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05-3753 (SFD)P.O. BOX 15.04 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t- aF 4 Q" BUILDING & SAFETY DEPARTMENT ICF Applicant: Architect or Engineer: Lic. No.: OOR SQUARE FOOT LICENSED CONTRACTO 'S DECLARATION I hereby affirm under penalty.of perjury that I am licensed under r visions of Chapter 9 (commencing with Section 7000) of Division 3 of the ess and Pr fessione'in!, and my L ense is in full force and effe License Class: B �^ Li;y1�p: 67 600 a I / /) I — •f r w.J - - 11 /l0 11 1 //L __ ----` - V . - . -I - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 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 sate.). (_) 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.). ( 1 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: LQPERDIIT .46LSNIF55 SHEILAH MESLNESS AVE 45 75TH CT WA 98406 Contractor: GUSTAFSON CONST P O BOX 10427 PALM DESERT, CA (760)340.-3462 Lic. No.: 67760, VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 5 DEC 161005 aL FLA - Date: 12/13/05 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 STATE FUND Policy Number _ I certify that, in the performance of the work fortwhich this permit is issued, 1 shall not employ any, person in any manner so as to become su je toIthewkers' compensation laws of California, and agree that, if I ould beco a subjec to he compensation p visi ns of Sect3700 of the Lab r ode, I sha forth o plyose prov' ions. Date: ` _Applican, 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 permit, or cessation of ork for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is or ct. I agree o comply with all city and county ordinances and state laws relating to bu' in constru tion, a by authori representatives of this coup y to enter upon the above-mentioned pr, erty for inspe u o e . -Date:fignatuie (Applicant or Agent): ; Application Number . . . 05-00003753 Permit . . BUILDING PERMIT Additional desc . t� Permit Fee . . . . 1682.50 Plan Check Fee 1093.63 Issue Date . . . . Valuation 397646• Expiration Date 6/11/06 C. Qty Unit.Charge Per Extension BASE FEE 639.50 298.00 --------------------------------------------- 3.5000 THOU• BLDG 100,001-500,000 ---------------------- 1043.00 --------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 207.60 Plan Check Fee 51.90 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 4569.00, .0350 ELEC NEW RES - 1 OR 2 FAMILY 159.92 884'.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 17.68 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/11/06 Qty Unit Charge Per Extension ---------------------------------------_------------------------------------ BASE'FEE 15.00 i/ Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 132.50 Plan Check Fee 33.13 Issue Date Valuation 0 Expiration Date 6/11/06 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 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD. 6.50 LQPERDIIT Application Number . . . . . 05-00003753 Permit . . . PLUMBING Additional desc . V Permit Fee . . . . 228.75 Plan Check Fee 57.19 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/11/06 Qty Unit Charge Per Extension BASE FEE 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 3.00 7.5000.EA PLB WATER HEATER/VENT 22.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM .9.00 15.00 .7500 EA "PLB GAS PIPE >=5 11.25 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 4569 sq. SFD. THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 494.11 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER- 'RES 480.00 ENERGY REVIEW FEE 109.36 . DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 39.76 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited ----------------------------- Due --------------------------- Permit Fee Total 2266.35 .00 .00 2266.35 Plan Check Total 1235.85 1000.00 .00 235.85 Other Fee Total 4339.23 .00 .00 4339.23 Grand Total 7841.43 1000.00 .00 6841.43 LQPERMIT `]VEDDLE SURVEYING MAPPING, INC. Boundary • Construction • Topographic • Aerial Surveys • ALTA Surveys • GPS • Consulting `3 February 14, 2006 l Mr. Timothy R. Jonasson Public Works Director / City Engineer City of La Quinta . 