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04-4422 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . 04-0000442P2� Date 12/16/04 Property Address . . . . . . 78380 CLARKE CT APN: 643-170-999-18 -31348 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation . . . . 196109 Owner Contractor ------------------------ ------- - ---------------- PT HAPPY RANCH LL. EHLINE COMPANY 78-570 HWY 111 55375 MEDALLIST DR LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-8130 WCC: STATE FUND WC: 2290006783 01/01/05 CSLB: 4.82086 11/30/05 CCC: B ------ Structure Information 3055 SQ. FT. SFD OPTION -1 MODEL -E ----- Construction.Type . . . .TYPE V - NON RATED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone.. . . . . . . NON -AO FLOOD ZONE Other str 't in/ � CODE EDITION 2001 CBC U # BEDROOMS 4.00 z�) NvTi FIRE SPRINKLERS NO GARAGE SQ FTG 640.00 CITY OF LA QUINTA SQ FTG 663.00 FImANCEDEPT. NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 3055.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . 979.00 Plan Check Fee'. 636.35 Issue Date . . . . Valuation . . . . 196109 Qty Unit Charge Per Extension BASE FEE 639.50 9.7.00 3.5000 THOU BLDG 100,001-500,000 '339.50 ---------------------------------------------------------- ----------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 114.50 Plan Check Fee 28.63 Issue Date . . . . Valuation . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00_ 6.00 6.5000 EA MECH VENT FAN .39.00 P.O. BOX 1504 • '�C��� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: Applicant: chitect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: ski c. No.:_<:— 1 �� 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 Code, and my License is in full force and effect. License Class License No. Date Contractor OWNER43UIL.DER 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 7001) 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.). 1, 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.). WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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: Cartier Policy Number I certify that, in the performance of the work for which this permit is issued, I shall not employ 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 forthwi comply with those pr io 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, indemnity 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 c ente n a o e mentioned property for inspection purposes. f atel� � ignature (Applicant or Age: Application Number 04-00004422 Page 2 Date 12/16/04 .Qty Unit Charge Per Extension 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 134.73 Plan Check Fee 33.68 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3055.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 106.93 640.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 12.80 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 198.00 Plan Check Fee 49.50 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 .7500 EA PLB GAS PIPE >=5 7.50 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 -------------------------------------------- and Comments SFD - LOT 18, PLAN E1R, 3055'SF. PERMIT DOES NOT INCLUDE POOL,SPA BLOCK WALLS OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . ... . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC,CENTER - RES, 366.00 'ENERGY _ REVIEW FEE kV 63.64 �,41 Page 3 Application Number 04-00004422 Date 12/16/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . 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 STRONG MOTION (SMI) - RES 18.92 DIF STREET MAINT FAC -RES. 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ---------- Due Permit Fee Total 1441.23 ---------- .00 ---------- .00 1441.23 Plan Check Total 748.16 500.00 .00 248.16 Other Fee Total 2487.56 .00 .00 2487.56 Grand Total 4676.95 500.00 .00 4176.95 i ,- Certificate of Occupancy G OFT9� 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. BUILDING ADDRESS: 78-380 CLARKE COURT Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4422 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: PH RANCH, LLC Address: 78-370 HIGHWAY 111, STE. 200 City, ST, ZIP: LA QUINTA, CA 92253 _ By: KIRK KIRKLAND a Date: AUGUST 30, 2006 Building Official POST IN A CONSPICUOUS PLACE CEO- __ __ _ _ - _ _� Q002/002 op I r/ CITY Or LA QUINTA OF BUILDING & SAFETY DEPARTMENT 777-7012 INSPECTION REQUEST LINE 777-7153 Owner PH RANCH, LLC Contractor EHLINE HOMES Permit Number 04-4422 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-380 CLA.RKE COURT SFD — LOT 18, PLAN E1R. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. TEMPORARY POWER 0 701— SETBACKS U/G PLUMBING /WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING (COMBINATION) ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL N COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH % =. GAS TEST 06 - SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR • MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER I C •L(n •O G �J PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT -7 • 0& ez l4 1 COMMUNITY DEVELOPMENT DEPT. Z FINAL/ JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING