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04-4428 (SFD)1 1' 1 La- p�O -�� .`P=''O�-B O x 1504 C�it1OFT1 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . . 04=00004428---- Date 8/24/04 Property Address . . ... . . 81805 BROWN DEER PARK APN: 767-540-017- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 339311 Owner Contractor ----------------------- CALIFORNIA COVE AT LA ------------------------ QUINTA CALIFORNIA COVE COMMUNITIE INC 8105 IRVINE CENTER DRIVE 8105 IRVINE CENTER DR IRVINE CA 92618 SUITE 800 IRVINE CA 92618 (949) 453-1775 WCC: STATE FUND WC: 1659679 05/03/05 CSLB: 811053 07/31/06 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 937.00 PATIO SQ FTG 511.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 3888.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT INV FEE Additional desc Permit Fee 2959.00 Plan Check Fee 961.68 Issue Date . . . . Valuation . . . . 339311 Qty Unit Charge Per Extension BASE FEE 1279.00 240.00 7.0000 THOU BLDG 100,001-500,000 1680.00 ----------------------------------------------------7----------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 142.00 Plan Check Fee 35.50 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504�� VOICE (760) 777-7012 Tihf 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: 8-04-04 Applicant: itect or E ginger: Applicant's Mailing Address: Architect or Engineer's Address: f—Lic. No.: c2 % 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 License2iW full force and effect. Q �(� license Class • Z3 icense No. t� -53 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 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 torwhich 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 ed. My tern com sation�irance camer��d p are: artier `.�' -e—Policy Number (P _ I certify that, in the perfortnance 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. 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, indemnity and hold harmless the City of La Ouinta, 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 relafing to building construction, and hereby authorize representatives of this courrty t�ente pon the above-mentioned pr party for inspection purposes. Date v �` r�� Signature (Applicant or Agent): I >j Page 2 Application Number . . . . . 04-00004428 Date 8/24/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 13.00 6.5000 EA MECH VENT FAN 84.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 169.82 Plan Check Fee 42.46 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3888.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 136.08 937.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 18.74 ---------------------------------------------------------------------------- Permit . . . . . PLUMBING INV FEE Additional desc Permit Fee . . . . 438.00 Plan Check Fee 54.75 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 30.00 22.00 12.0000 EA PLB FIXTURE 264.00 1.00 30.0000 EA PLB BUILDING SEWER 30.00 3.00 15.0000 EA PLB WATER HEATER/VENT 45.00 1.00 6.0000 EA PLB WATER INST/ALT/REP. 6.00 1.00 18.0000 EA PLB LAWN SPRINKLER SYSTEM 18.00 10.00 1.5000 EA PLB GAS PIPE >=5 15.00 1.00 30.0000 EA PLB GAS METER 30.00 ---------------------------------------------------------------------------- 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 17. PLAN 2AR. PERMIT DOES NOT L__. Page 3 Application Number . . . . . 04-00004428 Date 8./24/04 ---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. INVESTIGATION FEE IMPOSED FOR WORK PERFORMED PRIOR TO PERMIT ISSUANCE. --------------------------------=------------ Other Fees . . . . . . . . . ------------------------------- ART IN PUBLIC PLACES -RES 348.27 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 192.34 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 33.93 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total • .3723.82 ------------------------------ .00 .00 3723.82 Plan Check Total 1094.39 .00 .00 1094.39 Other Fee Total 2979.54 .00 .00 2979.54 Grand Total 7797.75 .00 .00 7797.75 L__. Certificate of Occupancy G�oF9w Building Y p & 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: 81-805 BROWN DEER PARK Use classification: SINGLE FAMILY DWELLING Building Permit No.,: 04-4428 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: CALIFORNIA COVE (cD- LA QUINTA, LLC Address: 8105 IRVINE CENTER DR. STE. 800 City, ST, ZIP: IRVINE, CA 92619 r By: GARY HARTMAN Cyt f`f' Date: JUNE 16, 2005 Building Official POST IN A CONSPICUOUS PLACE �{ K�,t