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9907-062 (SFD)BUILDING PERMIT PERMIT# S}9t1'T-did 2 DATE �. VALUATION 3$6 123.70 LOT 7 TRACT B1,X4 U2 LICENSED CONTRACTOR DECLARATION JOB SITE ] ADDRESS 51,395 CALLE ILO1.LO I hereby affirm under penalty of perjury that I am licensed under provisions of r Chapter 9 (commencing with Section 7000) of Division 3 of the Business and N G, Professionals Code, and my License is in full force and effect. j �,� License # Lic. Class r,,.Exp. Date r- 0 LO oZDae -29.1725 B / {x/31/24( . f�.r Signature of Contractor -- -v'""" t7F,t).3"-1^00 CBL# .5449 J U C) OWNER -BUILDER DECLARATION HW r— I hereby affirm under penalty of perjury that I am exempt from the Contractor's U) License Law for the following reason: Z_ ( ) I, as owner of the property, or my employees with wages as their sole 0ARACAUCAEtI,O.;f 4W.W Sig compensation, will do the work, and the structure is not intended or.offered for 5 FT. NVOOD WINCH ?00 00 'LF sale (Sec. 7044, Business & Professionals Code).;. ESTNIATEDGYO4S3VSTRV(IGN ( ) I, as owner of the property, am exclusively contracting with licensed TS1rrFSRSUINIMILIkRy contractors to construct the project (Sec. 7044, Business & Professionals Code). c'') LO () I am exempt under Section B&P.C. for this reason N ON Date Signature of Owner CL z _ WORKER'S COMPENSATION DECLARATION C) cr U') <O I hereby affirm under penalty of perjury one of the following declarations: 0 11 A D I NQ FIrE i0i-i�L-4�^ °} ' - 3X00 () 1 have and will maintain a certificate of consent to self -insure for workers' x.Uj LL compensation, as provided for by Section 3700 of the Labor Code, for the !` J Q performance of the work for which this permit is issued. `•LU Q U ( ). I have and will maintain workers' compensation insurance, as required by O U QSection d 3700 of the Labor Code, for the performance of the work for which this insurance & ` : rn H permit is issued. My workers' compensation carrier policy no. are: 'vy. � z Carrier Policy No. Cb S'I`!i'iIES.rtTNT.) 229-90 UNIT ' 0004483 Q (This section need not be completed if the permit valuation is for $100.00 or less). BY j" ( ) I certify that in the performance of the work for which this permit is issued, INSPECTOR 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!l forthwith comply with thosefprovisions shall . Date.^f �� Vt`'ei Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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.. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 1 any permit issued as a result of this applicaton agrees to, & shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating toithe'�building- -construction, and hereby authorize representatives of this City to enter upon the above-mentioned property for inspection purposes. , '�i[- Signature Date (Owner/Agent) .f BUILDING PERMIT PERMIT# S}9t1'T-did 2 DATE �. VALUATION 3$6 123.70 LOT 7 TRACT B1,X4 U2 JOB SITE ] ADDRESS 51,395 CALLE ILO1.LO APN 769-1$4-0.19 OWNER CONTRACTOR/DESIGNER/ENGINEER [A Q1..[iRl°IA PaRTNEIRS WILLIAM R SSEL1,1110GExS Al -3a(➢ k VEN10A IBC:ii.tYHA)AS 56900 JACKSON dr ' i,.tl Qi IRWIA C.A. 92253 '('1-1F:RMAL ':Ti 92774 t7F,t).3"-1^00 CBL# .5449 USE OF PERMIT - S NCIL #�Ai�Xlf. r vlil l.CS3i i CL. SPO ONL f , PERMIT .DOE NOT INCLUDE 1BLOCK WALL OR POOL. TRACY C014rCvf R 1,fC~�'.0N 1,3A00 STS P0k'Q-R'ATY0 i 11.00 sJ 0ARACAUCAEtI,O.;f 4W.W Sig 5 FT. NVOOD WINCH ?00 00 'LF ESTNIATEDGYO4S3VSTRV(IGN -3 ,.37.3.7It TS1rrFSRSUINIMILIkRy 1P1,rlN, CI11"C3f993 .101.000.439.118 -VMrk`4�UNICA FEE .101 -00Oµ121 -WO 553,50 ♦ -4 i v PLUVB= FEE 191-000-419-000: S� � �:•, e0 .� 1` i +ti M€"M ILS r FEE .. , rK, 1101-000-20-000 0 11 A D I NQ FIrE i0i-i�L-4�^ °} ' - 3X00 i ynfr_r.R�asJT}2UCl'C31 M 22.5-000-�1j*-342 rt PRBC.I.SEPLAN 10140IM-441: 345 $23,00 1798r'SpOs't'f 4 t31-01NJ-4.39-3;1.