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05-3414 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO. LA OUINTA,. CALIFORNIA 92253 • �W BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-0000341.4 Property Address:' 52555 VINO APN: ' 767-200-011-14 -318741- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW' DENSITY RESIDENTIAL Application valuation: 176769 Applicant: 1_�chitect or Ennginyyeer: �oUltlr�ls,KJz�� 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 A AicenseNo.: 352047 Date: �� ntractor: OWNER UILDER DECLA ATION I hereby affirm under penalty of perjur that I am exem� from the Contr ctor'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 10 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 1, 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 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: �s LQPERMIT Owner: TAYLOR WOODROW HOMES, INC 15 CUSHING IRVINE, CA 92618 (341)000-1200 Contractor: TAYLOR 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 D3tq; R/nl/ns WORKER'S COMPENSATION DECLARATION E 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. 4I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor i''� 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 WA76SD283614055 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 :ofthe La r Code, I II forth ith ly with tho provisions. ate: el lican WARNING: FAILURE TO SECURE WQ CERS' COMPE SATION COVERAGE IS U WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMA S AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMEN 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 for inspectio elJDsas - ateature (Applicant or Agen� . T . Application Number . . . . . 05-00003414 Permit . . . BUILDING PERMIT Additional desc Permit Fee 909.00. Plan.Check Fee"- 147.71 Issue Date . . . . Valuation . . ." 176769 Expiration Date 1/30/06 ' Qty Unit Charge Per Extension BASE FEE 639.50 77.00 3.5000 THOU BLDG 100,001-500,000 269..50 Permit . . . MECHANICAL Additional desc . Permit Fee65.50 Plan Check Fee 4.10. Issue Date . . . . Valuation _ 0 Expiration Date 1/30/06 Qty Unit Charge Per Extension' BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00" - 5.00 6.5000 ----------------------------------------------------------------------------- EA MECH VENT FAN 32.50 Permit . . . •ELEC-NEW RESIDENTIAL ' Additional desc . Permit Fee 125.35 Plan Check Fee 7.84 Issue Date Valuation 0 Expiration Date 1/30/06 Qty Unit.Charge Per Extension BASE FEE 15.00 2754.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 96.39 698.00 .0200 ELEC GARAGE OR NON=RESIDENTIAL 13.96 Permit ... PLUMBING Additional desc . Permit Fee 166.50 Plan -Check, Fee,. 10.41` Issue Date Valuation 0 Expiration Date 1/30/06 Qty` Unit Charge Per Extension BASE FEE 15.'00 16.00 6.0000 EA PLB FIXTURE 96.00 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 LQPERMIT ,., Application Number 05-00003414 Permit . . . . . . PLUMBING Qty Unit -Charge Per Extension 1.00 3.0000 DPS PLD LAWN OrRINICLT R OYSTEM 9.00 8.00 .7500 EA PLB GAS PIPE >=5 6.00 1.00 15.0000 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 1/30/06 Qty Unit Charge Per. Extension BASE FEE 1,5.00 ------------------------------------------------- -------------------------- Special Notes and Comments SFD -LOT 14 PLAN 2BR, 2754 SF PERMIT DOES NOT'INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE Other Fees DIF COMMUNITY CENTERS -RES. 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.77 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 17.67 ' DIF STREET MAINT FAC=RES 15.00 DIF TRANSPORTATION - RES .1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1281.35 - .00 .00 1281.35 Plan Check Total 170.06 .00 .00 170.06 Other Fee Total 2437.44'' .00 .00 2437.44. Grand Total 3888.85 .00. .00 3888.85 LQPERMIT