04-6184 (SFD)54650 Avenida Alvarado
111111111111113 44
:1t,fi geoiatilita
P.O. Box 1504 =J
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number
Property Address
APN:
Application description
Property Zoning
Application valuation
Owner
YAGHOUBI SEYED REZA
40887 FLYING SEA RD
PALM DESERT CA 92211
Structure Information
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
04-00006184 Date 11/17/04
54650 AVENIDA ALVARADO
774-273-008-17 -000000-
DWELLING - SINGLE FAMILY DETACHED
COVE RESIDENTIAL
108396
Contractor
DESERT HOME CONSTRUCTION, INC.
231 E. ALESSANDRO BLVD, #348
RIVERSIDE CA.92508
(909) 641-3269
WCC: STATE FUND
WC: 00261312004
CSLB: 824985
CCC: B
1704 SQ. FT. SFD
Construction Type
Occupancy Type
Flood Zone
Other struct info
04/01/05
09/30/05
TYPE V - NON RATED
DWELLG/LODGING/CONG <=10
NON -AO FLOOD ZONE
CODE EDITION 2001 CBC
# BEDROOMS 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 493.00
PATIO SQ FTG 95.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ FTG 1704.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
9.00 3.5000
BUILDING PERMIT
671.00
11/17/05
Per
THOU
Plan Check Fee . .
Valuation .
BASE FEE
BLDG 100,001-500,000
436.15
108396
Extension
639.50
31.50
Permit
Additional
Permit Fee
Issue Date
Expiration
desc
Date
•
•
Qty Unit Charge
ELEC-NEW RESIDENTIAL
99.50
11/17/05
Per
BASE FEE
1704.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
Plan Check Fee . .
Valuation . . . .
24.88
0
Extension
15.00
59.64
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Applicant:
Applicant's Mailing Address:
Tait at 40difsi
BUILDING & SAFETY DEPARTMENT
o e2/4F/"
w
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
.3 / r'- ,1 fos50,7di f'/Lj (2'Yr
%ei'u e'r <iofr C4 9.2.70r
Architect or Engineer:
Architect or Engineer's
Lic. No.:
BUILDING PERMIT DECLARATIONS
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 i i full force and effect.
License Class
Date /l%d / 0Y Contractor
License No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , B.& P.C. for this reason
Date NM/ /7 0 c1 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' 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
S, i ,sued y work rs' compensation insurance carrier and eolicy nygnpt a_re:
Carrier 4 + c.,,1 Policy Number DO6/--) 0 V
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 Califomia, 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.
Date /VDU /% t7(" Applicant Ze—e---4' 7
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL 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.
f •
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
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 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 inspection purposes.
Date r/L)Oc) 1 7 CS/Signature (Applicant or Agent):
Application Number
Qty
493.00
1.00
04-00006184
Page
Date
Unit Charge Per
.0200 ELEC GARAGE OR NON-RESIDENTIAL
15.0000 EA ELEC TEMPORARY POWER POLE
2
11/17/04
Extension
9.86
15.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit
GRADING PERMIT
15.00
11/17/05
Charge Per
BASE FEE
Plan Check Fee . .
Valuation .
.00
0
Extension
15.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit
1.00
1.00
3.00
1.00
MECHANICAL
59.00
11/17/05
Charge Per
9.0000
9.0000
6.5000
6.5000
EA
EA
EA
EA
BASE
MECH
MECH
MECH
MECH
Plan Check Fee . .
Valuation . . . .
FEE
FURNACE <=100K
B/C <=3HP/100K BTU
VENT FAN
EXHAUST HOOD
14.75
0
Extension
15.00
9.00
9.00
19.50
6.50
Permit
Additional
Permit Fee
Issue Date
Expiration
Qty
10.00
1.00
1.00
1.00
1.00
6.00
1.00
desc
Date
PLUMBING
129.00
11/17/05
Unit Charge Per
6.0000 EA
15.0000 EA
7.5000 EA
3.0000 EA
9.0000 EA
.7500 EA
15.0000 EA
Plan Check Fee . .
Valuation .
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
32.25
0
Extension
15.00
60.00
15.00
7.50
3.00
9.00
4.50
15.00
Special Notes and Comments
1704 SQ. FT. SFD THIS PERMIT DOES NOT
INCLUDE POOL & SPA BLOCK WALL OR
Page 3
Application Number 04-00006184 Date 11/17/04
Special Notes and Comments
DRIVEWAY APPROACH
Other Fees
Fee summary
Permit Fee Total
Plain Check Total
Other Fee Total
Grand Total
Charged
973.50
508.03
2559.45
4040.98
ART IN PUBLIC PLACES -RES .00
DIF COMMUNITY CENTERS -RES 97.00
DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 43.62
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
COVE PRECISE PLAN FEE 100.00
STRONG MOTION (SMI) - RES 10.83
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Paid Credited Due
.00
250.00
.00
250.00
.00
.00
.00
.00
973.50
258.03
2559.45
3790.98
1 111111111111III11111I11145
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P.O. BO
X 1504
Building
E
O
Address ) r4-/ FORNIA
92253
Owne
Mailing
Address
BUILDING: TYPE CONST.