%; 4250,00 ►8 F1 S715d i3EtJ:.Yr.S1.9JCMOit'1'<.f�.ii.lV i,.r8'iECK?a�1.'�.. - '..ESS 1'1:FTAM +.EES _$2.50,00 MCM, PERA f FT,.1'J3 .1)3J3! NOW S3.06191) RECEIPT' DATE BY j" DATE FINALED INSPECTOR INSPECTION RECORD OPERATION j DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans' O.K. to Wrap F.A.U. Framing /t p0 57 Compressor Insulation _ Z --cam 7 Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final I BLOCKWALL A PROVALS POOLS - SPAS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Pibg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances aep—DC. A.'f — It -GO S.T, Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring -Fbdures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final (YD Utility Notice (Perm) COMMENTS: Q Q l • 'tl,'iW".y.2.e7r""yi4S''"s'"'.,"�'+'^y"+�'�1)n�,u.•.,rtr++fir,; .'^i.v�.+f+=+rte:.�..fi-�..:-�...�,�t�_:s'�'�.�.�.^.""�'�'1}.'syu/'v�';�"'!'.�.. j TA • 'G`�� P.O. BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO Addrress 1 03 r1 r alit' ILOI LQ LA QUINTA, CALIFORNIA 92253 Address' 370 4L)c City Zip Tel. Contractor Pi I Pr M�Ci7 ®obi Address State Lic. City & Classif. 91_ -1A r, I Lic. # Desi net Address Tel. City IZi k;k q -a .1 State i4.4 �f1lI V� ,Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER-13UILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to ,Its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. or that. he 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). I: 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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such 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 did not build or improve for the purpose of sale.) 11 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 17 1 am exempt under Sec. B. 8 P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I'have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800. Labor Code.) Policy No. Company " r7 Copy is filed with the city. O Certified copy is hereby furnished. i CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of lhg 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. Date Owner NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION -LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address 't This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. 'l Signature of a0plicant Date Mailing Address .1 City, State, Zip LDING: TYPE'CONST. OCC. GRP A.P. Number –116-114-019 Legal Description "�T –1 (X. Q* Project Description Air SAUTA VAIR-rnirL.1Vh Sq. Ft.No. No. Dw. Size i Stories Units New l' Add ❑ Alter ❑ Repair ❑ Demolition ❑ C t+ I•OLt�s Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback f On® n Rear Setback I(� ear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION V ASSESSOR'S PARCEL NUMBER COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY DEPARTMENT OF ENVIRONMENTAL HEALTH RMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM MPPLICANT. Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list. A non-refundable filing fee is required when the application is submitted. Check must be made payable to the d Courtty-of. Riverside, Approval of this applica tion shall remain valid for a period not to exceed one yek from date of payment. '� t7y 11 "UtC. U2 45 n Lnl,s # i jr �' /A Qili�+/r S � -.'3 �i S { �, o Ido � tT � �� siT 5,13 .., $ci4. Agent, Contractor, Contact Person Address City State `°' "` Zip Telephone 4 -—51449aS (-570 AAF_ Quamwd ;5 rce, q l- Z' SG K, q7 u a Owner (-A 004M Dtil �► Address City State Zip '5('*3Q AVE W AOdF�7- Telephone 11 ZO Job Property dress 47-.7!1 ;�c�E �caico City 14 Qmvm Zap P U W LU Lot Size &ter Agency 51�ffle/, St1 x� oe C)oac ccA fJ/?