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07-0411 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000411 Property Address: 81833 VIA SAN CLEMENTE APN: 764-010-008-9 -31910 - Application description: DWELLING - SINGLE-FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 153392 Applicant:..-rchitect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjur hat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus, sand Professionals Code, and my License is in full force and effect. Licens�`fClas B License No.: 753190 Date: / R_ ntractor: OWNER -BUILDER DECLARATION 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 (5500).: (_ 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.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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.). (_ 1 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: LQPERMTT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760).777-7153 Date: 2/06/07 Owner: LA QUINTA 57 ESTATES INC 78401 HWY 111 ST LA QUINTA, CA 92 Contractor: MAR 15 2007 HERINGTON DEVELO ME 40960 CALIFORNIA OAKS 00p�43QUINTA MURRIETA, CA 925 IINAWCE DEPT. (951)677-8415 Lic. No.: 753190 ----------------------------------------------- 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. 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 d policy number are: Carrier STATE FUND Policy Number 1542746-2006 I certify that, in the pe rmance of the work for which this permit is issued, I shall not employ any person in any mann as to become subject to the workers' compensation laws of California, and agree that, iIWKERS' d become subject to the workers' compensation provisions of Section 710 of the Lab, I shall forthwith comply with those provisions. ,cant: WARNING: FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000). 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 a lication becomes null and void if work is not commenced - within 180 days from date of issua__ 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 t t he above information is correct. I agree to comply with all city and county ordinances and state laws relating t ilding construction, and hereby authorize representatives of this co/un/2y to ter upon the above-mentioned p arty for inspection purposes. D e: Sj n ture (Applicant or Agent): Application Number . . . . .. 07-00000411 Permit .. . . BUILDING PERMIT ` Additional desc . . Permit Fee . . . . 828.50 Plan Check Fee 134.63 Issue Date . . . . Valuation . . . . 153392 Expiration Date . . 8/05/07 Qty Unit Charge Per Extension BASE FEE 639.50 54.00 --------------------------------------------------------------- 3.5000 THOU BLDG 100,001-500,000 ==== 189.00 ......... .Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 77.00 Plan Check Fee 4.81 .Issue Date Valuation . . . . 0 Expiration Date 8/05/07 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 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 110.66 Plan Check Fee 6.92 Issue Date . . . . Valuation 0 Expiration Date . . 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 2464.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 86.24 471.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR.NON-RESIDENTIAL 9.42 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 160.50 Plan Check Fee 10.03 Issue Date . . . . Valuation 0 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 15.00 6.0000 EA PLB FIXTURE 90.00 1.00 15.0000 EA PLB-BUILDING SEWER 15.00 LQPERMIT y "\a LQPERMIT Application Number . . . . . 07-00000411 Permit . . . . . . PLUMBING Qty Unit Charge Per. Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 ---------------------------------------------------------------------------- EA PLB GAS METER 15.00 permit . . . GHAL)1NG PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/05/07 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 9, PLAN 1A, 2464 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 13.46 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 15.33 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ------------------------------ 1191.66. .00 .00 1191.66 Plan Check Total 156.39 .00 .00 156.39 Other Fee Total 4523.79 .00 .00 4523.79 Grand Total 5871.84 .00 .00 5871.84