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05-3359 (SFD)e. P.O. BOX 1504 78-495 CALLETAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00003359 Property Address: 81881 VIA LA SERENA APN: 767-200-011-34 -318741- tclo Application description: DWELLING - SINGLE FAMILY DETACHEProperty Zoning: LOW DENSITY RESIDENTIALApplication valuation: 191320F ��Applicant:Architect or Engineer:wC���� -------------------------------------------------- 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: B 51 ens o.: 35 47 /Date: /OCractor: OWNER- UILDER DECLARA ON I hereby affirm under penalty of perjury that I am exempt from the Contractor' 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 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 dQes She work himself or herself through his or her own employees, provided that the improvements are not intended or offered for said. It, nowever, the uunwng uI impiuveuieid io —Id vrlthin 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.). (_ 1 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. , BAP.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: /6 LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8./02/05 Owner: TAYLOR WOODROW,-HOMES, INC. 15 CUSHING RVINE, CA 92618 1. 0341)000-1200 TAYLOR WOODROW HOMES INC 15 CUSHING IRVINE, CA 92618 (760)275-0598 LiC. No.: 352047 ------------------ 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. 1 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 policy number are: Carrier LIBERTY MUTUAL Policy Number WA765D283614055 _ 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 the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section Q 7 3700 of the abor Code, I sha rth ith comply with those provisions. �te: ` %� .' pplicanr. WARNING: FAILURE TO SECURE WORK S' CO ENSATION COVER E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ci;rTlnhl 37nfi nF THF I. AROR CODE, INTER€6T, 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 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 county to enter upon a above-mentioned property for inspecton p rposes. /bate: Y% ignature (Applicant or Agent): T' .61 LQPERAITT Application Number . . . . . 05-0000359 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 961.50 Plan Check Fee 156.25 'Issue Date . . . . Valuation . . . . .191320 Expiration Date 1/29/06 Qty Unit Charge Per Extension BASE FEE 639.50 92.00 ---------------------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 322.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 108.00 Plan Check Fee 6.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/29/06 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 6.00 ---------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 39.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 134.85 Plan Check Fee 8.43 Issue Date . . . . Valuation . . . . 0 Expiration -Date 1/29/06 Qty Unit Charge Per 'Extension BASE FEE 15.00 3047.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.65 660.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.20 Permit . . PLUMBING Additional deec . Permit Fee 174.75 Issue Date Expiration Date 1/29/06 Plan Check Fee . Valuation . . . Qty Unit Charge Per BASE FEE 17.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER 1.00 7.5000 EA PLB WATER HEATER/VENT 10.92 0 Extension 15.00 102.00 15.00 7.50 Expiration Date . 1/29/06 Qty Unit Charge Per Extension BASE FEE Application Number . . . . . 05-00003359 Permit . . . . . . PLUMBING .CODES. PERMIT DOES NOT INCLUDE Qty Unit Charge Per WALLS, POOL, SPA OR DRIVEWAY APPROACH. Extension 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 DIF LIBRARIES - RES 225.00 Additional desc . . DIF PARK MAINT FAC - RES 5.00 Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . 1/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 34, PLAN 4A, 3047 SF. 2001 .CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 15.63 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 19.13 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Foo Total 139a ,n no .QQ 1394.10 Plan Check Total 182.35 .00 .00 182.35 Other Fee Total 2439.76 .00 .00 2439.76 Grand Total 4016.21 .00 .00 4016.21 LQPERNIIT GENERAL CONFORMANCE TO WORKING b RAW I N G6 -FI N A L date: 2/30/06 observation report date: 1/20/06 & 1/27/06 (Re -walk) observation report *; 11 to: Mr. Mike McBride client: Taylor Woodrow Homes project name: Carmela track / phase/ lot. 31874-1 / 2 / 34 zQ .Ii.0 i+J INTY � =0 A. �M 4=2 The above mentioned structure is in general conformance with the intent of the city approved structural plans. This "Final Conformance" does not include d any exclusions listed below and conditions which are performed after our final walk-through. These conditions are, but not limited to, hardware removed during straight edging of walls and ceilings, cut-outs in the shear walls by the subcontractors, and removal of any transfer element by the subcontractors. The client agrees to indemnify our firm from any liability related to these conditions. This "Final Conformance" is being provided based on the fact that all items detailed in the above mentioned report have been corrected, observed, and signed off by our representative. This acknowledgement provided by our firm does not relieve the contractors et. al. (general contractor, sub -contractors. material persons) from their responsibility to adhere to the city approved plans and specifications. The client acknowledges this observation service does not constitute an issuance of a warranty or guarantee of any type. exclusions: 1) This "Final Conformance" does not acknowledge or include the review of services/ reports provided by the client's deputy inspector. -' c _4g,"- J t A- L.4 se.�, • 14262 FRANKLIN AVE - SUITE 110 • TUSTIN • CA - 92780 • (714) 838-2818 • FAX (714) 838.2292 • WWW.INFINITY-0ESIGNGROURCOM .