APPLICATION ONLY
OCC. GRP.
1-0 e / /FL Y/N(p Rn :P. Number -774- + 73 • Oe -)g.-3
Tel. 0)
Zig
l
?—o-22&
7 W - D? (o
Zip
Legal Description
Project Description
i /1/11 L` -r'
State Lic.
& Classif.
City
Lic. #
Sq. Ft.O/p No.
Size T Stories
No. Dw.
Units
Arch., esig Engr., % _ _ _'
Designer ( (,, f
New
Add
Alter 0 Repair 0
Demolition 0
Addres
Telt co
ci 2Z4-7
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chap er 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
State
Lic. #
SIGNATURE DATE
OWNER.BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that he 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).
❑ 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 Profes-
sions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon and who does such work himself or through his own employees, provided
that such improvements are not intended or offered for sale. If, however, the building or im-
provement is sold within one year of completion, the owner -builder will have the burden of
proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct
the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for such
projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 I am exempt under Sec. B & PC for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less).
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 Workers' Compensation Laws of
California.
Date Owner
NOTICE TO APPLICANT.' If, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State Zip
WHITE = BUILDING DEPARTMENT
aoo - a7
Estimated Valuation
PERMIT
AMOUNa0
Plan Chk. Dep.
Plan Chk. Bal.
2So
Const.
Mech.
Electrical
Plumbing
S.M.I. )G
Gradinal
DrivewaVEhc.
InfrastruVtilre
‘0G
Cr"
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by• Date Permit
Validated by.
Validation.
YELLOW = APPLICANT
PINK = FINANCE
IIIIIIIIIIIIEIIIIIIIIIIII
46
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tint
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,7�
Certificate_of Occupancy.
Tay, 4 Quinn,
.... _i_
I cexraenro
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Gi� Fvrck
ot
- 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: 54-650 AVENIDA ALVARADO
Use classification: SFD Building Permit No.: 04-6184
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC
Owner of Building: YAGHOUBI SEYED REZA Address: 40887 FLYING SEA RD .
City, ST, ZIP: PALM DESERT CA 92211
•
fBy: KIRK KIRKLAND
ad
. Date: 2-23-2006
Building Official
POST IN A CONSPICUOUS PLACE
C
l�)
2
�IIIIIIIIi IIIitthIIiI 47
IE Y
Date 11/2/04
No. 26594
Owner Seyed Reza Yaghoubi
Address
City Zip
Tract #
Type Single Family Residence
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
�W1ED• Se
BERMUDA DUNES r"
Cr. RANCHO MIRAGE
INDIAN WELLS
c PALM DESERT
LA QUINTA ,..y
v INDIO y7�.
APN # 774-273-008
Jurisdiction La Quinta
Permit #
Study Area
No. of Units 1
Lot # No. Street S.F. Lot # No. Street S.F.
Unit 1 17 54650 AvenidaAlverado 1704 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Govemment Code 65995 Et Seq.
in the amount of $2.24 X 1,704 S.F. or $3,816.96 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By OC/Washington Mutual Bank-Seyed Yaghoubi Check No. 642253549
Name on the check Telephone 200-2764
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempted by .. ron McGilvrey
Signature
Payment Recd
$3,816.96
$0.00
Over/Under
NOTICE: Pursuant to Govemment Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
IIIIIIIIIIIIillllllllllll 48
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CITY OFLAMANTA
BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner \'AGHOIJRI
Contractor DESERT HOME CONSTRUCTION
Perrnit Number 04 61 R4
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 54-650 AVENIDA ALVARADO
1704 SQ FT SFD THIS PERMIT DOES NOT INCLUDE
POOL & SPA BLOCK WALLS OR DRIVEWAY
APPROACH. (
TYPE OF INSPECTION
DATE
INSP.
TEMPORARY POWER
2--2.-T O'r',7
SETBACKS
/ -27L 4 5
Z_____
U/G PLUMBING / WASTE
/ • 5 - or)
PUBLIC WORKS DEPARTMENT4
U/G ELECTRICAL / GROUNDING
/ -2-7 U s----
/-
FOOTINGS / STEEL
/ `
/Q
CONCRETE SLAB
_ <
!it
DO NOT POUR CONCRETE UNTIL ABOVE .SIGNED.�'
ROOF NAIL / PRE -ROOF - 7C-
OKAY TO WRAP
FRAMING (COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION 7 7( Y>,5
ilso
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL)
EXTERIOR LATH a,
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS / BARRIERS)
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
E I7.O5`,
1641 i( E
ELECTRICAL
2--2.-T O'r',7
PLUMBING
/
MECHANICAL
PUBLIC WORKS DEPARTMENT4
P
COMMUOMENT DEPT.
NITY DEVELOPMENT
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