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05-4836 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00004836 80205 NORTH RESIDENCE CLUB DR 775-380-999-20 -31627 -- DWELLING - SINGLE FAMILY DETA MEDIUM DENSITY RES 287914 11_�Chitect or Enginee 7 rya -------------------- ENSFD CONT CTOR'S DECLARATION I hereby affirm under penalty ofperjuryt I a licensed n er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi s an rofes ' s Code, and my License is in full force and effect. Licen Class: B LicenseNo.: 799449 ,Date: / ��IL tractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt 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).: (_ 1 1, 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.). (_ 1 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 Owner: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Date: 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 ISec. 3097, Civ. C.1'. Lender's Name: n Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 . INSPECTIONS (760) 777-7153 Date: 10/31/05 Owner: NADADOR, LLC 78120 CALLE ESTADO, SUITE 203 LA QUINTA, CA 92253 Contractor: JACOBS HOMES INC, PETER P.O. BOX 692 LA QUINTA, CA.92247 (760)777-9921 Lic. No.: 799449 WORKER'S 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 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 issued. My workers' compensation insurance carrier and policy number are: Carrier HRH INSUR P 'cy Number 176983305. I certify that, in the perfor/Iallrk for w ' this permit is issued, I shall not employ any person in any manner ssubject a workers' compensation laws of California, and agree that, if I shoc to - orkers' compensation provisions of Section 3700 of the Labor Cody with those provisions. pplicant: 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. 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 per , or cessation of work for 180 days will subject permit to cancellation. ' I certify that I have read this application and state that the inf rmation ' rrect. I agree to comply with all city and county ordinances and state laws relating to buildi s uctio ereby authorize representatives of this=countyenter�upo a above-mentioned grope r in io p es. ignature (Applicant or Agent): �2 LQPERMIT Application Number 05-00004836 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 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 210.85 Issue Date . . . . Valuation . . . . 287914 Expiration Date 4/29/06 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 10.72 Issue Date . . . . Valuation 0 Expiration Date 4/29%06 Qty Unit Charge Per Extension BASE FEE 15.00 4'.00 9.0000 EA MECH FURNACE <=100K 36.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 12.00 6.5000 EA MECH VENT FAN 78.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 Permit ... . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 145.60. Plan Check Fee 9.10 Issue Date Valuation 0 Expiration Date 4/29/06 -Qty Unit Charge Per Extension BASE FEE 15.00 3365.00 .0350 ELEC NEW RES - 1 OR 2.FAMILY 117:7.8 LQPERMIT LQPERMIT Application Number . . . . . 05-00004836 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 11.58 Issue Date Valuation 0 . Expiration Date 4/29/06 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/ALT/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 4/29/06 Qty Unit Charge .Per Extension BASE FEE 15.00 ------------------------------------- -------------------------------------- Special Notes and Comments SFD = LOT 20, PLAN BR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---- --- ------ Other Fees ------------------------------------------------- ART IN PUBLIC PLACES -RES 222.74. DIF -COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES' 366.00. ENERGY REVIEW FEE '21.09 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 LQPERMIT LQPERMIT Application Number 05-00004836 ---------------------.------------------------------------ Other Fees . . . ... . - STRONG MOTION (SMI) - RES -------------- 28.90 DIF STREET MAINT FAC -RES _ 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due' Permit Fee Total 1814.85 .00 .00 1814.85 Plan Check Total 242.25 .00 .00 242.25 Other Fee Total 2677.73 .00 .00 2677.73 Grand Total '4734.83 .00 .00 4734.83 05/15/2006 11:10 7145137555 H OR, May 16, 2006 BORM ASSOCIATES INC. PAGE 01/01 STRUCTURAL ENGINEERS Mr. Peter Jacobs Nadador, LLC 78-120 Calle Estado, #203 La Quinta, CA 92253 Re.: Framing - Lots 20, 21, Phase 7 Lot 20;_80-205 North Residence Club _Drive Lot 21: 80-225 North Residence Club Drive Subj.: Opinion of Construction Dear Mr.r Jacobs; VISAS were made to observe the work and determine if it was in general conformance with the intent of the construction documents as prepared by our office. Reports were provided to your firm detailing deviations from what the construction documents had intended and recommendations were made as necessary to remediate these deviations. Based on our observations, it is our opinion that framing`for Lots 20 and 21, Phase 2 was constructed in general conformance with the intent of the construction, documents prepared by our office. The content of this letter is understood to be an expression of professional opinion by this engineer which is based on his/her best knowledge, information and belief. As such, it consists of neither, a guarantee nor a warrantee expressed or implied, If you have any questions, please contact us. Very truly yours, BORM ASSQ4IATES, NC. �� pn "I Mohalhmad Douroudian Director, Field Operations jaa;/5424 051606 Opin of Construction Frm Ph 7 cc: (3) Addressee via mail (1) Craig Williams via Fax (760) 777-9923 (1) File # 5424 C.nalj) Mvt;u, CA Wtim;to, CA PI—ronlou, CA Hosp4lu, CA Lus Vcyns, NV Phoenix, AZ Turnnn, A/ oonver, Co Heglna, PRG 1 e rtl �l cra-e•� � •�� c c u a n c •,� , - o'FT����puildinga &Safety Department - - •_ -_This. Certificate is issued pursuant to• the requirements of Section ,1,09 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 d the various ordinances• of the City regulating building construction and/or use. BUILDING ADDRESS: 80-20.5 NORTH RESIDENCE CLUB DR • Use classification: SFD -' • .-Building Pe rmit,No.: 05-4836 Occupancy _Group: R3 Type of Construction: VN - 'Land Use Zone_ RM, Owner of Building:-NADADOR, LLC,-.:, ,:= • '' � .-:.Address: 78120 CALLE ESTADO, SUITE 203. _ • . •' ..� - , City, ST, ZIP: LA QUINTA CA 92253 V ` •- By: DAVID GATICA - Date: 2-22-2007- -22-2007•Building BuildingOfficial . - - • •i':,;,� '.• POST IN A CONSPICUOUS PLACE 1