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04-5742 (SFD)w v� P.O. Box 1504 OFT '9 `78-495FCALLE TAMPICO A-Q'UINTA, CALIFORNIA 92253 p i 7W1 BUILDING PERMIT w4hi 4 4 Q" BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number. . . . . 0404�0�0005742 Date 12/16%04 Property Address . . . . �5_1225: AVENhDA RUBIO APN: 773-044-029- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 193110. Owner Contractor ------------------------ CHARLES POH ------------------------ DEBONIS & FAUBION CONSTRUCTION 78-242 VINEWOOD DR. P.O. BOX 306 PALM DESERT CA 92260 MT. BALDY CA -91759 (90 9) 223-2030 WCC: EXEMPT WC: EXEMPT 09/30/05 CSLB: 737479 06/30/05 CCC: B, C39 ------ Structure Information 3033 SQ. FT. SFD --.--- Other struct.info . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 632.00 PATIO SQ FTG 544.00 NUMBER OF UNITS 1.00 -------------------------------------------------------------------------'--- 1ST FLOOR SQUARE FOOTAGE 3033.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 968.50 Plan Check Fee 629.53 Issue Date. Valuation 193110 Qty 'Unit Charge Per ..Extension BASE FEE 639.50 94.00 3.5000 THOU BLDG 100,001-500,000 329.00 ------------------- -------------------------------------------------------- Permit . . MECHANICAL Additional desc Permit Fee . . . . 114.50 Plan Check Fee'. 28.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 1.5.0 0 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 ;6.5000 EA MECH EXHAUST HOOD 6.50 ----------------,--------------------------7-------------------------------- Permit ELEC-NEW RESIDENTIAL P.O. BOX 1504 T -VY 78-495 CALLE TAMPICD LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: 041- 5 % C� Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: O Architect or Erigineer: Architect or Engineer's Address: 0 JA Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. i'License Class License No. Date Contractor 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.). 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 �� /�— ner�� 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 issued. My workers' compensation insurance carrier and policy number are: Cartier 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. I herebyaffirm under CONSTRUCTION LENDING AGENCY 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 Buildingand Safetya 1. Each upon whose behalf this application is made. each person atwhose request rmit a d for whose benefit work snperfo forth under or pursuant to an person u y permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnity 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. 1 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. Bate —Z�j2jg nature (Applicant or Agent): Application Number Additional desc . Permit Fee . . . Issue Date . . . i":W.11 [f Page ' 2 04-00005742 Date 12/16/04 Plan Check Fee . . 37.2,0 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3033.00, .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.16 632.00 .0200 ELEC GARAGE. OR NON-RESIDENTIAL 12.64 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE. 15.00 Permit . . . . . . PLUMBING Additional desc.. Permit Fee 205.50 Plan Check Fee 51.38 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 4.00 6.0000 EA PLB ROOF DRAIN 24.00 2.00 7.5000 EA- 'PLB WATER HEATER/VENT 15.00 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 .7.50 1.00 --------------------------------------7------------------------------------- 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 3033 SQ.FT. SFD. THIS PERMIT DOES NOT INCLUDE POOL & SPA, BLOCK WALLS 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 62.95 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 22.50 DIF LIBRARIES - RES ' 225.00 Page 3 Application Number 04-00005742. Date 12/16/04 Other Fees . . . . . . . . . DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 COVE PRECISE PLAN FEE- 100.00 STRONG MOTION (SMI) - RES 19.31 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION _ RES 1098.00 Fee summary Charged Paid Credited Due' Permit Fee Total 1452.30 .00 .00 1452.30 Plan Check Total 746.74 250.00 .00. 496.74 Other Fee Total 2609.76 .00 .00 2609.76 Grand Total 4808.80 250.00 .00 4558.80 CERTIFICATE OF COMPLIANCE Desert Sands Unified School District A--47950.Dune. Palms Road <BRMUDA DUNES � U RANCHO MIRAGE d Date 12/16/04 La Quinta, CA 92253 INDIAN WELLS No. 26709 PALM LA QUINTA (760) 771-8515 �QINDIO L�~� Owner Charles Poh r APN # 773-044-029 Address Jurisdiction La Quinta City Zip Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Unit 1 _52+" Unit 2/•ZZS Unit 3 Unit 4 Unit 5 Comments Street S.F. Avenida Rubio 3033 Unit 6 Unit 7 Unit 8 Unit 9 Unit 10 Lot # No. Street S.F. 