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SFD (05-0545)i BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 78-495 CALLt TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7 15 3 Application Number .. . Property Address . . APN: Application description Property Zoning Application valuation BUILDING PERMIT 0.5..0.0.000545 Date 2/10/05 . . 81240 NATIONAL DR 767-500-020- . . . DWELLING - SINGLE FAMILY DETACHED . LOW DENSITY RESIDENTIAL 284559 Owner Contractor NORMAN ESTATES II EHLINE COMPANY C/O MEDALLIST GOLF DEVELOPMENT .55375 MEDALLIST, DR 501 NORTH AlA LA QUINTA CA 92253 JUPITER FL 33477 (760) 771-8130 Construction Type Occupancy Type Flood Zone . Other struct info WCC: STATE FUND WC: 2290006783 01/01/06 CSLB: 482086. 11/30/05 CCC: B Structure Information --=---------------------- . . . TYPE V - NON RATED . . . DWELLG/LODG LONG.<=10 . . . NON -AO D E CODE O 2001 CBC FI ej KLFR NO Permit . . . . BUILDING h Additional desc Permit .Fee 1287.00 Issue Date . . . . 733,.00 91i.00 �+ 1.00 FOOTAGE 3.194.00 ------------------------------ Plan Check Fee Valuation - 209.14 284559 Qty Unit Charge Per Extension BASE FEE 639.50 185.00 3.5000 THOU. BLDG 100,001-500,000. 647.50 ------------------------7------------------------------.--------------------- Permit . . . . . . . MECHANICAL Additional desc Permit Fee 127.50 Plan Check Fee 7.97 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per' Extension BASE FEE, 15.00 3.00. 9.0000 EA MECH FURNACE .<=100K 27.00 3.00 9.0000 -EA MECH B/C <=3HP/100K BTU 27:00 8.00 6.5000 EA MECH VENT FAN 52.00 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Of— :,45 Date: 2'25— Applicant: Architect or Engineer: Applicant's Mailing Address: ct An A-2 or Engineer's Address: 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 and my License ' in full force and effect. ) �QQ �i r � ,cense Class �ense No. �f6loaco 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. , BA P.C. for this reason Date Owner. WORKERS' 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 ss a My w rkers' compensation i ance carrier 6and �pAli�number are, ��amer olicy Number 6a ��ii _ _ 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 of the Labor Code, I shall forthwith comply with those provisions. /Date ,cant EOn Y 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. 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 count"enter the above-mentioned property for inspection purposes. )�� ��ignature (Applicant or Agent): Page 2 Application Number . . . . . 05-00000545 Date 2/10/05 Qty Unit Charge Per Extension 1.00 6.5000 ----------------- EA MECH EXHAUST HOOD 6.50 - ----------------------------------------=------- Permit . . . . . . ELEC-NEW RESIDENTIAL ----'------ Additional desc Permit Fee . . 145.01 Plan Check Fee 9.06 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3194.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 111.79 911.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.22 - �-------------------------------------------------------------------------- Permit PLUMBING ' Additional desc Permit Fee . . . . 164.25 Plan Check Fee 10.27 - Issue Date Valuation 0 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 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 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 .Special Notes and Comments SFD - LOT 45, PLAN 1B, 3194 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . .. ART IN PUBLIC PLACES -RES 211.39 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number ------------------------------------------------------------------------------ . . . . . 05-00000545 Date-- 2/10/05 Other Fees' . . . . . . . . . ENERGY REVIEW FEE 20.91 DIF.FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 PIF LIBRARIES - RES 225.00 . DIF PARK MAINT FAC - RES 5.00 DIF,PARKS/REC - RES 502.00 STRONG'MOTION (SMI) - RES 28.45 DIF STREET MAINT FAC -'RES 15.00 DIF TRANSPORTATION - RES •1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1738.76 ------------------------------ .00 .00 1738.76 Plan Check Total. 236.44 .00 .00 236.44 Other Fee Total 2665.75 .00 .00 2665.75 Grand Total 4640.95 .00 .00 4640.95 • fi . -- ---- � • • • r •� o •..,., urcn�aann i l'7nnKln �b aao ua�o e. L R F STRJCTURAL CONSULTANTS, INC- • _ - _ — — — _ — — — 75-153 VI? RL.F i7KI F,, STEL B, PALM DESERT, CA 922 t I PHONE. (760) 8'16-1(H){► I AX (760) 9164)856 E- MAIL RAN'4SONDi�tRFSI'KUCTIJRAL.COH APRIL, 25, 2005 q r;xL►Nr.;cn 78-9v0 AVE. 47 LA OUINTA, CA, 92253 Atln.: MR. (31LB :RT LEYVA Re.: THE NORMAN (-STATES AT PGA WEST MEDA I:LIST, LOT # 45, Pl,AN IB 0 81 -24NA'T'IONAL DRIVE LA QUINTA, CA. 92253 FOLLOW-UP TO WALK THROUGH JOB NO. 4082 DEAR GI(.r;FRT THIS LETTER ADVISES THAT WF HAVE OBSERVFI) THE STRUCTURAL.: REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION Af THE TIME OF OUR SITE 'VISIT. 131711Et1.E THAT THE AS-BIJILT CONSTRUCTION AT TH-. Y AI OF OUR VISIT IS 'N (;FN!~RAL CONFORMANCE WITH OIJR STRUC'11_IRAI; E°.l.ArJS°AND;RELEVANT CORRESPONDENCE. ISSUED BY (SUR OFFICF,. WR OBSERVED THE BUILDING IN iTS FRAMED CONDITION PRIOR TO INSTALLATION OF DRYWALL AND, STUCCO. WI: OI3Sl RVF.O THF. VIStJAL AND ACCESSIBLE STRUCTURAL Rri(jUIRf-7MFNTS. (i3XCLUSIONS ARE _ITEMS SUCH -AS: FOOTING SIZL AND RJIlNFORCI MISN'I'.' SPlllc+S, ROOT : HFAG 'I'HIN, AND ANY STRAPS ABOVE THE ROO141 lka F RESRE't'-`TFULLY SUIilvliTTEG No, 57-058 CIV01 C��P ccC OF cAu� .j 7f, -','.Ar) r'AQ11i, Pr's