�LeY Use of Permit, P/P, SUP, PUP, etc. _ t 4;ui W 7f: 6�i44G� Legal Description �- Lor 7, ®ccxK y, ESF�t CKR//1QCT 41liT C-( ,, Dwelling�ii Mlte"e�rep �j� Al Signature of Appli `` 41el1 I 7 Date CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the information is provided and the fee paid. Resubmittals later than 90 days after date noted below may require. repayment of fees. m ❑ Holding Tank Agreements Completed Z 01 ❑ Certification of Existing S.D. System Required UJ~ ❑ WOCB Clearance Required (Attach for DOH -SAN -007, Santa Ana Region Only) U) ❑ Soils Percolation Report Required ❑ Special Feasibility Boring Report Required ❑ Rereview Required Initials Date C/42 / Soils Percolation Boring Report by ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) ❑ Staff Specialist Lot Inspection Required Thomas Bros. Page Grid ❑ Date Lot Inspection Completed: Initials Remarks: ❑ Maintenance Booklet Provided ❑ Final Inspection by Department of Environmental Health is required. Please call 24 hours PRIOR to inspection. # Date Soils Map Page Soil Type,,./--( M Approved By Date No of Systems T pe of System(s) No. Dwelling Units ($ �tAk (1) Septic Tank Soil Rate Gidase(Sand Holding Tank o Replacement Bedrooms, II Q00 Grease IIfift ' t Trap kIew ❑ Addition o� � 1 Il u Existing I �� Gal. ! y4 !moo Gal. Sq. Ft. Total Unear Sidewall Allowance ttom Area Ftp. eft 0h'% "�.� ❑ sq. ft. runng ft. Install lU�e(s) ft, long ft. wide with Inlet Tested De tNA min. inc esro�low drainlines or U Proposed Bottom Tested Depth Z Leach lines/br-i special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage 'Oft Maximum Other: O *N1 Total Depth Allowable U Applicat5le��v �� r Depth / LU N/A_ _Overburden ctor 4 TD T3 . 4 We/Review Approved: Date: Well'IDrilling Permit # � SIGNATURE E rading Plan Approved: Date: ) SIGNATURE Sewer Verification Approved: Date: Plan Check This application isCAPPROVEO/AENIEDMooMItteXCategory-c ec n SECTION.& "above, regarding thud esign of a subsurface disposal system as indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. A build- ing permit is necessary for the installation of the above -designed system. No con- structfon Is permitted In the required reserved 100% expansion area. (1 Septic Tank must be 100' minimum from any welis�i / 0 ' r^04-- T 7tC--,rir / 40V,* (2) Leach lines must be 100' minimum from any wells, including expansion area. (3 Sewer lines must lie 50' minimum from any wells. Z O 9 Seepage pits must be 150' minimum from any wells including expansion area. LU fn Signature of Health Official 9_1&49 Date DEH -SAN -122 (Rev 9/98) L-- FOR OFFICE USE ONLY Leach Bed sq. ft. of Bottom Area Revenue code 4- (4-Z.540 Fee 00 Check # �V �Q / A Date / " / / Initial 7—A- �.A. File; Desert Sands Unified School District 47-950 Dune Palms Road Notice: La Quinta, CA 92253 Document Cannot Be Duplicated . 760-771-8515 CERTIFICATE OF COMPLIANCE Date 9/16/99 No. 19327 Owner NameLa Quinta Partners No 51370 Street Avenida Bermudas City La Quinta APN # 769-114-019 Jurisdiction La Quinta Permit # Log # Zip 92253 Study Area Tract # Lot # Square Footage 1358 Type of Development Single Family Residence No. of Units 1 Comments At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures or replacement mobilehomes. It has been determined the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school'facility fees imposed pursuant to Government Code 53080 in the amount of 1.93 X 1,358 or $ 2,620.94 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By CC/ Valley Independent Bank/William Rogers Telephone 399_-1200 ..': ; , Name on the check By Dr. Doris Wilson�- Superintendent '; � N ! �� '�% v 7— Fee collected /exempted by Sylvia Carrasco Payment Received $2,620.94 Check No. 195383 Signature NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to collect them on the District('s)(s') behalf, whichever is earlier. Collector: Attach a copy of county or city plan check application form to district copy for all waivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting JUN.23.1999 