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 Government Code 65995 Et Seq. in the amount of $2.24 X 3,033 S.F. or $6,793.92 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 CC/Downey Savings - Charles Poh Check No. 54500031441 Name on the check Telephone 200-5140 Funding Residential By Dr. Doris Wilson Superintendent Fee collected /exempted by Sharon MCGilvrey c Payment Recd $6,793.92 Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the Wday 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 CITY OF LA QUINTA PLAN CHECK CORRECTION LIST Young Engineering Services 77-804 Wildcat Dr. #C Palm Desert, CA 92211 PLAN CHECK NO. 04-5� 22S ADDRESS 51,025 Ave. Rubio December 8, 2004 SECOND/FINAL CHECK OCCUPANCY : R3/U1 SCOPE OF WORK New SFD TYPE -OF -CONST. :V -N 3137(R)/528(U) The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our professional opinion the plans are in substantial conformance with the building codes and regulations adopted by the CITY OF LA QUINTAand the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. Plans checked by: Hue C. Luu , PE VCA CODE GROUP 2200 W Orangewood Ave, Ste 155 Orange, CA 92868 (714) 363-4700 ext. #752 1 VCA File No. LQ -16612 PUBLIC WORKS/ENGINEERING DEPARTMENT CLEARANCE SHEET FOR BUILDING PERMITS Date: �',� -- Developer: �2Z� The following are the requirements for Green Sheet clearance to issue a building permit for the subject building lot(s): m Proposed building locations are legal lots, final map recorded. '1 Attach or previously submitted (current within 6 months). Pad Elevation Certificates in compliance with the approved design elevation or building pad �l (deviations of + 0.1 foot). E Attach a complete Fugitive Dust Control (PM -10) Plan andP acket. COMMERCIAL BUILDINGS (additional requirements to the above): mise grading plan approved. I have reviewed and confirmed the requirements listed above and find the improvements to be sufficiently complete, except as specially pro ided ow, for construction of the proposed structure(s) on the subject lot(s). Pursuant to findings find the abo ay be released for building permit issuance. meq( Recommended Dated:_ lN� SPECIAL PROV SI NS: Building & Safety has been advised that it is appropriate to issue the Building Permit; however, a Certificate of Occupancy should not be authorized until the following issues have been addressed: F068 REV 1 1104 Folder 11 SITE PLAN CER TIFICA TE OF PARCEL MERGER NO. XX XX E:• T NO OPLAT WAS PREPARED FROM RECORD DATA AND THISDOES NOT REPRESENT A SURVEY OF 7H£ PROPERTY SHOW HEREON. THIS MAP HAS BEEN APPROVED UPON THE EXPRESSED CONDITION THAT BUILDING PERMITS SHALL NOT BE ISSUED FOR ANY DEV£L- OPMENT Ml7HIN THIS ADJUS7MEN1 PLAT UNAL NECES- SARY DEOICAAOK IF ANY, HAVE OCCURED. LEGEND — — — — = LOT UNE To Of REUOWD NOTE: HERE MAY BE EASEMENTS OF .RECORD DELIN£A7E0 AND REFERENCED ON THE UNDERLNNG MAP OR NH£RE MAYBE EASEMENTS WTHIN THE AREA BEING ADAISTED THAT ARE NOT SHOW ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCEL HEREIN. P{N� A. � FF NO. 5479 Exp. 9/30/08 CALL- , YUCATAN SS%\l / A Cr�,c?j L.LJ J A A ! VALE, LA r)JU\/ rA, UNIT I�IJ. 4 � c i LOT I i LOT 25 LOT 24$ LOT 23 —___1 LOT 24 I 30 0 15 50 60 1 tach 30 pl, A.P.N. 773-044-029 g AREA a 0.23 AC. g g LOT 2 m LOT UNE 70 BE REMOVED (TYP.) N 8953'38' E 100.00 ) g LOT 3 11 N. 895J'38* E 100. 00' LOT 4 i moN TEZUMA AVE DEPARTMENT USE OK Y RECORQ OWNER CHARLIE POH _ ADDRESS MAP PREPARED BY M°GEE SURVEYING, INC. ADDRESS 79.T0T A9wmr aw ak, suTe log amwA pw4 CA y??cu AREA/DISTRICT THIS CERTIFICATE OF PARCEL MERGER NO IS HEREBY APPROVED BY TITLE DA TE J l CITY OF LA QUINTA.SUB-CO TRACT-OR-LI.ST l��i�,s r JOB AE7Di3ESS � %a'S dT"_``r`u6r"i� ` PERi 111 ;NU'MBEIR � UWAlI:R�t_Ch.. , ��_.p�� .F. «.. ' BUILDER . � This form shall b� posted on the job with the Building Inspection Card � al�,mg-s- ink c�picuous Wace. Only persons appearing on this list or their employee, are authorized to work an -this job. • Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of %)rk' and?or the voidance 0. of building permit. For each applicable trade, all information requested below must be completed by applicant. `On File' isnot an acceptable response. ..._ • • .... _ ... ,. sg LL :. r .. .,.... :.. �. pts ......,.: .:_,.:,..:.