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13-1274 (SFD),. _ r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00001274 Property Address: 53699 VIA MALLORCA APN: 777-390-016-1 -33654 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 508682 Applicant: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-7011 J INSPECTIONS (760) 777-7153 Date: 12/10/13 -Owner: PISCO WALTER & SHERRIE 6000 SE 20TH MERCER ISLAND, WA 98040 Contractor: MONARCH'HOMES DESER 49950 JEFFERSON ST, D) Q lJ f DFO AT-,:3NCI 1i43 t= 2913 INDIO, CA 92201 • . i I t (760) 413-8863 ` QITV> €HFLA-.QU1NIA Lic. No.: OOR SQUARE FOOT Lic. No.: 457228 •! LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION " I hereby affirm under penalty of peri th licensed under provisions of Chapter 9 (commencing with I hereby affirmsunder penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busin an rofessionals Code, and my License is in full force and effect. - - V I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided_+ + - - License Class: B - _. License No.: 457228 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is I fit " issued. e -Da eP 0 Contractor. 1 Gf t I _ 'W y I have and Will maintain workers' compensation insurance, as required by Section 3700ofthe Labor . - - _ Code, for the performance of the work for which this permit is issued. My workers' compensation - - NER-BUILDER DECLARATION - insurance carrier and policy number are: - - I hereby affirm under penalty of perjury that I am exempt from. the Contractor's State License Law for the Carrier. STATE FUND Policy Number 9045509-13 _ .. following reason. (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to - _ I certify that, int ance of the work for which this permit is issued, I shall not employ any _ - construct, alter, improve, demolish, or repair.any structure, prior to its issuance, also requires the applicant for the person in any man ecome subject to the workers' compensation laws of California_ ,� •, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's' State -_ -- and agree that, if should subject to the workers' compensation provisions of Section '. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 ofahe La r Code, I sh rthwith comply with those provisions._ thathe -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).: - Date�!/� 0-�l Applicant.- • .1 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 WARNING: FAILURE TO SECURE S.COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - - - Contractors' State License Law does not'apply to an owner of property who builds or improves thereon, - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND .. - and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN "`•sem improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ^' 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.). - APPLICANT ACKNOWLEDGEMENT. - • I, as owner of the property, am exclusively. contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made tothe Director of Building and Safety for a permit subject to the - - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ' .. property who builds or improves thereon, and who contracts for the projects with acontractor(s) licensed ,1.. Each person upon whose behalf this application is made, each person at whose request and for - pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason - '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. Date: Owner: 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 - CONSTRUCTION LENDING AGENCY permit to cancellation. - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that rmation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to bu' d ruction, and hereby authorize representatives • . - - of this county to.enter.upon the above-mentioned pro tty fo 1' ction purposes. Lender's Name: _ Signature(Applicant or Ag rte t) 7 �� • . • . Lender's Address: LQPERMIT - r. Q LQPERMIT Application Number . . . . . 13-00001274• Permit BUILDING 2013 Additional desc . Permit Fee 746.47 Plan Check Fee .00 Issue Date . . . . Valuation 508682 Expiration Date 6/08/14 Qty Unit Charge Per Extension BASE FEE 573.43 309.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 173.04 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 226.65 Plan Check Fee.. ..00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/08/14 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 . . . 548.20' Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 6/08/14 Qty Unit Charge Per Extension _ .6.00 35.7500 EA MECH FURNACE 214.50 6.00 _ 35.7500 EA MECH CONDENSER/COMP 214.50 9.00 11.9200 EA MECH VENT FAN. 107.28 1.00 11.9200 EA MECH EXHAUST HOOD 11.92 Permit . . PLUMBING 2013 Additional desc . Permit Fee . . . . 321.83 Plan Check Fee .00 Issue Date Valuation 0. Expiration Date •6/08/14 Qty' Unit Charge Per Extension 21.00 11.9200 EA PLBG FIXTURE/TRAP 250.32 1.00 11.9200 EA PLBG BUILDING SEWER . 11.92 _ Application Number . . . . 13-00001274 Permit . . PLUMBING 2013 Qty Unit Charge Per . Extension 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 1.00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS - 11.92 " 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ------------------------------------------------------ Special Notes and Comments NEW SFD LOWER FLOOR IS 4542 SQ. FT..UPER FLOOR IS 1222 SQ. FT. GARAGE IS -1010 SQ., FT.HOME IS FIRE SPRINKLERED. PER CRC CODES December 10, 2013 10:34:43 AM jjohnson. ----------------------------------------------------- -------------- ---Other Fees . . ART IN PUBLIC PLACES -RES. 771.71 BLDG STDS ADMIN (SB1473) 21.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00• DIF FIRE PROTECTION -RES• 433.00 ` GRADING PLAN CHECK FEE 22.50 DIF LIBRARIES - RES 344.00'...,• a - PLAN CHECK, ELECTRICAL. 104.63 w: . DIF PARK MAINT FAC - RES' 40.00 ' - PLAN CHECK, MECHANICAL ;314.58 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 317.05°' DIF PARKS/REC - RES 2048:00 - BLDG PC 200K -1M 1533.00 j• STRONG MOTION (SMI) - RES 50.87 i TUMF: RESIDENTIAL 1837.44 a„ DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Paid Credited Due ----------" -7 -------- Permit Fee Total ~` 1843.15 .00 .00 1843.15 Plan Check Total .00 .00 .00 .00 Other Fee Total 12009.78• 1000.00 .'00 11009.78 Grand Total 13852.93 1000.00. .00 12852.93 LQPERMIT , , r RECEIva) MAR 2 4 Z014 CITY OF LA C uJNTA Cot4MUt4M DEVpLOPMENT II ,1 N - 1� ?vo- 17 r A J I 14 C-1 .. ....... ...... .. .... .... .. PAjEt ffy