3:57PM COMMONWEALTH RBCORD=Q RXQVX09= Bye CHICAGO TITLE COMPANY CwPANY 99.8769KC 97036234 WNW 0CGRDfIID DSAS& WS DUD AND, UHLS88 O=XWZ60 82= DELOW, XUL TAX STATIMMS Toe LA QUINTA PARTNERS II C/O POWRR BRORSRS LLAA QUINTA, CA 92253 GRAINY DEED NO. 638 P. 2/6 APXs 782.114-019.2 The undersigned grantor(s) declare(s)a Documentary transfer tax in $13.20 (XXX) Computed on ful value of pro arty conveyed, or ( ) Computed on full value less liens and encumbrances remaining at time of sale. ( ) Unincorporated area' ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ALICE F. ESQUSR, AN UNMARRIED WOMAN and LOISA E8=9R, A SINGLE WOMAN, MOTHRR AND DAUGHTNR AS JOINT TENANTS hereby GRANT(9) to LA QUINTA PARTNERS II the real property in the City of LA QUINTA, County of Riverside, State of California, described as: LOT 7 OF BLOCK 4, OF SAM. CARMELITA AT VALE LA QUIXTA, .UNIT NO. 2, AS SHOWN 8Y MAY ON BILE IN BOOK 20, PAG8 6 OF MAPS, RECORDS OF RIVERSIDE COMM. CALIFORNIA Dated Juae 23, 1299 State of California County of j S.S. on before me, Personally appeared personally known to me (or proved to me on the basis Of satisfactory evidence) to be the person(e) whope name(e) Ware subscribed to the within instrument and acknowledged to me that he/ahe/they executed the game in his/her/their authorized oaeacity(ies), and that by his/her/their signature(e) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITHERS my hand and official seal, Signature NAIL TAX STATOCUTS T0, Z 'd 60££'0N ALICE F. BS=R LUISA ESQUER (This area for official notarial seal) , SMOH d3MOd NM:t 6661 IZ'Unf Certificate of Occupancy City of La'Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS: Use Classification: SFD 51-395 CALLE ILOILO Occupancy Group: R3 Type of Construction: VN Owner of Building: LA QUINTA PARTNERS Building Official Bldg. Permit No.: 9907-062 Land Use Zone: RC Address: 51-370 AVENIDA BERMUDAS City: LA QUINTA, CA 92253 By: STEVE TRAXEL Date: 04-14-00 POST IN A CONSPICUOUS PLACE LA PAZ ELECTRICAL LOAD CAt.CS CKT CKT NO. OF JVOLTS-AMPS TOTAL DESCRIPTION VOLTS AMPS . UNITS PER UNIT VOLTS -AMPS 120 V. MULT OUTLET CKTS GEN LTG @ 3 W PSF 120 SM APPLIANCE CKTS 120 GRI CKTS 120 151358 20 20 3 2 1,500 1 1,500 4,074 3,000 1,500 SUBTOTAL 8,574 120 V. SGL OUTLET CKTS DISPOSAL:120 DISHWASHER LAUNDRY HOOD 120. 120 120 20 20 20 3 1 1 1 1 2,400 2,400 2,400 360 2,400.: 2,400 2,400 360 SUBTOTAL 7,560 FIRST 10,000 V-A @ 100% 10,000 BAL V-A @ 40% 2,454 SUBTOTAL 12,454 RANGE A/C (LARGEST-FAU OR A/C 230 230 , 40 30 1 1 9,200 6,900 9,200 6,900 TOTAL V-A 28,554 SELECT SERVICE SIZE TOTAL V-A 230 VOLTS 28554 230 124.1 AMPS 125 AMP SERVICE PLAN: LA PAZ 6/23/99 ATTIC VENTILATION ATTIC AREA: 1,358 SQ FT + 480 SQ FT = 1,838 SQ FT 1838 SO FT = 300 6.13 SO FT REQUIRED 7 VENTS - 14" X 18" VENTS 7 X 1.17 SQ FT X 1,.5 SQ FT = 12.29 SQ FT LESS 50% VENTED AREA = 6.14 SQ FT ACTUAL NET TOTAL SHOWN 6.14 SQ FT PLANS SHOW 7 VENTS i PLAN: LA PAZ 6/23/99 a ATTIC VENTILATION ATTIC AREA: 1,358 SQ FT + 480 SQ FT = 1,838 SQ FT 1838 SO FT = 300 6.13 SO FT REQUIRED 7 VENTS 14" X 18"VENTS 7 X 1.17 -SQ FT X 1.5 SQ FT = 1'2.29 SQ FT' LESS 50% VENTED AREA = 6.14 SQ FT ACTUAL NET TOTAL SHOWN 6.14 SQ FT PLANS SHOW 7 VENTS LA PAZ 'ELECTRICAL LOAD CALCS DESCRIPTION CKT VOLTS CKT AMPS NO. OF UNITS VOLTS -AMPS PER UNIT TOTAL VOLTS -AMPS 120 WMULT OUTLET CKTS GEN LTG @ 3'W PSF 120 15 1358 3 4,074 SM APPLIANCE CKTS 120 20 2 1;500 3,000 GRI CKTS 120 20 1 1,500 1,500 SUBTOTAL 8,574 120 V. SGL OUTLET CKTS DISPOSAL 120 20, -1 2;400 :2,400 DISHWASHER 120 20 11 2,400 2,400 LAUNDRY 120 .20 .1 2,400 2;400 HOOD 120 3 1 360 360 SUBTOTAL 71560 FIRST 10,000 V-A @100% 10;000 BAL V-A @ 40% -2,454 SUBTOTAL 12,454 RANGE 230 40 1 9,200 9,200 A/C (LARGEST-FAU OR A/C 230 30 1 6,900 6,900 TOTAL V-A 28,554 SELECT SERVICE SIZE' TOTAL V-A 230 VOLTS 28554 230 124.1 AMPS 125 AMP SERVICE