-.::.....;::.....::.:��tat��iiii2f3c1'o'�s- :.?t - �e ;Glxs. ... .: ^. _ ...lam ::...: c�r Y--• t�- - _ -Carrier-Name rrerTame Policy Name Classification License Number Exp,,. Date Ex A• Dais L .eirse Number E . Date {e.g- A, H, C -8l Ixxxxxxl Ixxlxxfxxi .le.g. State Fund, CaKotnpi (Format Va►ies)' (xxlAxlxxl gIxxxxl (xxfxxlxx) -2-i Pt„ f n 1� 'c 1 14,t MI f t s C1,2- C_ Lil- / y9 3'� '117! 5-- 5 to o . 060 511� q� , I I ^-3^ 3 t) i f C� �( I h r t.GGr l Cv �� 1 1 I S r4 t' �, �� C 6- c c I 3--� ii_ c y O 1 /. & �- r N a S 0 "J_ :IAA'03 s N L-15 •7 I (% ! . nfaj+�a>iLL ler �I P C ,l �{No �'f t h - '7 ► 310 i `' / t� 7� fig. 4 v» cr .• / %.� S_G `� 5 — D y % 1. y / �f n YGiY -,c 4- c aO S dz m 3 .�fflw -1 4-1 e. <<; F lest t� 3 � S7"G t� �� �, �f• O � � 1g 3 -•cry �� 'C L' �%� Ic cSs aff ate✓& G- �4 ?' ` .'..:VY7 — - -- � N �AGE::Ti3'�'.:{C2�;;%. � !o-��'`" 671 paLo t °t.t► 1 . From 1 f 3 Phcm a 'Plwne c elt�t rs e el �x a9o9 - 4,0f- oa 14 - --x•74,0 7 7-7 _7011 i -367¢ �, yi 5/31/2005 13:00 YOUNG ENGINEERING SERVICES _ 77-ROd Wildcat Dr„ Ste. C, Palm f)wR, CA. 92211 (760) 360.5770 fax (760) 360-5770 7603605719 YOUNG ENGINEERING SE PAGE 02 May 31, 2005 Tom Hartung Building Official City of La Quintat RE: Poh Recidence� 51 225 Avenida Ruhio. La Ouinm CA 92253 1 Dear Tom, We have performed Structural Observation per C.B.C. section 1702 for the above referenced project and find it to be in General Conformance with the approved City plans and calculations. Please note that this letter does not relieve the City or the Special Inspectors from determining compliance with the approved plans. If you have any questions please call. Sincerely, Jeffrey B. Young, S.E. -;a . i Mc GEE SUR VEYING, INC. 79-301 Country Club Dr., Ste. 102 — Bermuda Dunes, CA 92201 Phone (760) 345-3828 — Fax (760) 772-5705 February 1, 2005 City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 Re: Pad Certification — Lots.2 & 3 ( merged lots) Pursuant to your request a field survey was conducted on the above referenced project to determine the vertical location of the building pad. The above mentioned was found as follows: ADDRESS PAD (DES) IPAD (FIELD) 51-225 Avenida Rubio 60.0' Siiincer P-a Wayne A. McGee L.S. 5479 •11 3 LS 5a» � � PESo� ' f Sladden Engine" 014 519 e 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 Date Job No. I=IEILD MEM Project Name 4 -Ant t Site Address _51 -- Job Phone S -W jgnt: qaa B) Work Done Test Summary / Footings inspected Test No. Location Elev. Dry Density Moist % % Relative Compaction Ref. Max pcf Moist % L C— u –kz-C&I9 10 z 3� I I I � I Comments Field Tech. Super. o gent I 24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service. 014511 Sladden Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369 39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 Date 7 6 > 5 Z -2 — � �— Job No. r F=IELD MEM® �; Project Name C' lie : Site Address — z- b (, 1 I 1 a." 1 o4 v Job Phone o b C� Work Doe �--- f 07 i t' Test Summary / Footings Inspected Test No. Location Elev. Dry Density Moist % % Relative Compaction Ref. Max pcf Moist % VU- i� 7 L/ 3,62. /a7.4 y 115 . I -/ q� V Comments �¢V" Field Tech. i Super. or �ent 24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service. I 014402 Sladden Engineering 6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 529-0952 Fax (714) 523-1369 39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895 Date, V blob No. �O FIELD MEM% �Q��� I .T Project Name u-� �` VClient: Site Address 5 �h �G� -�S\ 1` rQy�`c �� CJY1 Job Phone Work Done .?� 5 Test Summary / Footings Inspected Test No. Location \ Elev. Dry Density Moist % % Relative Compaction Ref. Max pcf Moist % I 1 Comments i 24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service. '�W SIadden Engineering 6782 Stanton -Ave., Suite A, Buena Park, CA 90621 39-725 Garand Ln., Suite .G, ,Palm Desert, CA 92211 Project Name i' Site Address 5 — lD Ave L. cit 0 � e Job Phone OS A Work Done Test Summary / Footings Inspected 014393 (714) 523-0952 Fax (714) 523-1369 (760) 772-3893 Fax (760) 772-3895 Date I tz /3 y _ Job No. 5ZZ FIELD MEMO\��; ►'�� �Ma ► Off\ TestDry No. Location ,�1 Elev. Density Moist % % Relative Compaction Ref. Max pcf Moist % til 7 13.(e 96 /3.'7 1 ►- I I 3 2 ` �S Field Tech. Super. or Agent I 24 hour notice requested to schedule Fieldchnician. Thank you for the opportunity to be of service.