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04-3521 (SFD)54610 Avenida Alvarado sign 25 4 4 adida, BUILDING & SAFETY DEPARTMENT • P.O. Box 1504 • (760) 777-7012 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 922'53 INSPECTION REQUESTS (760)777-7153 78-495 CALLE •TAMPICO 2 6 2F,9br BUILDING PERMIT Application Number 04-00003521 Date 4/19/04 Property Address 5.4610 AVENIDA ALVARADO APN: 774-273-006-19 -000000- Application description. DWELLING - SINGLE FAMILY DETACHED Property Zoning 'COVE RESIDENTIAL Application valuation 119.753 Owner TWIN. PALMS DEV CORP INC PMB 348 231-E ALESSANDRO BLV RIVERSIDE, . CA 92508 Contractor DESERT HOME CONSTRUCTION, INC. 231 E. ALESSANDRO BLVD, #348 RIVERSIDE CA 92508. (909).' 641-3269 WCC: WC: CSLB : CCC: Structure Information Construction Type Occupancy Type Flood Zone. . . Other struct info STATE FUND 00261312004 824985. B 04/01/05 09/30/05 TYPE V - NON RATED DWELLG/LODGING/CONG <=10 NON -AO FLOOD ZONE CODE EDITION # BEDROOMS FIRE. SPRINKLERS • GARAGE SQ FTG . PATIO SQ FTG NUMBER OF UNITS.• FIRST FLOOR SQ FTG 2001 CBC 3.00 NO 447.00 .19.00 1.00 1936.00 .Permit Additional desc Permit Fee .Issue Date BUILDING PERMIT 709..50 Plan Check Fee . Valuation Qty Unit Charge Per. BASE FEE 20.00 3.5000 THOU BLDG 100,001-500,000 211.18 119753 Extension 639.50 70.00 Permit • Additional.desc Permit Fe.e . Issue Date. MECHANICAL 66.50 Plan Check Fee . Valuation 10.13 0 Qty Unit Charge Per Extension P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA. CALIFORNIA 92253 4 401nrai BUILDING & SAFETY DEPARTMENT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)177-7153 Application Number: 04- j5c/-/ Applicant Applicant's Mailing Address: Date: Architect or Engineer. Architect or Engineer's Address: Lic. No.: SIR BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am tizensecl under dons Chapter _ (commencing - _ --on _ - _ _ - of Division 3 of the Bossiness and Professionals Code. end my and effect. Class Y2 q e °. . e 2_49 v -s e1 2 to �Q7 1 hereby affirm under penalty d perjury that I am OWNER -BUILDER DECLARATION 1 y that ler pi es permit b construct. exempt from the Contractors' State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city o co that t reor the is licensed move, demolish, or repair any structure, prior to Is issuance. also requires the applicant for the permit bile a signed pursuant to the provisions of the Co naacars' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of to Business and Professions Code) or that he or she is exempt therefrom and toe basis for the alleged exemption. My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500).): U 1, as owner of the property, or my employees with wages as their sole compensation, wit 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If. however, the budding 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.). U L es owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professiau Code: The Contractors' State License Law does not appy to an owner of property who builds or improves thereon, and who contrails for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& P.C. for this reason Owner WORKERS' COMPENSATION DECLARATION 1 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' canpensation, as provided for by Section 3700 of the Labor Code. for the performance of the work for which this pemnit is issued. n_ 1have 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 workersinsurance compensation insunce carrier and policy number are: Sk.-,F i, 4 (ty Number (3c) 2 Co ) 31 2 c) f7� ••_ I certify tiperformance al, in the perfoance the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to tw workers' compensation taws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions, late —2 L '.��`f�Acirant_i..i WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. affirm underCONSTRUCTION LENDING AGENCY • 1 hereby affirm penalty d that there is a construction lending agency lir the performance of the work for which this permit is issued (Sec. 3097. Civ. C.). —Lender's Name 7L.c>C /. < P� l/ Lender's Address J 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 behalf this app on Is made, each person at whose request and for whose benefit work is perfomhed under or pursuant 10 any permit officers, application, the owner, and the applicant, each agrees to. and shall, defend. indemnify and hold harmless the City of Le Ounta, its 2. agents and employees for any act or omission related to the work being performed under or following issuance of this permit. Y per issued as a result of this application becomes null and void 11 work is not commenced within 150 days from date of issuance of such permit, or cessation of work for 160 days will subject perm Io cancellation. 1 certify that I have read 's application end above information is cord eI agree to comply with all city and county ordinances and state laws relating to buildingconstruction, and authorize representativesa t is county to enter upon the above -men p'ePeODertproperty inspection purposes. ate —2e —6q--nahg hue (Applicant or Agent): Application Number Qty Unit Charge Per 1.00 1.00 3.00 1.00 9.0000 EA 16.5000 EA 6.5000 EA 6.5000 EA Page 2 04-00003521 Date 4/19/04 Extension BASE FEE 15.00 MECH FURNANCE <=100K 9.00 MECH B/C >3-15HP/>100K-500KBTU 16.50 MECH VENT FAN 19.50 MECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . 106.70 Plan Check Fee . 10.67 Issue Date Valuation . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1936.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 67.76 447.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.94 1.00 15.0000 EA ELEC TEMPORARY POWER POLE .. 15.00 Permit PLUMBING Additional desc Permit Fee . . 135.00 Plan Check Fee . Issue Date. . . Valuation Qty Unit Charge Per 11.00 1.00 1.00 1.00 1.00 6.00 1.00 6.0000 EA 15.0000 EA 7.5000 EA 3.0000 EA 9.0000 EA .7500 EA 15.0000 EA BASE FEE PLB FIXTURE PLB BUILDING SEWER PLB WATER HEATER/VENT PLB WATER INST/ALT/REP PLB LAWN SPRINKLER SYSTEM PLB GAS PIPE >=5 PLB GAS METER 33.75 0 Extension 15.00 66.00 15.00 7.50 3.00 9.00 4.50 15.00 Permit GRADING PERMIT Additional desc . Permit Fee . . 15.00 Plan Check Fee . .00 Issue Date Valuation . . . 0 Qty Unit Charge. Per BASE FEE Extension 15.00 Special Notes and Comments 1936 S.F. SFD PERMIT DOES NOT INCLUDE Page 3 Application Number 04-00003521 Date 4/19/04 Special Notes and Comments BLOCK WALL, POOL/SPA 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 46.12 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 11.97 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 1032.70 265.73 2563.09 3861.5.2 .00 .00 .00 .00 .00 .00 .00 .00 1032.70 265.73 2563.09 3861.52 1111111111111111111111111 II III IIIIIVIIIVI26 IIII P IE 1 , (T.,- (n �—�.��� �,,.., 7, , . Certificate of Occupancy . aginz f. .•,_ , _ ,,,„,,,,„„,D 1... G_ ,c, .. • • 0 it 4 • . OF TIO Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 54-610 AVENIDA ALVARADO Use classification: SFD Building Permit No.: 04-3521 Occupancy Group: R3U1 Type of Construction: VN Land Use Zone: RC Owner of Building: TWIN PALMS DEV Address: 231 E. ALLESANDRO #348 City, ST, ZIP: RIVERSIDE CA 92508 By: KIRK KIRKLAND 10i% Date: 10-7-05 Building Off lal POST IN A CONSPICUOUS PLACE )