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05-4835 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Ti'tt 4 e4�0" BUILDING & SAFETY DEPARTMENT Applicant:. ,,-<rchitect or Engineer: --——————— ———— — — — — "cense —----------------------- OR'S DECLARATION . I hereby affirm under penalty of perjury tprovisions of Chapter 9 (commencing with .Section 7000) of Division 3 of the Businde, and my License is in full force and effect. License Cllasss: B se No.: 799449 Date: ` ontractor. OWN -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 sheds 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, 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 _ 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 - 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: pip LQPERMff SBS HOMES INC, PETER P.q. BOX 692 TM"QUINTA, CA 92247 (760)777-9921 LiC. No.: 799449 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION Date: 10/31/05 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 Policy Number 176983305 _ I certify that, in the Performa of theel ichthis permit is issued, I shall not employ anyperson in any manner so to cothe workers' compensation laws of California, and agree that, if I shout a me sworkers' compensation provisions of Section 3700 of the Labor Co with those provisions. . pplicant: ' WARNING: FAILURE TO SECURE WORKERS' COMeASATION 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 become null and void if work is not commenced within 180 days from date of issuance of such per ' , r cessation of work for 180 days will *Subject permit to cancellation. I certify that I have read this application and state that the ab e ' for tion i co e I agree to comply with all city and county ordinances and state laws relating to buildin c o re y authorize representatives of thi county to enter up the above-mentioned property r ns on p po ignature (Applicant or Agent;: BUILDING PERMIT Application Number: 055 0-0-0-04835 { Owner: Property Address:8— APN: 022-5--NORTH-RESIDENCE CLUB DR 775-380-999-21 -31627 - NADADOR', LLC CALLE ESTADO, SUITE 203 Application description: DWELLING - SINGLE FAMILY DETACHED VDEC L INTA, CA 92253 Property Zoning: MEDIUM.DENSITY RES Application valuation: 287914 1005 Applicant:. ,,-<rchitect or Engineer: --——————— ———— — — — — "cense —----------------------- OR'S DECLARATION . I hereby affirm under penalty of perjury tprovisions of Chapter 9 (commencing with .Section 7000) of Division 3 of the Businde, and my License is in full force and effect. License Cllasss: B se No.: 799449 Date: ` ontractor. OWN -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 sheds 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, 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 _ 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 - 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: pip LQPERMff SBS HOMES INC, PETER P.q. BOX 692 TM"QUINTA, CA 92247 (760)777-9921 LiC. No.: 799449 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 WORKER'S COMPENSATION DECLARATION Date: 10/31/05 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 Policy Number 176983305 _ I certify that, in the Performa of theel ichthis permit is issued, I shall not employ anyperson in any manner so to cothe workers' compensation laws of California, and agree that, if I shout a me sworkers' compensation provisions of Section 3700 of the Labor Co with those provisions. . pplicant: ' WARNING: FAILURE TO SECURE WORKERS' COMeASATION 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 become null and void if work is not commenced within 180 days from date of issuance of such per ' , r cessation of work for 180 days will *Subject permit to cancellation. I certify that I have read this application and state that the ab e ' for tion i co e I agree to comply with all city and county ordinances and state laws relating to buildin c o re y authorize representatives of thi county to enter up the above-mentioned property r ns on p po ignature (Applicant or Agent;: Application Number . . . . .. 05-00004835 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 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 336.5.0.0 Permit . . . BUILDING PERMIT Additional desc ... Permit Fee 1297.50 Plan Check Fee 843.38 Issue Date Valuation 287914 Expiration Date 4/29/06 . Qty Unit Charge Per Extension BASE FEE 639.50 188.00 3.50.00 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 .4/29/06 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 1.00 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 4/29/06 Qty. Unit Charge Per Extension BASE FEE 15.00. 3365.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY•• 117.78 LQPERMIT Application Number . . . 05-00004835 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 4/29/06 Qty Unit. Charge Per on 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 --------------------------------------------------------- Q -------------- 7 ------ 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 - ------------------------------------------ 7 ----------------------------------- Special Notes and Comments SFD - LOT 21, PLAN AR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. - ------------------------------ Other Fees 7 ----------------------------------------------- ART IN PUBLIC PLACES -RES 222.74 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER RES .366.00 ENERGY REVIEW FEE 84.34 DIF FIRE PROTECTION -RES 0.0 GRADING PLAN CHECK FEE .00 DIF LIBRARIES 7 RES 225.00 DIF PARK MAINT FAC RES 5:00 '00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) RES 28.90 DIF STREET MAINT FAC -RES- 15.00 LQkRMIT Application Number . . . . . 