HomeMy WebLinkAbout04-5406 (SFD)P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 9.2253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-.7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153'
Application Number .
. . . 04.-00,00540'6.,'-_ Date' 7/13/04
Property Address.
. . . . 81140 SHINNECOCK HILLS
_
APN:
762-340-006-
62-340-006-Application
description . . . DWELLING - SINGLE FAMILY
Application-description
DETACHED
Property Zoning . . .
. . . . LOW DENSITY RESIDENTIAL
Application valuation
316193,
Owner
Contractor
SOUTHERN HILLS DEVELOPMENT SOUTHERN HILLS DEVELOPMENT INC
55161 SOUTHERN HILLS
81070 CHANTICLEER
DR
LA QUINTA
CA 92253 LA QUINTA
CA 92253
(760) 771-3497
WCC: EXEMPT
WC: EXEMPT
05/31/05
CSLB: 838041
05/31/06
CCC: B'
--------------------------
Structure Information -------------------------
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . .. DWELLG/LODGING/LONG <=10
Flood Zone. . . . . .
. . .. NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
FIRE SPRINKLERS
NO
GARAGE SQ FTG
970.00
PATIO SQ FTG
996.00
NUMBER OF UNITS
1.00
.FIRST FLOOR SQ FTG
3512.00
--------=-------------------------------------------------------------------
Permit . . . . . . .BUILDING
PERMIT
Additional desc
Permit Fee . . . .
1399.00 Plan CYieck Fee
227.34
Issue Date
Valuation . .
. . 316193
Qty Unit Charge
Per
Extension
BASE'FEE
639.50
217.00 3.5000
THOU BLDG 100,001-500,000
759.50
-------------------_---------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
132.50 D an �K
Chec
ee.
8.28
Issue Date
Valuatio
0
Qty ' Unit Charge Per
JUL 15 2004
BASE FEE CITYOFLA
Extension
15.00
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: o7- 5y0Date: —15 -0�%
Applicant:
Applicant's Mailing Address:
chitect or Engineer:
Architect or Engineer's Address:
ic. No.:
BUILDING PERMIT DECLARATIO
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
Cade, and my Licensgis in full force and effect.
icense Class /License No.FL
Date 2—/5 —Q Tactor
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of pedu 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.
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 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
forthwith comply with those provisions.
/3
WARNING: FAILURE TO SECUREX'ORKERS' 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 A
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for 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 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. 1 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 roperty for inspection purposes.
ate2- A Signature (Applicant or Agent)
1
0
Page
2
Application Number
04-00005406 Date
7/13/04
Qty, Unit
Charge
Per
Extension
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
-------------------
Permit . .
-------
. . .
-----------
ELEC-NEW RESIDENTIAL
---------------:--------------
-----------
Additional desc
Permit Fee .
. . .
157.84
Plan Check Fee
9.87
Issue Date .
. . .
Valuation . . . .
0
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3512.00
.0350
ELEC
NEW.RES - 1 OR 2 FAMILY
122.92
996.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
19.92
-------------------------------
Permit . . .
. . .
PLUMBING
----------------------------
-----------------
Additional desc
Permit Fee
191.25
Plan Check Fee
11.77
Issue Date .
. . .
Valuation . . .
0
Qty Unit
Charge
Per.
Extension
BASE
FEE
15.00
20.00
6.0000
EA
PLB
FIXTURE
120.00
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
9.00
.7500
EA
PLB
GAS PIPE >=5
6.75
1.00
15.0000
EA
PLB
GAS METER
15.00
----------------------------------------------------------------------------
Permit . .
. . .
GRADING PERMIT
Additional desc
Permit Fe.e
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 14,.PLAN
6
3512
SF. PERMIT
Page 3
Application Number
. . . . .
04-00005406 Date' 7/13/04
----------------------------------------
Special Notes and
Comments
------------------------------------
DOES NOT INCLUDE BLOCK
WALLS,
POOL, SPA
OR DRIVEWAY APPROACH.
75% REDUCTION
TO
PLAN CHECK FEE DUE
TO MULTIPLE
ISSUANCE
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . .
. . . . .
ART IN PUBLIC PLACES -RES,
290.48
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
22.73
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
31.61
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged'
Paid Credited
Due
Permit Fee Total
----------
1895.59
------------------------------
.00 .00
1895.59
Plan Check Total
257.26
.00 .00
257.26
Other Fee To
2749.82
.00 .00
2749.82
Grand Total
4902.67
.00 .00
4902.67
Nov 29 04 03:07p RF STRUCTURRLkSANTRMRRIR 760 836 0856 p.1
R F STRUCTURAL CONSULTANTS, INC.
