04-6814 (SFD)�.. BUILDING & SAFETY, DEPARTMENT
ox 15`04. - Y s (760).777-7012
OF 78- CALLE TAMPICO. f'''" "FAX (760) 777-701.1
QAC UI TAy CALIFORNIA 922531- INSPECTION REQUESTS (760) 777-71.53
BUILDING. PERMIT „
cAc
pplicatiron Number 0� 4 �0-0006'8141 A'.' Date 10/19/04
Prope,rty', Add'res's' ° . ' 5655:8—PALMS. DR
1.
APN: 7647`,;0 2,00 :P87 - -
Applicati'on description`. DWELLING`"SINGLE FAMILY DETACHED
Property,Zoning -LOW DENS.IrTY RESIDENTIAL
Applicat`ion.valuation 244659
Owner A Contradtor .,
------------------------ --=---=-------
BIRDIE HOMES, >, ;FI R'ST_:PAC.IFICA DEV CORP
5 EAST:-'C:_ITRUS,, S:TE:. 105 : ' 3;00 EAST `STATE ST, "SUITE #:100
REDLANDS ;' -CA 92373, REDLANDS;•h, CA 9.2'3;73
798-3688 .
=WCC': STATE F=UND
''WC.'-. 0008353`2004 -011/01/05
CSLB: 76-0.044 ..0-3/3i/05
CCC: B
------- ---
--=------- `Structure jnformation : =------------
Construction.Type TYPE V.- NON''RATED
Occupancy Type . . . . .. DWELLG/LODGING%LONG <=10
Flood Zone NON4AQ, FLOOD'ZONE'.
Other struct info ..',CODE.EDITION. 2001 CBC
FIRE„ S'PRINKLE'RS` 'NO
r GP;RAGE' SQ FTG'
649.00
PATIO:. SQ ,>FTG•.= 550. OfY
NUMBER�.OF, UNITS„
FIRST; FLOOR , SQ' FTG 2780.00.
----=---- ----=-
------ - - - - -- - - - - =- - -- =- - - -- - - --------------
-.-
Permit BUILDING P.ERRIT
Additional des'c
F • A:.
Permit Fee 1147!1 F Flan Check'' Fee 186.39
Issue Date ,Valuati:on244659
Qty Unit Charge Per yA; Extension
BASE. FEE 639.50
145..00 3 ..5000 THOU .BLDG 100,001,,-,560,Q=00 507.50
-------------------------------=----- - ------•=----------------
Permit . . . MECHAN'ICAL _- -- - , ---
Additional desc
Permit,-- Fee. 140.50 Plan" Check ' Fee 8.78
Issue '_Date :Valk: ,1,on 0
Qty. Unit- Charge Per Extension
BASE: _FEE 15- 00
3.00 9.6000,EA- MECH FURNACE <=1.00K 27.00
3.00 9.0000,,,EA MECH -B/C <=3HP-/100K BTU. 2;7:0.0
10.00 6.5000`,Ek' MECH .VENT-:,FAN' t 65.00
1:00 6.50.00 EA MECH'�EXHAUST.HOOD 6.50
P.O. Box 1504 • �G/ VOICE (760) 777-7012
78-495 CALLE TAMPICO �v FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: /941-10914 Date:
Applicant: !hite or E gi eer:
Applicant's Mailing Address: chitec or n errs A ess:
Lic. No.:
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
de, and Licensers m NJ force and effect. ^
License Class
Tom—) _&ense No. I o
,,�— uate r�—
OWNER -BUILDER DECLARATION
I 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 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 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.).
U 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.).
U I am exempt under Sec. , BA 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 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 work rs' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
My rs' comp sation ins ce carrier and policy n be r
�rier icy Number S7 c —'� bQ [�
ce fy a , m the pe o an a of the work for which this permit is issued, I shall not employ�ny person m 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.
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.
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 J
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 Ouinta, 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 with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
e (Applicant or A ent
)ate -
el
C; ,
Page
2
Application Number
04`-0'0006;8;14 Date
10/19/04
Permit 'ELEC-NEW RESIDENTIAL
Additional desc
,..
Permit Fee
12.5.28 Plan-`, Check, Fee.
7.83,
Issue Date
Valuation
0
Qty Unit Charge
Per
Extension
BASE FE'E:'..
15.00
2780.00 .0350
:ELEC,NEW RES - 14.OR 2.FAMILY
.97.30
649..00 .0200
''ELEC,GARAGE.OR NON-RESIDENTIAL
12.98
Permit . . . PLUMBING
Additional desc
Permit ` Fee-
177 75, --..Plan .:Check Fee
11.11
Issue Date
Valuation....
