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11-1332 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001332 Property Address: APN: 5 R VE--.�_` 200- -20 3307 �ID Application description: LING - G Property Zoning: ENSLY RESIDENTI . Ot f.,:. Application valuation: ,'1 : 66473'1 it t• 20�C C1TV OF =•'.A Applicant: F,►?4AN, is AVu+.tSCT or T41! " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MICHAEL FLANNERY 16230 FILBERT STREET DETACHED SYLMAR, CA 91342 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: License No.: Date: Contractor: OWNER -BUILDER DECLARATION I 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 ($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 _ 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 or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I ain exempt under Sec. , B.&P.C. for this reason 77 7q;j ,/I A XDate: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performanc the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Contractor: Owner VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/05/12 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 Policy Number '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 work co pensation provisions of Section 3700 of the La�bor�Codev, I ssthall/fortl i[h',(/c/o//4f/ply t o rovisions. pate: � / �-ttpplicant"� / �� c�� ±��G WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN ALL SUBJECT AN EMPLOYER -TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T ISAND - 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 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 benofit work is performed under or pursuant to any permlr 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 Ouinta, 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.) 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 au rize representatives of this country to enter upon the above-mentioned property for inspecti purpo -Date: 4 0 �Kzignature (Applicant or Agent): Application Number. . . . . . 11-00001332 ------ Structure Information 7,352SF DWELLING/VB/RES-3/CL A -FR [ENG] --_-- Other struct info CODE EDITION 2010 . # BEDROOMS 4.00 FIRE SPRINKLERS 13R GARAGE SQ FTG 957.00 PATIO SQ FTG 2634.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 5358.00. --------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 1994.00 Permit BUILDING PERMIT Additional desc MANUAL DOUBLE FEE PERMIT Permit Fee . . . . 5069.00 Plan Check Fee 1647.43 Issue Date . . . . Valuation . . . . 664731 Expiration Date 10/02/12 Qty Unit Charge Per Extension BASE FEE 4574.00 165.00 3.0000 -------------------------- THOU BLDG 500,001-1,000,000 --------------------=----------------------------- 495.00 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 359.14 Plan Check Fee .... 89.79 Issue Date . . . . Valuation . . . . 0 Expiration Date .. 10/02/12. Qty Unit Charge Per Extension BASE FEE 15.00 7352.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 257.32 3591.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 71.82 1.00 15.0000 ---------------------------------------------------------------------------- EA ELEC TEMPORARY POWER POLE 15.00 Permit . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 P1an'Check Fee .00 Issue Date Valuation 0 Expiration Date 10/02/12 Qty Unit Charge Per Extension ----------------------------------------------------------- BASE FEE - 1 5 . no ---------------- Permit . . MECHANICAL Additional desc . LQPERMIT Application Number ,. . . . . 11-00001332 Permit . . . MECHANICAL Permit Fee . . 235.00 Plan Check Fee 58.75 Issue Date Valuation 0 Expiration Date 10/02/12 Qty Unit Charge Per Extension BASE FEE 15.00 7.00 9.0000 EA MECH FURNACE <=1OOK 63.00 1.00 4.5000 EA MECH VENT INST/ DUCT ALT 4.50 2.00 9.0000 EA. MECH B/C <=3HP/100K BTU 18.00 5.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 82.50 7.00 6.5000 EA MECH VENT FAN 45:50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . PLUMBING INV.FEE Additional desc . Permit Fee 477.00 Plan Check Fee 59.63 Issue Date . . . . Valuation 0 Expiration Date 10/02/12 Qty Unit Charge Per Extension BASE FEE 30.00 28.00 12.0000 EA PLB FIXTURE 336.00 1.00 30.0000 EA PLB BUILDING SEWER 30.00 1.00 15.0000 EA PLB WATER HEATER/VENT 15.00 1.00 6.0000 EA PLB WATER INST/ALT/REP 6.00 1.00 18.0000 EA PLB LAWN SPRINKLER SYSTEM 18.00 8.00 1.5000 EA PLB GAS PIPE >=5 12.00 1.00 30.0000 EA PLB GAS.METER 30.00 ---- Special Notes and Comments 7,352SF DWELLING/VB/RES-3/CLASS A -FR (ENGINEERED] THIS PERMIT DOES.NOT .INCLUDE SITE WALLS, POOL, SPA, WATER FEATURE, FIRE PITS, HVAC ENCLOSURES OR OUTDOOR KITCHEN AREA. ***INVESTIGATION FEE ASSESSED PER 2010 CALIFORNIA RESIDENTIAL CODE CHAPTER 1 §108.6 FOR WORK COMMENCING BEFORE PERMIT ISSUANCE*** 2010 CALIFORNIA BUILDING CODES. April 4, 2012 4:39:59 PM.AORTEGA ---------------- ----------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 1161.83 BLDG STDS ADMIN (SB1473) 26.00 DIF COMMUNITY CENTERS -RES 74.00 DIF -CIVIC CENTER - RES - 995.00 LQPERMIT