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04-7847 (SFD). .,; ot BUILDING & SAFETY DEPARTMENT Box 1504. ` OF5 CALLE T (760):7,77-7012 Tt�� o�� - AMPICO t ; 2 • FAX (760) 777-7011 aQ A Q INTA, CALIFORNIA 92253' INSPECTION REQUESTS (760) 777-7153 °�p� BUILDING. PERMIT L - Application Number 04-00007847 Date 4/22/05 Property Address :y,. . • . ' 80806 VIA PESSARO- APN: _. 772 -500 -001 - Application description DWELLING- SINGLE FAMILY DETACHED Property Zoning . . . . "LOW DENSITY RESIDENTIAL Application valuation 381367 Owner. -Contractor THOMAS GEARING r.. STOKER CONSTRUCTION, INC. 45-010 DESERT VIEW 56471 TWENTYNINE PALMS-HWY. LA QUINTA, CA 92.253 t -YUCCA VALLEY, CA,k284 •(760)_365-8691 WCC: STATE FUND , • WC: 1542853-2005 01/01/06 CSLB: 435033 02/28/07 CCC: B -C9-053 i P.O. B O X 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailin dress: VOICE (760) 777-7012„ FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Architect or -Engineer. Architect or Engineer's -Address-. L ic. N� o1--) bUILUINU PERMIT DECLARATIONS 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 ss Licens in full force and effect. C License Class 7 License No. j Dated �(' �� " W Contractor OWNER43UILDER DEC RATION 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 i Date Owner I hereby affirm under penalty of _ I have and will air of the work:w _ 1 havR and Carrier WORKERS'COMPENSA iry one of the folloF"�q 2fe6l a certificate - gai�'`-;%t — this permit is issue .0,� workers' compensation ins. 11 pen i1ption insurance cai i � for workers' compensate . �as r0a:d d! o�bection,3700 of the Labor Code, for the performance r the pertormance`ro the work for which this permit onlaws of Nf�'mia, end gree that, if I should bd mply with those orovisions_ All Date— �-/ U�, -Applicant—c_— .� C. - I WARNING: FAILURE T%1SECURE WORKERS' COMPENSATION CIVIL FINES UP TO ON^UNDRED THOUSAND DOLLARS ($101 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORN CONSTRUCTI Section 3700 of the` bor Cod' , for If performance of the work. for which this permit is iJ � *shall, not employ any person in ey manner Sf1 as to become�subjet the workers' tett the workers' compensation provisions of Sectio"n 3700 onthe Ladbb Code, I shall j 17 *Po* Nil - NLAW AND SHALL'!QU ECT AN EMPLOYER TO CRIMrIOX PENALTIES AND 0I TO THE COST OFy4CO E SAS ON, DAMAGES AS PROVIDED FOR IN —WENDING AGENCY X I hereby affirm under penalty of perjury that there is a construction lending agency for the prformance of the wo4r which ($ ;perm is i4 ed (Sec. 3097, Civ. Gj). Lender's Name Lender's Address �'• t � �+a` 1 �� APPLICANT AC ^�, WLE G J,�MENT ,i • * a IMPORTANT Application is hereby made to the Director of Building and Safety foCa:pe�mit sr3bctTo the conditions resfri .CiDns set forth on this apple alio 1. Each person upon whose behalf this application is made, each person at whose req u"QStn. �end Lir whoseNbenefit-''o' performed under or Arsuany't.o an permit issued as a result of this application, the owner, and the applicant, each agrees to, and sha'IFy Afelpd, ihderr�iit a"na Told harm) s the City of La 0dinta, its officers, agents and employees for any actor omission related to the work tieing performedttnde; (* following issuance of this e,Filit. 2. Any permit issued as a result of this application becomes null and void if work is not corrwmencea(' I thiry�80�ays from date o'iss nce of juch 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 above information is correct. I agree to comply withill city and county ordinances and st�e?aws%elating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for ins06ction purposes. rDate Z _-Signature (Applicant or Age Application Number . ---------------------------------------------------------------------------- . . . . 04-00007847 ' ------ Structure Information 4469 SQ. FT. SFD ----- 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 590.00 PATIO SQ FTG 685.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 4464.00 Permit BUILDING PERMIT Additional desc Permit Fee . . . . 1626.50 Plan Check Fee 1057.23 Issue Date . . . . Valuation . . . . 381367 Expiration Date.. 10/22/05 Qty Unit Charge Per Extension BASE FEE 639.50 282.00 3.5000 ------------------------------------------------------------------------------ THOU BLDG 100,001-500,000 987.00 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 198.04 Plan Check Fee 49.51 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/22/05 Qty -Unit Charge Per Extension BASE FEE 15.00 4464.00 .0350 ELEC NEW RES,— 1 OR 2 FAMILY 156.24 590.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.80 1.00 15.0000 ----------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE. 15.00 Permit . . . . . . GRADING'PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 10/22/05 Qty Unit Charge Per Extension ----------------------------------------------------------------------------- BASE FEE 15.00 Permit . . . . . . MECHANICAL Additional desc Permit Fee 121.00 Plan Check Fee 30.25 Issue Date Valuation . . . . 0 Expiration Date 10/22/05 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 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 • Application Number . ---------------------------------------------------------------------------- . . . . 04-00007847 ------------'---------------------------------------------------------------- Permit PLUMBING Additional desc Permit Fee . . . . 219.75 Plan Check Fee 54.94 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/22/05 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 .3.00 6.0000 EA PLB ROOF DRAIN 18.00 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 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 4464 SQ. FT. SFD . THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. 3/4/05 1:15:46 PM jjohnson ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 453.41 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 105.72 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 (SMI) - RES 38.13 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited ----------------- Due ---------- Permit. Fee Total ------------------------------ 2180.29 .00 .00 2180.29 Plan Check Total 1191.93 500.00 .00 691.93 Other;Fee Total 3002.26 .00 .00 3002.26 Grand,Total 6374.48 500.00 .00 5874.48