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12-1240 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 °f �wa�rw BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 12-00001240 Property Address: 80085 NORTH RESIDENCE CLUB DR APN: 775-380-999-9 -31627 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM DENSITY RES Application valuation: 294537 Owner: NADADOR, LLC 78120 CALLE ESTADO, SUITE 203 LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: JACOBS HOMES INC, PETER P.O. BOX 692 - LA QUINTA, CA 92247 U SED ClN RACTOR'S DECLARATION I hereby affirm under penalty of perjury the am Iicens � under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine n Prof s' nals Code, and my License is in full force and effect. Licens Class: B License 799449 ate: lV �e/�L ntractor: OWN .BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exe pt from the Contractor's 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 Contractor's 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).: (_) 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 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.). (_) 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.). (_) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: 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: _ LQPERMIT (760) Lic. Noo..:: 799 799449 i VOICE 760' f 1112 FA �'" x'777 011 INSPECTIOT'.�'( -7153 Date: 10/18/12 P ° OCT 3 o 2012 CITY OF LA QUINTA FINANCE DEPT. WORKER'S COMPENSATION DECLARATION 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 is issued. 1�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 issued. My workers; compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 90136332012 I certify that, in the.performa a of the work for which this permit is issued, I shall not employ any person in any manner so to ecome s ject to the workers' compensation laws of California, and agree that, if I shou a me s t to the workers' compensation provisions of Section 3700 of the Labor Cod 11 o h comply with those provisions. 8'5te: 7 //A ' ant: VO WARNING: FAILURE TO SECURE ORKERS' CO PENSATION 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. 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 abov fo matio i correct. I agree to comply with all city and county ordinances and state laws relating to building st ction, hereby authorize representatives of thic m s y to enter upon the above-mentioned property fo ' s tion oses. te: 10� /7� ure (Applicant or Agent): Application Number . . . . . 12-00001240 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 2010 cbc # BEDROOMS 3.00 FIRE SPRINKLERS yes GARAGE SQ FTG• 531.00 PATIO SQ FTG 422.00 NUMBER OF UNITS 1.00 ------------------------------------ 1ST FLOOR SQUARE FOOTAGE ----------------=----------------------- 3365.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1297.50 Plan Check Fee 843.38 'Issue Date . . . . Valuation . . . . 287914 Expiration Date 4/16/13 Qty Unit -Charge Per Extension BASE FEE 639.50 188.00 3:5000 --------------=------------------------------------------------------------- THOU BLDG 100,001-500,000 658.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 171.50 Plan Check Fee 42.88 'Issue Date Valuation . . . . 0 Expiration Date 4/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 12.00 6.5000 EA MECH VENT FAN 78.00 1.0.0 6.5000 ---------------------------------------------------------- EA MECH EXHAUST HOOD ------------------ 6.50 Permit ... . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 145.60 Plan Check Fee 36.40 Issue Date . . . .- Valuation . . . . 0 Expiration Date 4/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 3365.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 117.78 LQPERMIT Application Number . . : . . 12-00001240 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 641.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 12.82 Permit . . . PLUMBING Additional desc . Permit Fee .. . . . 185.25 Plan Check Fee 46.31 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/16/13 Qty Unit Charge Per Extension BASE FEE 15.00 18.00 6.0000 EA PLB FIXTURE 108.00 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/AL'T/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9..00 7.00 .7500 EA PLB GAS PIPE >=5 5.25 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 Expiration Date 4/16/13 Qty Unit Charge Per Extension ` BASE FEE =---------------------------- -15.00 ----------------------------------------------- Special Notes and Comments SFD - LOT 9, PLAN A, 3365 S.F. PERMIT DOES NOT INCLUDE POOL,SPA,BLOCK WALLS, OR DRIVEWAY APPROACH. 2010 CODES. EXISTING SLAB - SEE OLD PERMIT # 05-4841. ---------------------------------------------------------------------------- Other Fees .. . . . . . . . . BLDG STDS ADMIN (SB1473) 12.00 ENERGY REVIEW FEE 84.34 MULTI -SPECIES (MSHCP) FEE 1254.00 Fee summary Charged Paid Credited -------------------- Due --------------------------- Permit Fee Total ----------- 1814.85 .00 .0.0 1814.85 Plan Check Total 968.97, .00 .00 968.97 Other Fee Total 1350.34 .00 .00 1350.34 LQPERMIT LQPERMIT Application Number . . . . . 12-00001240 1 - Grand Total 4134.16 .00 .00 4134.16 PROUDLY SERVING THE UNINCORPORATED AREAS OF RIVERSIDE COUNTY AND THE CITIES OF: BANNING BEAUMONT CALIMESA CANYON LAKE C OAC H ELLA DESERT HOT SPRINGS EASTVALE INDIAN WELLS INDIO LAKE ELSINORE LA QuINTA .MENIFEE MORENO VALLEY PALM DESERT PERRIS RANCHO MIRAGE RUBIDOUx CSD SAN JACINTO TEMECULA WILDOMAR.. BOARD OF SUPERVISORS: BOB BUSTER DISTRICT 1 JOHN TAVAGLIONE DISTRICT 2 JEFF STONE DISTRICT 3 JOHN BENOIT DISTRICT 4 MARION ASHLEY DISTRICT 5 Y- RIVERSIDE COUNTY FIRE DEPARTMENT r` IN COOPERATION WITH THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION 77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • Phone (760) 863-8886 • Fax (760) 863-7072 www.rvcfire.org December 11, 2012 Holland Fire 1600 Meadowlark Ways-=—`---' Roseville, CA 95661 Re: Residential Fire Sprinkler Plan Review LAQ-12-RS-064 The Residence 80-85 N. Residence Club Dr. La Quinta, CA The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside County Fire Department Planning & Engineering personnel and are approved with the following conditions: NOTE: As required by the State of California Business and Professions Code and the Contractors State Licensing Board (CSLB) only a C-16 Fire Protection Contractor may install fire sprinklers. A.minimum of three spare fire sprinklers of each type and temperature rating along with a sprinkler wrench should be located in a spare head cabinet at the system riser or other approved location. Permanently. marked identification signs shall be attached to all control valves. The completed Contractor's Material and Test Certificate for Aboveground Piping shall be provided to the fire inspector prior to a final inspection. A typical certificate is shown in Figure 10.10.1 NFPA13. A warning sign, with minimum Y< inch letters, shall be affixed adjacent to the main shutoff valve and shall state the following: WARNING: The water system for this home supplies fire sprinklers that require certain flows and pressures to fight a fire. Devices that restrict the flow or decrease the pressure or automatically shut off the water to the fire sprinkler system, such as water softeners, filtration systems, and automatic shut-off valves, shall not be added to this system without a review of the fire sprinkler system by a fire protections specialist. DO NOT remove this sign. The following inspections/tests are required to be witnessed by the Fire Department Planning Division staff: (a) Overhead Rough and Hydro static test: All piping shall be visible and pumped at normal operating pressure. (b) Final inspection. . The Fire Department job card, approved plans and conditions letter must be at the job site or NO inspection will be. performed. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection(s) a minimum of 72 hours prior to the requested. inspection date. All questions regarding the meaning of these conditionsshould be referred to the Fire Department Planning & Engineering staff at (760) 863-8886. Applicant/installer shall be responsible to contact the Fire Department to schedule inspection.