04-6818 (SFD)Pill �
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BUILDING & SAFETY DEPARTMENT
1@04 (760).777-7012
OFT'9 78-495 CALLE A O FAX (760) 777-7011
IJAC�•UI f�,
OU
LI IA 92253 INSPECTION REQUESTS (760) 777-715.3
CITY 0,F+. � ,UILDING PERMIT
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Application Number . . . . . 04-00006818 Date 10/19/04
Property Address 81897 COUPLES CT
APN: 764-060-040- - -
Application description . . . DWELLING - SINGLE FAMILY DETACHED
Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL
Application valuation 225478
Owner. Contractor,
BIRDIE HOMES FIRST PACIFICA DEV CORP
5 EAST CITRUS AVE. STE. 105 300 EAST STATE ST, SUITE #100
REDLANDS CA 92.373 REDLANDS CA 92373
(909) 798-3.688
WCC: STATE FUND
WC: 00083532004 01/01/05
CSLB: 760044 03/31/05
CCC: B
--------------------------- Structure Information ------------- -------------
Construction Type TYPE V - NON RATED
Flood Zone . . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001 CBC
FIRE SPRINKLERS NO
GARAGE SQ FTG 6;64..00
PATIO SQ FTG - 4.83.00
NUMBER OF UNITS 1.00
FIRST FLOOR SQ•FTG' 2550:.00
----------------------------------->-- --------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 1080.50 Plan Check Fee 175.58
Issue Date . . . . Valuation . . . . 225478
Qty Unit Charge Per Extension
BASE FEE 639.50
126.00 3.5000 THOU BLDG 1.00,001-5.00,000 441.00
Permit . . . MECHANICAL
Additional desc .
Permit Fee. 140.5'0 P1an.Check Fee 8.78,
Issue Date . . . . Valuation 0
Qty Unit. Charge Per Extension
BASE FEE 15.00
3.00 9.0.000 EA MECH FURNACE <=100K 27.00
3.00 9.0000 EA MECH B/C <=3HP/106K BTU 27.00
10.00 6.5000 EA. MECH VENT FAN- 65.00
1.00 6.5000 EA MECH EXHAUST HOOD 6.50
\y
P.O.. Box 1504 • � VOICE (760) 777-7012
78-49.5 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
Application Number:
Applicant:
Applicant's Mailing Address:
BUILDING &t: SAFETY DEPARTMENT .
or Engineer:
or
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S CLARATION
I_hereby III und, it of perjury that I am licensed under provisions of Chapter 9 ( namg,wftit Section 7000) of Division 3 of the Business and Professionals
Code, and
my Lice in full force and effect. /►�^
nse Class icen G�1
Date.
OWNER -BUILDER DECLARATION
I' hereby affirm under penalty of perjury that l am.exemptfrom 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, phorto.its issuance, also requires the;applicantfor 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 therefronrand the basis,for the alleged exemption. Any violation of Section 7031.5,byany applicant for a.permitsubjects
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 notintended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does notapply 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 improvementis
sold within oneyear of completion; the owner -builder will.have the burden of proving that he or she did not build or improve,for the purpose.offsalO.
U
I.
as owner of the property, am exclusively Contracting with licensed contractors to construct the project (Seca 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 contrector(s).licensed pursuant to
the Contractors' State License Law.).
U Pam exemptunder Sec: , BA P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm•under penalty of,pedury one of the following declarations:
_•I have and will maintain a Certiftcate 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.andII maintain workers' compensabon'insurance, as required by SwUon.3700 of the Labor Code, for the performance of the work for which this permit is
orkers' compensation in� urance came
*arson in any manner so as to YaNme subject is the workers'
compensation laws of C8lifomi and a ree that; N I sh Id become subject t0 the workers' compensation provisions of Section8700 of the Labor Code, I shall
forthwith wmply with those laic".
AX I
Date O Appli
WARNING: FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND, SHALL SUBJECT AN EMPLOYER TO CRIMINAL, PENAL -TIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3708 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.).
Lendees Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby, made to theDirector of Building and Safety for a perrnit subjectto the conditions and restrictions set forth oh 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 pursue hf to.any permit
issued as'a resultof:this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quints, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit
2- Anypermit issued as a result of this applicationbecomes, null,and.void if work is not.commenced within 180 days from date of,issuanceof such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that 1 have read this application and state that the above information correct. I a to comply with all cityand county ordinances and state Isws relating to building
construction, and7hrebyre`authoriize representatives.of this coun to enter u the abo tioned property for inspection purposes.
ate &4_0 S< ignature (Applicant or Agen CLQ+
4
Page
2
Application Number.
04-00006818 Date
10/19/04
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . .
117.53 Plan Check Fee
7.35
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.0.0
2550.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
89.25
664.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
13.28
Permit . . . . . .
PLUMBING
Additional desc .
Permit Fee . . . .
184.50 Plan Check Fee
11.53
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
19.00 6.0000
EA. PLB FIXTURE
11.4.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.500.0
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
8.00 .7500
EA PLB GAS PIPE >=5
6.0.0
1.00 15.0000
EA PLB GAS METER
15.00
:Permit . . . . . .
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.0.0 Plan Check,Fee
.00
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.0,0
------------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 6, PLAN 1A
25.50 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALL'S
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK. FEE DUE TO
MULTIPLE,I`SSUANCE
OF 'SAME PLAN TYPE
Other Fees . . . . .
. . ART IN PUBLIC PLACES -RES
63.69
DIF COMMUNITY CENTERS -.RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
17.56.
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
1
Page 3
Application Number
. . .
04-000068.18
Date
10/19/04
Other Fees . . .
. . . . . .
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC
- RE'S
5.00
DIF PARKS/R.EC - RES
502.00
STRONG MOTION (SMI)
- RES
22.54
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION
- RES
1098.00
Fee summary
Charged
Paid Credited
Due
Permit Fee Total
1538.03
.0.0
.00
1538.03
Plan Check Total
203.24
.00
.00
203.24
Other Fee Total
2508.79
.00
.00
2.508.79
Grand Total
4250.06
.00
.00
42.50.06
001
�-a- •�, �,o oCertificate of Occupancy
"k
4, tM
-0 Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
j 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: 81-897 COUPLES COURT
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6818,
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: BIRDIE HOMES 111. LLC Address: 5 E. CITRUS, STE. 205
City, ST, ZIP: REDLANDS, CA 92373
By: STEPHEN WILLETT
ham Date: AUGUST 30, 20,0_6
Building Official
'POST IN A CONSPICUOUS PLACE