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04-3667 (SFD)f C4P QUIA rC4j BUILDING & SAFETY DEPARTMENT P�O: BOX 1504 (760) 777-7012 78-495 QALLE TAMPICO FAX (760) 777-7011 -LA QUINT -A, CALIFORNIA/92253 -INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . .E'-04-00003667 Date 4/23/04 Property Address . . . 52685 AVENIDA BERMUDAS APN: 773-305-021-8 -000000- Appl-ication description DWELLING - SINGLE FAMILY DETACHED Property Zoning COVE RESIDENTIAL .Application valuation.. 95503 Owner Contractor POWER FINANCE ADDINGTON, DAVID P.O. BOX 134 4'1760 HERMITAGE DRIVE LA QUINTA. CA 92253 INDIO CA 92201 WCC: STATE FUND WC: 2290019787 01/01/05 CSLB: 682901. 12/31/05 CCC: B --------------------------- Structure Information ------------------------- construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 'CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 467.00 PATIO SQ FTG 50.00 NUMBER OF UNITS '1.00 FIRST FLOOR SQ FTG 1498.00 ---------------------------------------------=------------------------------ Permit . . . . BUILDING -PERMIT Additional desc Permit Fee ' 621.50 Plan Check Fee 153.95 Issue Date . . . . Valuation 95503 Expiration Date'. 10/23/04 Qty Unit Charge Per Extension BASE FEE 414.50 46.00 4.5000 THOU BLDG 50,001-100,000 207.00 ----------7--------------------------------------------------------------=-- Permit . . . . . PLUMBING Additional desc Permit Fee. . 123.00 Plan Check Fee .30.75 Issue bate Valuation . . . . 0 Expiration Date 10/23/04 P.O. BOX 1504&if 4 4 Q(darC4V VOICE (760) 777-7012 7E-495 CALLS TAMPICO FAX (760) 777.7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 041,3662 Date: �•e2 d Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION 1 hereby aSrm under penalty of perjury that I am licensed undo provisions of Chaplet 9 (cow nending with Sedion 7000) of Division 3 of the Business and Professionats Code. and my License kin face and ertect License Class License No. 6' sig 32, OWN OWNER -BUILDER DECLARATION I hereby arm.. under penalty of perjuy that I am aranpt from Oa Contractors• Stats License law for the klowkq reason (Sec. 7031.5. Business and Probssions Coda: Any city or county itpt requires a permit b const uct. aller, hnprova, dert Ad or repair any strudlnre. prior b its issuance. also requires the appicerd for Oa permitb tie s /iprad statement that he or sire k iceaae A pu suerM b tla provisions of One Contractors' Stale License Law (Chapter 9 (comam ci g with Section 7000) of Division 3 of the Business and Professions Code) er that la or she k exempt Ohaehom and the basis ler Oa Moped exemptierh Any violation of Section 7031.5 by any appiceN ler a permit subjects the applicant b a cavi penally of not more than five hundred a n-1 * ($500).): U 1. as owner of the property. or my employees with wages as tick sok compensation, will do the work, and the struct e is not Intended or oft ler $ok (Sec 7044. Business and Prolessions Code: The Contractors' Stale tieense Law does not apply to an owner of property who builds or improves thereon, and who does to work himself or herself or t rough his or her own employees, provided that the improvements are not Wended or offeted ler sale. If, howayw Oa buidnp or improvement is sold within one year of oompktioo the owner4 alder will have the burden of proving Opt he arshe cid not build or improve ler Oa pt ry d sale.). U t as owner of ria property. am exduWvely oonbackg with licensed contractors to construct the project(Sec. 7044. Business and Professions Code: The Contractors' Slat License taw does not apply ban owner of property who builds or awa es thereon, and who contracts for the projects whins contractor(:) licensed pursuant to the ca*acbw State License Law.). U I am exempt under sec . a.& P.C. ler this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of Oa following declarations: _ I have and will mokKakn a certificate of consent b self -insure ler workers' compensation, as provided for by section 3700 of the Labor Code. for One performance of the wok ler which this fit Is Issued. I have and will m ointain workers' compensation ksuance, as requited by Section 3700 of the Labor Code, for the performance of One -ole ler which this permk k �'•+,00mpersation Insurance cornier %nd ply number are: Cartier ��J�ll2Pok.Y Number Ad c"O / 5�Z.P 7 ___,1 certify riot in tha perfomnanca of the work for which this pe ' k ' .1 shalt nolo"—employ any person in any manner so as to h Ann I a aebjed to the workers• compensation laws of CaUfania, and apes that. V 1 should become subject to the workers' compensation provisions of Section 3700 e1 the Labor Code. l shall forlhvft comply with those provisions. Oat.= 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. fidTEREST. AND ATTORNEYS FEES. . CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that Ohre Is a construction lending agency ler the pedomhance of the work for which this perm Is issued (Sec. 3097. Civ. C.). Lenders Now % Oe!/ 67 D"40 5 Lenders Address lO 24r/( - APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made b the Director of Building and Safely for a permit subject to the condktias and restrictions act forth on Ons application. 1. Each person upon whose behalf this application is made. each person at whose request and for whose benefit work is performed under of pursuant to any permit Issued as • result of tt" application, the owner. and the applicant, each agrees b, and shall, defend, indemnity and hold hamsiess the City of Le Ouhda, Its officers. agents and employees for any ad or omission related to the work being performed under or following issuance of this pemrl 2. Any permit Issued as a result of Ink application becomes nul and void K work is not commmeneed within 190 days from date of issuance of such pen. or cessation of work for 160 days will subject permit to cancellation. I certify that I have read this application and state that the above intomhation is cored I apse to comply with all city and county ordinances and state caws relating to building construction. and hereby authorize represenw ives of this county to the above -nen ' property for inspection purposes. Dale - CJ Signature (Applicant or Aperd):- Application Number . 04-00003667 Page 2 Date 4/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 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 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 91.77 Plan Check Fee 22:94 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 1498.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 52.43 467.00 .0200 ELEC GARAGE OR'NON-RESIDENTIAL 9.34 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 52.50 Plan Check Fee 13.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 6.5000 EA MECH VENT FAN 13.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date . . 10/23/04 Qty Unit Charge Per Extension Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 903.77 Page 3 Application Number . . . . . 04-00003667 Date 4/23/04 Qty Unit Charge Per .00 Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1498 SF. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH. FEE REFLECTS $250 DEPOSIT FOR PLAN CHECK -------------------- ------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 40.40 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 9.55 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 903.77 .00 220.77 .00 2554.95' .00 3679.49 .00 Credited Due .00 903.77 .00 220.77 .00 2554.95 .00 3679.49 Lq Certificate of Occupancy U - ry II,,II Lw�ouhn4�� G� OF 9w� Building Y p & Safety Department chis 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. J BUILDING ADDRESS: 52-685 AVENIDA BERMUDAS Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-3667 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: POWER FINANCE Address: BOX 134 City, ST, ZIP: LA QUINTA ,CA 92253 By: KIRK KIRKLAND -'r Date: 9/17/04 Building Officiaf POST IN A CONSPICUOUS PLACE