0
Qty Unit Charge
Per
Extension
BASE' FEE"
15.00
18.00 6'. 00 00
EA PLB:F I XT.URE"
1'0 8. 00
1..00 15.00,00
EA ;PLB BUILDING SEWER.•_.
15.00
1.00, 7:5`0 0.0
EA PLB WATER: HEATER`/ VEN.T `.
7.50
1.00 3.0000:'EA' PLB WATER I'NST/ALT/REP
3.00
1.00 9.0000 1.
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. 010
Permit GRADING PERMIT
Additional .d'esc
Permit Fee
15..00 Plan,Check Fee
.00
Issue Date
-Val'uation ;:
0
.Qty Unit Charge
Per
Extension
BASE. PEE
15.00
Special Notes'and.Comments `.
SFD - LOT 8,. PLAN 2&.278.0
p
SF'. P.ERMIT
DOES NOT INCLUDE POOL,
SPA,. BLOCK.WALLS
OR DRIVEWAY
75 % .REDUCTI.QN_ TO';
.,APPROACH...
PLAN CHECK FEE DUE TO.
MULTIPLE "i'SSU. CE`
OF SAME.'PLAN TYRE.
---=--------------- -------------.
Other Fees . . . . .
-- ---.-------
ART ;INZ PUBLIC PLACES -RES
-----------
111..,64
.-
DI -F- COMMUNIT.Y_'CENTERS-RES
97..'00
DIF CIVIC CENTER,;- , RES
366.00
•
ENERGY=;REVIEW'FEE
.18.64
DIF FIRE: PROTECTION -RES
97.;00
Page 3
Application Number
04-0000,68`14 Date
10/19/04
-- - --
Other'Fees
GRADING PLA N: ;CHECK,: FEE
- - - --
00
DIF'LIBRARIES; RES
225.0'0
.DIF PARK MAINT FAC RES
5.00
DIF PARKS.%REC RES.
502.00
STRONGrMOTION . (SMI) :- RES
24.46
DIF.,.. STREET,,- MAINT'FAC-RES
15.00
.
DIF.TRANSPORTATION RES
1098..00
Fee summary
Charged
Paid,: .Credited
Due
-------- -- -- ---
- ----- --
- j ----
---- ----=--=--------
--
--
- -.-
-,.-
Permit Fee Total
16.05.53
.00 :.00
1605.53
Plan Check Total
214.11
.`00 ,.00":
214.11
Other Fee Total
2559.74
:0,0 •..,00
2559.74
Grand Total
43`7'9':38
.00 .00
.r
4379.38
1
7
�- - Certificate of Occupancy
S �
V = � • ��'1I/lj��
S �E�
j11M%1A7ED
^Department
Building & Safety
B
€V
This Certificate is issued pursuant to the requirements of Section 709 of the California Building
1=1q
i
Code, certifying,.,- that, at the time of issuance, this structure was .in compliance with the
Epi
' provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
+
y
f 'i
4 y g
f BUILDING ADDRESS: 56-558 PALMS DRIVE
E
;1
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6814
E
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
4
Owner of Building: BIRDIE HOMES 111, LLC Address: 5 E.'CITRUS, STE. 20.5
;
a :
City,,, ST, ZIP: REDLANDS, CA 92373
I I
�- By: DAVID GATICA
`
+�E
Date: SEPTEMBER 7, 2006
I
Building Official
4
i
POST IN A CONSPICUOUS PLACE
i'qP. ^.vim
A•�
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_ nu 3 .F�^+ � Y. .x: t :?' - _
v � t
F, �f =?~� OF LA QUINTA
E`F" 'vim BUILa &SAFETY DEPARTMENT
SOF Lt; . LQ� r 777-7012
-
Ip SPtCTION REQUEST LINE
ITY OF U' OJtf�� 777-7153
r11"CE DEPT-
Owner
EF? Owner RIRDIF R MFQ-llll i T C
ContractoT ORMENT --
Permit Number 04.681.4
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 56-558 PAT MS DRIVE
SFD — LOT 8, PLAN 2$ PERNQT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY APPROACH .
TYPE OF INSPECTION I DATE INSR
SETBACKS
U/G PLUMBING 1
FOOTINGS I STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL A OVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP 6
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH M
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST i DI -
SEPTIC ABANDONMENT
SEWER CONNECTION A
SEPTIC / GREASE INTERCEPTOR
FOOTINGS I STEEL I I
POOL 1 SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE f SETBACKS
UIG PLUMBING
U/G GAS
UIG ELECTRICAL
PRE= PLASTER (ALARMS/ BARRI
FINAL INSPECTIONS
TEMP USE OF PERMANENT POWER
Ft FCTRICAL
PUBLIC WORKS DEPARTMENT I {fif, s✓
FINAL / JOB COMPLETED _ IQ – "l - o C. I_If!fT —
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Z'd 9966ZLL09L