04-4429 (SFD)Io
BUILDING & SAFETY DEPARTMENT
P.O. BOX 1-504 (760).777-7012
78-495 CALLE TAMPICO `' FAX (760) 777-7011
LA QUINTA, CALIFORNIA' 92253 INSPECTION REQUESTS (760) 777-7153
Qty Unit Charge Per
Extension
BUILDING PERMIT
Application Number
04--00=004429;
Date 8/24/04
Property Address . .
. . . . 81815 BROWN DEER PARK
APN:
767-540-018- - -
Application description
. . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
. . . . LOW DENSITY RESIDENTIAL
Application valuation
. . . . 370077
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/LONG <=10
Flood Zone . . . . .
. NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CRC
# BEDROOMS
5.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
670.00
PATIO SQ FTG
496.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
4336.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT INV FEE
Additional desc
Permit Fee . . . .
3176.00 Plan Check Fee
1032.20
Issue Date . . . .
Valuation . .
. . 370077
Qty Unit Charge
Per
Extension
BASE FEE
1279.00
271.00. 7.0000
THOU BLDG 100,001-500,000
1897.00
------------7-------7-------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
96.50 Plan Check Fee
24.13
Issue Date . . . .
Valuation . .
. . 0
Qty Unit Charge Per
Extension
P.O. Box 1504 • VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 0Date: •��%,�
Applicant: chic of. Enginegr:,`
Applicant's Mailing Address: Architect or Engineer's Address:
ic. No.: 627IH
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 License is force and effect.
License Class
93 nse No. L
Date v l Contractor u, 1T4 0— 1L\W � 07—") e-- _
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.).
(.-) 1, 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. B.& 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 wilt maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
Xof 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
y rs co p nsation ins nce carrier an p liy err r
Gamer icy Number
1 cefrtify 1hat, in the performance of the work for which this permit is issued, I shall no—' t 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.
/'��A�c.anl
�2te � �i1Gl�Gfil� •
WARMING: 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.).
Lenders 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 wall city and county ordinances and state laws relating to building
construction, and hereby • authorize representatives of this county to enter u e abo -men 'oned ro rty for inspection purposes.
I'De 9/Pv/w Lure A licant or Agent):
( PP
:.i
Application Number . . . . . 04-00004429
Page 2
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
6.00
6.5000
EA MECH VENT FAN
39.00
1.00
6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
. . . .
180.16 Plan Check Fee
45.04
Issue Date
. . . .
Valuation . . . .
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
4336.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
151.76
670.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
13.40
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING INV FEE
Additional
desc . .
Permit Fee
. . . .
411.00 Plan Check Fee
51.38
Issue Date
. . . .
Valuation
0.
Qty
Unit Charge
Per
Extension
BASE FEE
30.00
21.00
12.0000
EA PLB FIXTURE
252.00
1.00
30.0000
EA PLB BUILDING SEWER
30.00
2.00
15.0000
EA PLB WATER HEATER/VENT
30.00
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
18. PLAN 3BR.
PERMIT DOES NOT
'i
11
Page 3
Application Number
. . . . .
04-00004429 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
425.19
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
206.44
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
37.00
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
----------=------
Charged
----------
Paid Credited
--------------------
Due
Permit Fee Total
3878.66
----------
.00 .00
3878.66
Plan Check Total
1152.75
.00 .00
1152.75
Other Fee Total
3073.63
.00 .00
3073.63
Grand Total
8105.04
.00 .00
8105.04
11
-� Certificate of Occupancy
4
OF - Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
t
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
a
construction and/or use.
F :
BUILDING ADDRESS: 81-815 BROWN DEER PARK
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4429
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CALIFORNIA COVE (ED LA QUINTA, LLC Address: 8105 IRVINE CENTER DR. STE. 800
City, ST, ZIP: IRVINE, CA 92619
By: GARY HARTMAN
Date: JUNE 16, 2005
Building Official
POST IN A CONSPICUOUS PLACE
PAGE 03/04
4368 LAS VENTANAS
760.777
06/29/2005 11:25 Z
CITl�',OF LA QUINTA
BUILDING",& SAFETY DEPARTMENT
I ' " or• ��!� ° 777-7012
INSPECTION REQUEST LINE
777-7153
rrer_ QRNlA' Yyy— n LA QUINT A LLC
Contractor -NIA COVE t-`ntyitytUPUTI C
Permit Number -04-4429
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS. Qt-$15:BR _DEER PARK
SFD — LOT .I8, PLAN 3BR. PERMIT DOES NOT
INCLUDE BLOCK WALLS, POOL, SPA OR
TYPE OF INSPECTION I DATE I INSP.
SETBACKS
U/G ELECTRICAL / GROUNDING �
FOOTINGS/STEEL / 4 _
CONCRETE SLAB 7 dtO 1 ALL �~
DO NOT POUR CONCRETE UNTIL4 ABOVE SIGN
ROOF NAIL / PRE -ROOF _
OKAY TO WRAP
MING (COMBINATION__
,JUGH ELECTRIC
ROUGH PLUMBING G 0
ROUGH MECHANICAL
INSULATION lir 1-2 *71 o -e `.
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL
fig- „2 7 - Q ` "7`
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
PLUMBING
SEWER CONNECTION
_
SEPTIC / GREASE INTERCEPTOR
-.-, CLIC WORKS DEPARTMENT
MASONRY INSPECTIONS _
FOOTINGS / STEEL _
BOND BEAM
_POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS _
U/G ELECTRICAL
PRE -PLASTER (ALARMS / BARRIERS)
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER61
ELECTRICAL
PLUMBING
--
--�—
'HANICAL
-.-, CLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
:,� TURN ON UTILITIES OR OCCUPY BUILDING