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04-6811 (SFD)Oil ®�l . B 1504 s (760).777-7012 -4'95 CALLE TAMPICO - L` FAX (:760) 777-7011 L`, QUINTA, CALIFORNIA 92253. INSPECTION REQUESTS (760) 777-7153 BUILDING `PERMIT ApplicationNumber 00~00068_:1.1 Date 10/19/04 Property Address: 56768 .PA= LMS"'DR . APN : 7;64'` 02 0-..0°01- - - Application descriptioii, DWELLTNG'>- SINGLE FAMILY DETACHED Property Zoning LOW-,DENSITY.;RESIDENTIAL Application valuation. '.`225478 Owner Contractor; r BIRDIE HOMES ~� FIRST 'PACI:FICA. DEV CORP 5,EAST.CITRUS.AVE .�STE. 105 - 300. EAST.STATE ST, SUITE #100 REDLANDS CA 92373" REDLANDS CA 92373 0.9.09`).' 798=3688 ;iWCC s: 'STATE FUND - WC: 0008'3532004 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 664.00. . ,-PAT,IO:.SQ :FTG 483.00 NUMBER,. OF _�UNIT;'S 1'.-100 FI RST FLOOR -"SQ,' FTG 2;550.0'0 - ------=-- - - - - - - - - -- - ----- --'- -= - - - -- - - - - - - ' -- - - - - -- - - - - - - - Permit : BUILDING ,P:ERMIT Additional desc Permit Fee 1080.5.0 Plan Check Fee 7%02.33" Issue Date r ""x" Valuati;on`> 225478 Qty Unit Charge Per Extension BASE. FEE" 639.50 12.6. 00 3.5000 THOU' -BLDG 1 60 •:0:01-.5.0.0:, 0,0,0 _ 441.00 Permit . . . . . MECHANICAL;. Additional desc Permit Fee 140:.50 Plan;Check Fee 35.13 Issue,.DateValuation' 0 Qty ' . Unit Ch_ arge -Per , "s` : "` Extension ` BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=.1010K-, .27.00 3.00 9.0000 EA : MECH B/C <.=3H,P/>100K'BTU 27.00 10.0 0 6.5000 EA MECH VENT FAN ` 6`5.0 0 1.00 6. 5 0 0 0. ,EA ,. , r MEC H' EXHAUST` HOOD 6.50 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: �l • �1' - 5 Applicant: chit t or n ineer: Applicant's Mailing Address: Architec Eeer's A dress: J—Lic. No.: -aa) X BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals and my License ' full Ie and effect. .� License Class — License No. pay a Date ontractor � OWNER -BUILDER DE LARATION 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 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 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 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. 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 isuaxi, My o ' com nsation��apaeuuranee came nd o]icy n�Tpb r ar amer Policy Number,� _ ce i y a , in the pe a e of the work for which this permit is issued, I shall–n–o–tem—any person in 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. ate' _ pfcant 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.). Lender's Name Lender's Address 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. 1 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- entione propeq%yfor inspection purposes. atel /Signature (Applicant or Agent): i w Page 2 Application.Number Q4-00006.8`11 Date 1.0/19/04 Permit . . . ELEC-NEVRESIDENTIAL Additional desc Permit Fee . . . 117:53 ;<Plan`..Che'ck Fee 29.38 Issue Date . . . Valuation .0 Qty Unit Charge Per Extension BASE::. FEE 15.00 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::Che'ck, Fee 46.13 Issue Date Valuation . . 0 Qty Unit.Charge Per Extension BASE :-FEE , . 15.00 19:00. 6.0000 EA PLB.FIXTURE;;,. 114.00 1.00 15.0000 EA PLB BUI.LDING...SEWER 15.00 1.00 7.5000 EA PLB, WATER HEATER/FENT 7.50 1.00 3.0000 EA PtB;WATER INST/ALT/REP 3.00 1.00 9:0000 EA .PLB LAWN SPRINKLER SYSTEM' 9.00 8.00 7.500. EA PLB-;1G..'. PI:PE >=5 6.00 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 Qty Unit Charge Per Extension BASE -FEE. _ . 15.00 Special Notes arid -Comments SFD -.LOT 1, PLAN lA 2.550.SF. PERMIT DOES NOT INCLUDE POOL, SPA,.BLOCK'WALLS. OR DRIVEWAY'APPROACH Other Fees .. . . . . . ., ART I -N. PUBLLC` .PLACES -RES 63.69 DIF'COMMUNITY'::CENTERS.-RES 97.00 DIF CIVIC CENTER_ - 'RES 366.00 ENERGY . REVIEW, FEE. 70.23 DIF�;:FIRE "..PROTECil,TION-'RES 97.00 G.RPDING `PLAN '.CHECK FEE .00 DIF.LIBRARIES:-.'.RES;. 225.00 DIF PARK'MAINT.FAC - RES 5.00 „._ Page 3 Application.Number• 04-.00006,811'. Date. 10/19/04 Other Fees DIF PARKS /REC,:,.- RES 502.00 STRONG. tMQTrION .-. RES 22.•54 _(SMI) DIFA STREET MA -INT -.FAC-RES 15:'00 ' DIF .TRANSPORTATION....- RES. 109.8.00 Fee summary Charged Pa'i.d',. Credited' Due Permit Fee. Total 15;38.03 `:,0;0 00. 1-538.03 Plan Check Total 812.97 00:`.� .00 812.97 Other Fee Total' 2561.46. 0:0::' 00 2561.46 Grand Total 4912:4'6 00 00 4912.46 a Certificate of Occupancy0 T.'t ot '� •IJKAPDLt 7ID y� F Building & Safety Department - This Certificate is issued pursuant to, the requirements of Section 109:of-the Calliorn►a' Building �. • C.ode,)' certifying. that, at the ,tiine -of, issuance, this structure was in,. compliance ,with the prorsions 'of~the Building Code and 'the various ordinances of the- City regulat►ng'building construction and/or use: BUILDING ADDRESS: 56-768 PALMS DRIVE s Use. classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6811 I ' ,Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL a i z Owner of Building: BIRDIE HOMES 111, LLC Address: 5-E. CITRUS, STE. 205 City, ST, ZIP: REDLANDS, CA 92373 f. By: DAVID GATICA Date: SEPTEMBER 7, 2006 Building Official POST IN A CONSPICUOUS PLACE 1 — Y::i"W r. x.'._+: -1•' r•f c..u'rU .nw rw:t'• i M1eEPI --yl .. iY f R '.: �.-iK35. 4j•. .t' ._.`. oil- --,:�-SITY OF LA QUINTA G & SAFETY DEPARTMENT j 3 f''O� n�tv It' 777-7012 PECTION REQUEST LINE �--- si 777-7153 N i1(1nFC iiia ��,� CormactoApoml oppiIENT Permit Number 04-011 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 56-768 PALMS DRIVE SFD — LOT 1, PLAN IA. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR TYPE OF INSPECTION I DATE INSP. TEMPORARY POWER U/G PLUMBING / WASTE ' U/G ELECTRICAL! GROUNDING FOOTINGS / STEEL Or - CONCRETE CONCRETE SLAB NO WORK INTERIOR GYP. EXTERIOR LAT GAS TEST SEPTIC ABANE SEWER CONNI FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT ' U (o COMMUNITY DEVELOPMENT DEPT Y - S . y FINAL / JOB COMPLETED �T " D 1 klu ABOVE APPROVALS DO NOT INCLUDE RIGHT TO BURN ON UTILITIES OR OCCUPY BUILDING SNWd 3Hl e6£: L L 90 LO deS