78-495 Calle Tampico La Quinta, CA 92253-1504 Re: Pad/Form Grade Verification City of La Quinta Lot 35 Tract No. 28867 Z g /J✓C _ �TRADITIONS� APN 770-340-035 G� Dear Mr. Jonasson: We have performed a field survey to determine the vertical location of the building pad and form for the above referenced project. The elevation's observed are as follows: PAD (DESIGN) PAD (AS -BUILT) 90.0 90.0 FORM (DESIGN) FORM (AS -BUILT) 90.50 90.52 These field observations are in substantial conformance with the precise grading plan prepared by ESSI SHAIJANDEH, CIVIL ENGINEER, dated 10/23/05 and the building horizontal location substantially conforms to the required setbacks and site layout as shown on the approved site plan. Sincerely, WEDDLE SURVEYING MAPPING, INC. D S(�A` \.IVV 14 3010 David L. Weddle, President ev. L.S. 5570, Exp 9/30/05 OFC 1 P.O. Box 10418 • Palm Desert, CA 92255-0418 _ lU 73-960 Hwy. 111, Ste. 6 • Palm Desert, CA 92260 • 760.346.3748 E -Mail: WedSury@aol.com • Fax 760.346.3 749 SATISH SHAH & ASSOCIATES, Inc. CONSULTING ENGINEERS 3920 E. Coronado Street, Ste. # 203 Anaheim, CA 92807 PHONE: (714) 632-1865 FAX: (714) 632-1314 E -Mail: sshahinc@sbcglobal.net August 18, 2006 Building and Safety La Quinta, CA Reference: Melsness, Residence Lot #35,tClaret Cove �2, — Z 8 _ The Traditi'on— La Quinta, CA Subject: Structural Observations. Dear Building Official: At the request of the Dennis Spates of Gustafson Construction we made visual structural observations of the structure for the above referenced single residence, on June 29, 2006. Framing and hardware locations, and shear walls and nailing appeared to be in substantial compliance with the approved structural drawings. Please contact our office any time for questions regarding this. Satish Shah & Associates Inc. Satish Shah P.E. C 056112 05-17 STRUCTOBS.doc QROF E SS/ON S. s+ q! Z ' No. 56112 �*+ Exp.12/31/06 7 \�gIFOF CAOC36 Certificate of Occupancy0 o -Al `� LucnvwnhnG.�� G� OFT1Building & 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: 52-928 CLARET COVE Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-3753 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC Owner of Building: LARRY & SHEILAH MESLNESS Address: 52-928 CLARET COVE City, ST, ZIP: LA QUINTA, CA 92253 By: EDDIE MUIR Date: MARCH 6, 2007 Building Official POST IN A CONSPICUOUS PLACE 03/28/2007 11:25 7603404921 OF LA QUINTA BU It 16 & SAFETY.DEPARTMENT 777-7012 -.. ECTION REQUEST LINE 777-7.153 I wner. ermit N mbeF-` rUb I UN JUtS IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 313 ADDRESS 5z-928 CLARET COVE 569 SQ,14 '..SFD THIS PERMIT DOES NOT WLIJIRY: FOOL & SPA BLOCK WA LS OR IRIVEWAY APPROACH. TYPE OF INSPECTION DATE INSP. :MPORARY POWER - M A flite I)OTINGS / STEEL r )NCRETE SLAB ICAY TO WRAP �q • v"� IAMING (COMBINATIONI I �•_` ROUGH MECHANICAL . SULATION -_ ., ;TERIOR LATH kS TEST :PTIC _ABA NDC r MOVE SIGNED GUSTAFSON CONST PAGE 02/02 sl r ee !/ �C j�iN lid �i� Le WER CONNECTION TTIC /GREASE INTERCEPTOR MASONRY INSPECTIONS i )OTINGS / STEEL i. )ND BEAM '. POOL / SPA / WATER FEATURE INSPECTIONS. I ' IE-GUNITE / SETBACKS 3 PLUMBING ` 3 GAS 3 ELECTRICAL .E -PLASTER (ALARMS/ BARRIER FINAL INSPECTIONS MP. USE OF PERMANENT POWER ECTRICAL , LIMBI G. Lwed RKS DEPARTMENT ' :..:DEVEL.OPMENT.DEPT. ' tAL•.�.%JOB COMPLETED QVE APFY20VALS DO NCSr. E -RIGHT TO. RN 0J TIL3TIES ORO C Y SUILl7iIr G i • 7