2515.00 15.00 11.9200 EA MECH VENT FAN 178.80 2.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 23.84 Permit . . PLUMBING 2013 Additional desc . Permit Fee . . . . 667.51 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/16/14 Qty Unit Charge Per Extension 45.00 11.9200 EA PLBG FIXTURE/TRAP 536.40 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 5.00 11.9200 EA PLBG ROOF DRAIN 59.60 LQPERMIT Application Number . . . . . 13-00001673 Permit . . . . PLUMBING 2013 Qty Unit Charge Per Extension 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments NEW SFD 9348 SQ. FT. WITH COMBINATION PATIO / DECK OF 3403 SQ. FT. GARAGE PLUS CONVERTABLE ATTIC SPACE OF 2437 SQ. FT. HOME IS FIRE SPRINKLED THIS PERMIT DOES NOT INCLUDE POOL SPA, BLOCKWALLS OR DRIVEWAY APPROACH, FIRE -PIT, BBQ, WATERFEATURES. January 31, 2014 10:41:49 AM jjohnson. BUILDING PERMIT MANUALLY ADJUSTED TO 2013 FEE SCHEDULE DUE TO DEPOSIT FEE BEING TAKEN INCORRECTLY AT SUBMITTAL. February 10, 2014 10:55:40 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 1670.95 BLDG STDS ADMIN (SB1473) 35.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES - RES 344.00 PLAN CHECK, ELECTRICAL 104.63 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 414.71 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 646.05 DIF PARKS/REC - RES 2048.00 STRONG MOTION (SMI) - RES 86.84 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Paid Credited Due ---- - ------ ---------- ---------- ---------- Permit Fee Total 2545.77 .00 .00 2545.77 Plan Check Total 2065.13 1250.00 .00 815.13 Other Fee Total 11832.62 .00 .00 11832.62 Grand Total 16443.52 1250.00 .00 15193.52 LQPERMIT --- PSf� Building P.O. BOX 1504 78-495 CALLE TAMAMPICO APPLICATION ONLY LA QUINTA, CALIFORNIA 92253 Owner/ v�D L�� BUILDING: TYPE CONST.-'- OCC. GRP. J3 v/ ���� / A.P. Number --�—/ // Mailing Address Legal Description Project Description Z city Zip�� y � Contr"r Address City . Zip Tel.`i �l S Ft. n ¢ (��(D Size J C/ Storie No. Dw. New Add ❑ Xpair ❑ D6AIition ❑ State Lic. & Classif. L c # Arch., Engr, Designer <�/�/j�rr, „ 3(00.91 % r_' I / y/ 11_ic._#�74/�j LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contrac- tor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). �L ❑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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale). 0 I, as owner of the propeAy, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owne WO KER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 representatives of this city to enter the above-mentioned property for inspection purposes. V/ Signature of applicant Date Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT I I CITY OF LA QUi— NTa I Estimated Valuation v /600 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. i Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure r)ctl ail TOTALC1 COMMIA CONTACT INFORMATION LJCVCLQPM N�- NAME: PHONE: ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: YELLOW = APPLICANT PINK = FINANCE