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05-3353 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA.QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property 7oninn: Application valuation: Applicant: T4bt 4 4a Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 05-00003353 81932 VIA 5 -31 ENA 767-200-011-1- 25 -318741- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL u C 182392 �LAchitect or Engineer: C17YIN 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 %License No.: 352047 / 3WNE -BUILDER DECLARATI N . 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, 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.). (_ 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. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: LQPERM[T Owner: TAYLOR WOODROW HOMES, INC. 15 CUSHING IRVINE, CA 9261.8 (314)000-1200 Contractor: 6YLOR WOODROW HOMES INC 15 CUSHING IRVINE, CA 92618 (760)275-0598 LiC. No.: 352047 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/02/05 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 3700 of the Labor Code, I shall forthwith oai" m/pl�y with those provisions. ate' plicant: WARNING: FAILURE TO SECURE WO ERS' COMP SAS UNLAWFUL, ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESIAND ONE HUNDR THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF CMAGES AS ROVIDEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT . 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 the above-mentioned property fo/r inspec io es. Date: XS'ature (Applicant or AgenH! Application Number Permit . . . . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . 05-00003353 BUILDING PERMIT 930.00 Plan Check Fee Valuation . . 1/29/06 604.50 182392 Qty Unit Charge Per Extension BASE FEE 639.50 81.00 ---------------------------------------------------------------------------- 1.9000 THOU RTD('. 100-001-900.000 790.50 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 83.50 Plan Check Fee 20.88 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 5.00 --=------------------------------------------------------------------------- 6.5000 EA MECH VENT FAN 32.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 129.52 Plan Check Fee 32.38 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 2928.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 102.48 602.00 ---------------------------------------------------------------------------- 0200 ELEC GARAGE OR NON-RESIDENTIAL 12.04 Permit PLUMBING Additional desc . . Permit Fee . . . . 174.00 Plan Check Fee 43.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/29/06 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 LQPERN1IT Application Number . . . . . 05-00003353 Permit . . . ... . PLUMBING Qty Unit Charge Per BASE FEE Extension 1.00 3.0000 EA PLB WATER INST/ALT/REP. 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 1.00 -=-------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Permit GRADING PERMIT Additional desc . Permit Fee- 15.00 Issue Date Expiration'Date 1/29/06 Plan Check Fee . Valuation . . . Qty Unit Charge Per IExtension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 25, PLAN 3B, 2928 SF.2001 CODES. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 60.45 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 19.20 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1332.02 Plan Check Total 701.26 Other Fee Total 2484.65 Grand Total 4517.93 LQPERMIT Paid Credited Due .00 .00 1332.02 .00 .00 701.26 .00 .00 2484.65 .00 .00 4517.93