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04-7117 (SFD)Ifilf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 y FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . .L�00007117 Date 11/08/04 Property Address . . . . . . 57635 BALLYBUNION APN: 762-330-013- - - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL .Application valuation 335607 Owner Contractor ---------=-------------- WEISKOPF PARTNERS 1, ------------------------ LLC SOUTHERN HILLS DEVELOPMENT INC 55161 SOUTHERN HILLS 81070 CHANTICLEER DR LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-3497 WCC: EXEMPT WC: EXEMPT 05/31/05 CSLB: 838041 05/31/06 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood -Zone _ NON -AO FLOOD ZONE Other s�tru.ct�_;info-; CODE EDITION 2001 CBC 'u"NI #. BEDROOMS 4.00 FIRE SPRINKLERS NO l'Gy�>bi� GARAGE SQ'FTG 826.00 PATIO SQ FTG 803.00 NUMBER OF UNITS 1.00 -- ---------------------------------------------------------------------------- _ FIRST FLOOR SQ FTG 382,1.0'0 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 1465.50 Plan Check Fee 952.58 Issue Date . . . . Valuation . . . . 335607 Qty Unit Charge Per Extension BASE FEE 639.50 236.00 3.5000 THOU BLDG 100,001-500,000 826.00 ----------------------------------------------------------- Permit . . . . . -------------------- MECHANICAL Additional desc Permit Fee . . . . 126.00 Plan Check Fee 31.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per 4.00 9.0000 EA 4.00 9.0000 EA 5.00 6.5000 EA BASE FEE MECH FURNACE <=100K MECH B/C <=3HP/100K BTU MECH VENT FAN Extension 15.00 36.00 36.00 32.50 0 P.O. Box 1504• �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (7`60) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: og - 7 ((1 Date: >/J. 1,9 10 Applicant:w) �7on (n1er: Applicant's Mailing Add Architect or Engineer's Address: No.: C, -Z.&(4-5 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 m L! se is in full force and effect. cense Class cense No._�__ l OWNER -BUILDER DECLARATION 1 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 isi ued. _ I have and will maintain workers' com ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Carrier olicy Numbap-_ I certify that, in the performance ofwe work hich t s pe issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California)..YYYYn gr a th if lhecom subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro i ions. Applicant WARNING: FAILURE TO SECURE WORKERS'ODO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTERED 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.). Lenders Name Lender's Address H IMPORTANT Application is hereby made to the Director of Building a 1. Each person upon whose behalf this application is made, issued as a result of this application, the owner, and the e officers, agents and employees for any act or omission re 2. Any permit issued as a result of this application become cessation of work for 180 days will subject permit to c c I certify that I have read this application and state that the above i foi construction, and hereby authorize representatives of this county ate ( (—'Z-- 6 ,gn.ture (Applicant or .ICANT ACKNOWLEDGEMENT safety for a permit subject to the conditions and restrictions set forth on this application. i person at whose request and for whose benefit work is performed under or pursuant to any permit :ant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its I to the work erformed under or following issuance of this permit. and voil^ork is no mmenced within 180 days from date of issuance of such permit, or mrrect.)I,Wfre to comply with all city 9fid county ordinances and state laws relating to building the. !e-mdikh&ed property for in ection purposes. 9 'i' 0 Page 2 Application Number . . . . . 04-00007117 Date 11/08/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 165.26 Plan Check Fee 41.32 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3821.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 133.74. 826.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.52 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc -Permit Fee 182:25 Plan Check Fee 45.56 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 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 11.00 .7500 EA PLB GAS PIPE >=5 8.25 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 41, PLAN 7. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees ART.IN PUBLIC PLACES -RES 33.9.01 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 95.26 0 Page 3 Application Number . . . . . 04-00007117 Date 11/08/04 ---------------------------------------------------------------------------- Other Fees . . . . ... . 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 STRONG MOTION (SMI) - RES 33.56 DIF STREET MAINT FAC -RES 15.00 i DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ---------- Due Permit Fee Total 1954.01 ---------- .00 ---------- .00 1954.01 Plan Check Total 1070.96 .00 .00 1070.96 Other Fee Total 2872.83 .00 .00 2872.83 Grand Total 5897.80 .00 .00 5897.80 1 CITY OF LA QUINTA SUB -CONTRACTOR LIT 1 JOB ADDRESS PERMIT NUMBER i OWNER �� '_► A1C<Y�� G r �� BUILDER � -)(—J This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous lace. Only persons appearing on this list or their employees are authorized to work on 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 work and/or the voidance Y. REGISTERED INSPECTOR'S WEEKLY REPORT JON TANDY 37630 Medjool Ave. Palm Desert, CA 92211 Office (760) 772-7192 Fax (760) 772-7193 Pager (760) 776-3338 TYPE OF INSPECTION PERFORMED ❑ REINFORCED CONCRETETRUCT. STEEL ASSEMBLY ❑ POST TENSIONED CONCRETE O ASPHALT ❑ REINFORCED MASONRY ❑ FIRE PROOFING THER q / W JOB LOCATION e>A' ( �,` l�� /� v` ��,,, �{`� REPORT SEQUENCE NO. TVP$�OF�iRVJ�T` URE �VN /�lVS�� IT NO/. OAjE a� DAV OF WEEK MATERIAL DESCRIPTION ARCHITECT IN1/SP W Z' HRS. CHARGED ENGINEER ASSISTANTS HRS. CHARGED INSPECTION DATE GENERALO� i, P�� j `�I . sue, CONTRACT (� In , J� CONTRACTOR S , I y ie&ss We" L'N &K 6As-e_. s. xy- cis -S - su-.�-r- acs S V6p W L6 ew-: :j'O Vl.1- C• 6- L COPY SENT TO CLIENT p PAGE O CON7INUED O CNT PAGE OF CERTIFICATION OF COMPLIANCE 'HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. SI URE OF REGISTERED INSPE OR a as 6,447Y- DATIE OF REPORT REGISTER NUMBE 39725 Garand Lane Suite F LTRfi :57 6ki JCM Inspections tg7^r7 Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: _ _Q3 Project Name: G a SU rY„ Project No: Project Ad ress: City: L 8 \ er. Title 24 File # App# AWS UB EJ D 1.1 D 1.4 ❑ Other Other: Client: Sub-Contractor: General Contractor: Architect: i� Structural Engineer: C` SO n .P.1 0_ C oA S c,\,-,oC.. lL FVT Anchor Bolts Rebar Epoxy Type: Mta So \ r r� c. �� o 1QX Epoxy Shelf Life: Q �� r �nA�j `�-�--'—� Hole Cleaning Method(s): � �`e 2.. Weather: N n n Unresolvea'Items: None See Below Description of Work Inspected: CD e N-50 n l t A n C �n ILI P�1r1 S' o C '1 P p y l yw N Work complies with written approval from Structural Engineer and ICBG Evaluation Report # S , I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: ack C. Millin ICBff �ti ]n No: 0842216-49 ar Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page A_ of