05-00004835 ---------------------------------- Other Fees ---------=---------------------- DIF TRANSPORTATION -.RES ---------- 1098.00 Fee summary Charged Paid Credited Due -- -- Permit Fee Total ---- - - - - -- 1814.85 -- .00 .00 1814.85 Plan Check Total 968.97. .00 ..00 968.97 Other Fee Total 2740.98 .00 .00 2740.98 Grand Total 15524.80 .00 .00 .5524.80 05/15/2006 11:10 7145137555 BORM May 16, 2006 BORM ASSOCIATES INC'. PAGE 01/01 STRUCTURAL ENGINEERS Mr. Peter Jacobs Nadador, I -LC 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, Jacobs: visits were made toobserve 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 ASSQ,IATES, CC. ��RED PR '- . - Y-4 M6hqhmad Douroudian Director, Field Operations jaa:/5424 051606 Opin of Construction Firm Ph 7 cc: (3)Addressee via mail (1) Cmig Williams via Fax (760) 777-9923 (1) File #5421 �Cnalp Mesa, CA Motlastn, CA . Pln-1apnwii, CA H��Pk�villc, CA Lu. Wynn, NV Phuonir, A7. Tursnn, A/ DOnver, Co HHljlo;j, PRG v 04/25/2006 07:54 7145137555 9T 1UCP3RAL JOB SITE ORSERVA M PMjcdName: P S/,rlgwc Observer jrzff -�E4 BORM ASSOCIATES INC. eCIG�� yiZ� PAGE 01/02 BORM 6TAUCTYpµ ENaINEEpe ProcctNutnbea: U��Z Date of observation: A visit to the project site was made on the abase date to: 0 Address specific elements of the work. O Assist the field peas noel with complying with the intent of the construction documents. Assist the field personnel with complying with the findings Rom o pmrious structural job site obsavuioa. ° � � ��Nclr G w � �jp - 265 N . 2 � � �P1ratNt: At the dttu of our start, .cork had propraaaed m the pal So -2 Z' �— Ad&=. Bldg. / Lot Number. Bldg. / Plan Type & Elevation: Foundation Ttarched Foundation Pouted d // 0 0 ❑ s�/ '6 0 0 D Roof Sheathing.Covaed 8� 0 0 0 Roofing Material Stacked and Loaded �Y 0 0 O Exterior Walls Covered 0 0 0 0 0 D Interior Wall Covered t] 0 0 0 0 0 Insulation histalled Mectrieal, Mechanical. Plumbing Complete 0 0 0 0 til 0 Final Framing Pick4tps Completed Q 0 til v ❑ 0 0 ❑ Building Completer 0 Based upon our vialfi 0 Refer to the attached field notes to be addressed by the construction pasomwl- ° Additional inibtmation will be sent from out office which will need to be addmsed by the construction personnel. It is our opinion that this building is behtg constructed in general conformance with the b tt d of the construction documents prepared by our office. C Site Observation eased, flaming was not at a stage of completion in which sift observation could be performed. 0 Concems brought to the attention of field personnel based on previous site ebeeivation trade on have yet to be addressed. ACW Please nota Our findings and recommendations may have other than structural ramifications which we have not addmsed. Be advised that changes to the construction documents treed approval of the building official. Our film is not wAhwizcd to ad as the Owner's haat. Our findings shall not be construed as authorizing the CWMArtu a of additional funds. Site of on was made only to determine general con%rtoanoe with the intent of the construction documents. observation viae made of those pottions tof the work which would best represent the intent of the consttuchoo ducumam6 not each and covery eh9natt of the worm Site observation did not include teview, appaowal of observation of, among offer items: I . 'Phe eontractots safety precautions, p meduree, designs, methods or techniques. 2. Any shoring, scafiblding. rUNICIP MMS, temporary retaining of comtions, or any other creation methods or temporary braciog. 3. Any soils at the site, their adequacy to support the b ulding, etcpansivenest, or any other soil related conditions. 4. Any drainage courses or devises of a to mpmaty nature or as a permanent part of the etruchac, inehu ttg roof and floor slo and Pipes- QROF ESS/ph based on h� 'Lhe findings of this observation we etadettstood to be an tagrressioa of fdeiotnl opinion by the coerr gin infonnadon and belief As such, it consists of neidlWgpMtcc a7 a tee aVreeeed or implied.Ila Field Superiateadeat (OW copy) ' Dater D 371)96 Client (Mcoad Copy via scala xP 06/3OM6 FieldEnglaarc(fcrateapy) Dater `r�,Q Clvtl Iryea have any questions please contact our aMcL �OF CAUFo� COSTA MASA, CALIFORNIA Phone: 714.513-7500 Fax: 714-513.7555 ROSEVOJA CAIMORN1A Phu= 916.774-7597 Fax: 916-774-7599 pLSMANTOK CALIFOIWIA Phone" 925-474.1190 11ex: 925-467-1780 1AS VEGAS, NEVADA phone 702-740.5427 Darr 702-740-5431 PHOINK ARIZONA Phone 623-8694WW FWr 623-869-0609 L,-�f�� Ce., tj te:_®f `sKru ancp y _ -rica e=-. , `,.ter ,•. _ • _ ,.. _ - _�v�- f . OF TN�9wJ ;1 .4 r _ .°Building_ 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. , t BUILDING ADDRESS. 80-225 NORTH RESIDENCE CLUB DR Use classification: SFD' Building Permit No.: 05-4835 Occupancy Group: R3 Type of Construction: VN Land Use Zone. RM Owner of Building- NADADOR, LLC _ - Address: 78120 CALLE ESTADO, SUITE.203 t City, ST, ZIP: L`kQUINTA CA 92253 By: DAVID GATICA �. Date: 2-22-2007 Building Off ici , - r POST IN A CONSPICUOUS PLACE r