75-153 MERLE DRIVE, STE_ B, PALM DESERT, CA 92211
PHONE (760) 836-1000 FAX (760) 836 -OM
E- MAIL RAYMOND@RFSTRUCTURAL.COM
NOVEMBER 29, 2004
SOUTHERN HILLS DEVELOPMENT
81-070 CHANTICLEER DRIVE
LA QUINTA, CA_ 92253
Attn.: MR. JIM1 EVANDELL
Re.: THE SUMMIT AT PGA WEST. LOT # 147 PLAN # 6
8 LL4O SHINIVECOCK--H[L;LS- -
LA QUTNTA, CA. 92253
FOLLOW-UP TO WALK THROUGH
JOB NO.: 4149
DEAR JIM
u
THIS LETTER ADVISES THAT WE HAVE OBSERVED THE STRUCTURAL
REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT THE TIME OF
OUR SITE VISIT.
WE BELIEVE THAT THE AS -BUILT CONSTRUCTION AT THE TIME OF OUR VISIT IS
IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT
CORRESPONDENCE ISSUED BY'OUR OFFICE.
WE OBSERVED THE BUILDING IN ITS FRAMED CONDITION PRIOR TO
INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND
ACCESSIBLE STRUCTURAL, REQUIREMENTS, ( EXCLUSIONS ARE ITEMS SUCH AS:
FOOTING SIZE AND REINFORCEMENT, TOP PLATE SPLICES, ROOF SHEATHING,
AND ANY STRAPS ABOVE THE ROOF SHEATHING.). -
RESPECTFULLY
/pFESsrO��:� .
��o�P� M. FgPry�n2
No. 57959
EXP. 06-30-0 6
sT c IV1����Q'
qTF OF CALF%�
ZEYAD FAQIH, PE
CITY OF LA QUINTA SUB -CONTRACTOR LIAT C
JOB ADDRESS PERMIT NUMBER OWNER,Ai4?_k-:L C �-ru v , BUILDER JUV—� 1� r✓lt� �� �� I P
This form shall be costed on the iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
nn this iob. Anv chances to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
Coachella Valley Unified School District
P.O. Box 847, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
Project Name:
Owner's Name
The Summit
This Box For District Use Only
DEVELOPER FEES PAID
AREA.
AMOUNT
LEVEL ONE AMOUNT
LEVEL TWO AMOUNT:
MITIGATION AMOUNT:
COMMJND. AMOUNT:
OATF
RFCF.TPT
CHFrK &
TNITI AT
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Date July 14, 2004
Weiskopf Partners 1, LLC Phone No.
Project Address:
Project Description: 3 SFD
APN: 762-340-001,003, 006
Type of Development: Residential
29147-1
Tract #: Lot #'s:
XX Commercial
Total Square Feet of Building Are 10,536 sq. ft.
9, 11,14
Industrial
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement
under penalty of perjury and further represents that he/shpi&4uthorized to sign on behalf of the owner/developer.
Dated: July 14, 2004 Signature:
****************************I"*****************************************
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing
Note:
Number of Sq.Ft.
Amount per Sq.Ft.
10,536
$ 2.68
Amount Collected $28,236.48
Building Permit Application Completed: Yes/No
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Elvira Mattson, Office Technician Signature:
Not Subject to Fee
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to
the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90-day period to protest the imposition of
these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall
serve to advise you that the 90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of
any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether
payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This
Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School
District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project
that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
'1 -145 �
N
�htTl�'
OF
BUILDING & SAFETY DEPARTMENT
760-777-7012
BUILDING PERMIT FEE SUMMARY
Date:
July 12, 2004
Owner:
Weiskopf Partners 1, LLC _
Builder:
Southern Hills Development, Inc.
81-070 Chanticleer
81-070 Chanticleer
La Quinta, Ca 92253
La Quinta, Ca 92253
Project:
3 SFD The
Summit T 29147-1, Lots 9, 11, 14
Lot
Plan
S . Ft.
Address
Assessor's Parcel Number
Permit #
Fees
9
6
3,512
81-090 Shinnecock Hills
762-340-001
04-5404
*$5,742.62
11
6
3,512
81-110 Shinnecock Hills
762-340-003
04-5405
$4,902.67
14
6
3,512
81-140 Shinnecock Hills
762-340-006
04-5406
$4,902.67
TOTAL AREA:
10,536
p
TOTAL PERMIT FEES:
$15,547.96
*Denotes full fee permit. Remaining permits reflect 75% reduction to plan check fee due to multiple issuance of
same plan type.
z. 4'5