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05-3480 (SFD)P.O. BOX 1504 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00003480 Property Address: `81795 VIDA BELLA DR :APN: 764-010-011-20 =30092 - Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 175041 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: K. HOVNANIAN FORECAST HOMES 4240 E. JURUPA ST. STE. 402 kC 4 CHINO, CA 91710 Contractor: Applicant: rchitect or Engine e . ��iyo� K. HOVNANIAN FORECAST HOMES 8J0w 4240 E. JURUPA STREET. ONTARIO., CA 91761 (909) 937-3270 Lic. No.: 700788 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business. aing Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided' Licens&CIs: B License No.: 700788 for by Section 3700 of the Labor Code, for the performance of.the work for which .this. permit is issued. Date: ontractor: - —41 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 workerscompensation OWNER -BU R 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 ZURICH INS Policy Number WC3436663.02 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance 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 manner so as to become 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 I should become 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 f the or ode, I a . with comply with those provisions. that he or she is exempt therefrom and the basis for,the alleged exemption. Any violation of Section 7031.5 by ,t any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars J$5 00).: Dat43 00 opplicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENS N 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 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 (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the 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 a contractorls) 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, (_) 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 186 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 the above information 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 building c nstruction, and hereby authorize representatives of t co ty to nter upon the above-mentioned property fo p "on purposes. - Lender's Name: - l - Date7 ature (Applicant or Agent): Lender's Address: VOICE (760) .777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/08/05 LQPERMIT Application Number 05-00003450 " Permit BUILDING PERMIT Additional desc ... Permit -Fee 9.05.50 Plan Check Fee.. 588.58 Issue Date Valuation 175041 Expiration Date 2/04/06' Qty Unit Charge. Per 'Extension _ BASE FEE 639.50 76.00 3.5000 THOU. .BLDG 100,001-500,000 .266.00 Permit MECHANICAL Additional desc . Permit Fee 77.00' Plan Check Fee 19.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/04/06 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 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 Fee121.73 Plan Check Fee 30.43 Issue Date . . . Valuation . . . .0 Expiration -Date 2/04/06.. Qty Unit Charge Per Extension BASE FEE 15.00 2690.00 .0350 ELEC.NEW RES - 1 OR -2 FAMILY 94.15 w 629.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 12.58 " Permit . . PLUMBING Additional desc .. . Permit Fee_ . . . . 155.25 Plan Check Fee 38.81 Issue Date Valuation 0: Expiration Date 2/04/06 Qty Unit Charge Per Extension BASE FEE, ..15..00 14.00. 6.,0000 EA PLB FIXTURE 84.00. . 1.00 15:0000 EA PLB BUILDING SEWER 15:.00 LQPERMIT .. " Application Number 05-00003480 Permit 'PLUMBING Qty Unit Charge Per Extension. 1.0.0., 7.5000.EA PLB WATER HEATER/VENT 7:50 11.00 3.0000 EA PLB WATER.INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9".00 9.00 .7500 EA PLB GAS -PIPE >=5 6.75 1.00 15.0000 EA PLB GAS METER. 15.00 Permit .• . . . . . . GRADING PERMIT 'Additional desc Permit. Fee . . . . 15.00 -Plan Check Fee .00 Issue bate . . . Valuation .0 Expiration Date ." 2/04/06 Qty Unit Charge Per Extension _ BASE FEE 15.00 ---------7-----7-------------------------------------------- Special Notes and Comments SFD - LOT 20, PLAN 1A, 2690 SF. , (PATIO 3-665 SF,GARAGE 3)PERMIT DOES NOT INCLUDE POOL,SPA, BLOCK WALLS OR DRIVEWAY APPROACH - --------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY. CENTERS -RES -97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 58.86 DIF FIRE PROTECTION -RES 97.00 . GRADING PLAN CHECK FEE 15.00 DIF LIBRARIES - RES 225..00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC.- RES. 502.00 STRONG MOTION (SMI) - RES 17.50 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due --------- - ---------- Permit Fee Total 1274.,48 .00 .00 127.4.48 Plan Check Total 677.07 .00 .00 677.07 Other Fee Total 2516.36 .00 .00 2516.36 Grand Total 4467.91. .00 .00 4467.91 LQPERMIT •. - " ...