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05-3482 (SFD)a. P.O. BOX 1504 ^' 78-495 CALLS TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00003482 Owner: ' Property Address: 81772-VIDA-BELLA DR K. HOVNANIAN FORECAST HOMES APN: 764-010-011-41 -30092 4240 E..JURUPA ST. STE. 402 Application description: DWELLING - SINGLE FAM DET A D CHINO, CA 91710 Property Zoning: LOW DENSITY RESIDENT Application valuation: 190928 Contractor: eer, Applicant: rch' ect or : �8 K. HOVNANIAN FORECAST HOMES ' ��O 4240 E. JURUPA STREET ONTARIO, CA 91761 (909) 937-3270 Lic. No.: 700788 eel -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencirig with Section 70001 of Division 3 of the Business an Professionals Code, and my License is infull force and effect. License Cl s: B License No.: 700788 /te ntractori OWNER-BUI DECLARATION ' I hereby affirm under penalty of perjury that I am exempt fro 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 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 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.l. 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 orimproves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). - - ( ) 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: n Lender's Address: A LQPERMIT VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760) 777-7153- Application 77-7153 Date: 8/08/05 ----------------------------------------------— 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. I 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 ZURICH INS Policy Number WC343666302 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 i 3790 of the Labor qode, I s All fohwith comply with those provisions. ' ate: WX&Spplicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 madeto 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 isnot 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 oft ' coun .�to enr upon the ove-mentioned prope�inon purposes. ' ate: 0 T7 ature (Applicant or Agent). ' Application Number 05700003482 _ Structure Information Construction Type . . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone' NON -AO FLOOD ZONE Other struct info CODE EDITION 2001 CBC. FIRE SPRINKLERS NO GARAGE SQ FTG 687.00 PATIO SQ FTG 858.00 NUMBER OF UNITS" 1..00 " 1ST FLOOR SQUARE FOOTAGE 2903.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee .. 958.00 Plan Check Fee 622.70 Issue Date Valuation . . 190928 Expiration Date 2/04/06 Qty Unit Charge Per Extension BASE FEE 639.50 91.00 3.5000 THOU BLDG 100,001-500,000 --------------- 318.50 Permit . . MECHANICAL • Additional desc , Permit Fee 90.00 Plan Check Fee 22.50 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 .5.00 6.5000 EA ME CH VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . 130.35 Plan Check Fee 32.59 Issue Date. Valuation . . . . 0 Expiration Date.. 2/.04/06 Qty , Unit Charge Per Extension BASE. FEE 15.00 2903.00 .0.350 ELEC NEW RES - 1 OR 2,•FAMILY 101.61 687.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.74 LQPERMIT Application Number' 05-00003482 ` .Permit . . PLUMBING Additional desc . Permit Fee . . . . 173.25 Plan Check Fee 43.31 'Issue Date . . . Valuation, 0 Expiration Date 2/04/06 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 1.00 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 15.000.0 .EA PLB GAS METER 15.00 Permit GRADING .PERMIT • Additional desc . Permit Fee 15..00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date -2/04/06 Qty Unit Charge Per Extension BASE FEE 15..00 Special Notes and Comments SFD.- LOT 41„ PLAN 2A/858 SF PATIO -2, GAR.3, (2903 SF.) PERMIT DOES NOT. INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH Other Fees ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY•REVIEW FEE 62.27 DIF FIRE PROTECTION -RES- 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES.- RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 19.09 DIF STREET MAINT FAC -RES 15..•00 DIF TRANSPORTATION _ RES 1098..00 _ Fee summary Charged Paid Credited, Due - . : LQPERMIT ,. .. .. _ Application Number 05-00003482 ._ ---------- Permit Fee -Total 1366.60 ---------- ---------- .00 ..00 ---------- 1366.60 Plan Check Total 721.10 .00 .00 721.10 Other Fee Total 2486.36 .00 .00 2486.3.6 Grand total .4574.06 .0.0 .00 4574.06 LQPERMIT ' . .. ..