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04-4447 (SFD)4o a . ........... BUILDING & SAFETY DEPARTMENT D�Gti� 'BR4504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . .. 04-00004447__, Date 7/22/04 Property Address . . . . . . 55525 TURNBERRY WY APN: 767-550-009- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . ... . . LOW DENSITY RESIDENTIAL Application valuation . . . . 370077 Owner Contractor ------------------------ SWC NORMAN 39 ------------------------ CALIFORNIA COVE COMMUNITIE INC C/O DAVID PEERY 8105 IRVINE CENTER DR 7161 INDIANA AVE SUITE 800 RIVERSIDE CA 92504 IRVINE CA 92618 (949) 453-1775 WCC: STATE FUND WC: 16.59679 05/03/05 CSLB: 811053 07/31/04 CCC: B 07/31/04 -------------------------- 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 CRC # BEDROOMS 5.00 FIRE SPRINKLERS NO GARAGE SQ FTG 670.00 PATIO SQ FTG 496.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 4336.00 ----------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . 1588.00 Plan -Check Fee 258.05 Issue Date Valuation . . . . 370077 Qty Unit Charge Per Extension BASE FEE 639.50 271.00 3.5000 THOU BLDG 100,001-500,000 948.50 -----------------------------------=---------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 96.50 Plan Check Fee 6.03 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 "78-495 VOICE (760) 777-7012 CALLS O FAX (760) 777-7011 LA QUINTA, CALIFORNIAFORN92253 4 4 aINSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 Date: Applicant: 714hzz ltect or ngineer: 9ih�&z Applicant's Mailing Address: Architect or Engineer's Address: ic. No.: 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 Licensel;�n full force and effect. �1 d6 3 �Litense Class `� ic_�ense No. �9ate ctor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 contractors) licensed pursuant to the Contractors' State License Law.). U 1 am exempt under Sec. , BA P.C. for this reason Date Owner. 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 `5–�esy�d. My erkers' c ensatiogjosnrance carrier aqq d// p y n r a Cartier 4 Policy Number /�v �� c— ert�that, in the performance of the wor) 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. �6ate t7 an WAR ING: 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 constriction 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 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. 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 here y authorize representatives of this / county to ent Pon the bov ntion roperty for inspection purposes. rposes. ate �� Signature (Applicant or Agent): f' Application Number . . . . . 04-00004447 Page 2 Date 7/22/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 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 . . . . 180.16 Plan Check Fee 11.26 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 4336.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 151.76 670.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.40 -=--------------=------=---------------------------------=------------------ Permit . . . . . . PLUMBING Additional desc . . Permit Fee 205.50 Plan Check Fee 12.85 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 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 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 26. PLAN 3A. PERMIT DOES NOT J 7 Fee summary Charged Paid Credited Due Permit Fee Total 2085.16 .00 .00 2085.16 Plan Check Total 288.19 .00 .00 288.19 Other Fee Total 2893.00 .00 .00 2893.00 Grand Total 5266.35 .00 .00 5266.35 Page 3 Application Number . . . . . 04-00004447 Date 7/22/04 ----------------------------------------------------- Special Notes and Comments ---------------------- INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. -------------------------------------------------------------------=-------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 425.19 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 25.81 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 37.00 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00` Fee summary Charged Paid Credited Due Permit Fee Total 2085.16 .00 .00 2085.16 Plan Check Total 288.19 .00 .00 288.19 Other Fee Total 2893.00 .00 .00 2893.00 Grand Total 5266.35 .00 .00 5266.35 06/09/2005 07:29 7607774368 LAS VENTANAS CITY .0;�,j ilA QUINTA . DING & &'.4ETY DEPARTMENT SEM o�5 BUIL 7012 INSPECTIsON REQUEST LINE i 77 -7153 Owner !—� _ i=1b9641�1_i�6= i".tli::s`i_— ..._ _ r�T•i+ A T i � , .,�r�n il�Rrt�yTTiF,S Contractor— " i', Permit Number 04,4447 POST ONM OB S CONSPICUOUS ONSPIP VOCABLE SPACES LACE INSPECTOR ALL 525 'URNRFRRY WAY JOB ADDRESS 55 —5 — – SFD —LOT 26, PLAN 3A. PERMIT DSPA T INCLUDE BLOCKWALLS, POOL,OR I. . DRIVEWAY APPROACH oArE INSA TYPE OF INSPECTION TEMPORARY POWER I SETBACKS p ' U,,. „inna�n�r WASTE U F C OKF Huuun rv�w - LATN I COVER NO WORK UNT INTERIO IR YGR YG I EXTERIOR LA GAS TEST SEPTIC AW SEW CRE O IN SEPT MASONRYI_ NSPECTI FOOT BOND BEAM TEM_ R USE OF ELECTRICAL ABTURN ON UOTILITIES OR OCCUPY BUILD NGTO PAGE 02/02 Is ,-� Certifi da to of Occupancy Lucv�ownv�4� OF1�9�� Buildin9► & 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: 55-525 TURNBERRY WAY Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4447 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: CALIFORNIA COVE (cD LA QUINTA LLC Address: 8105 IRVINE CENTER DR. STE. 805 . City, ST, ZIP: IRVINE, CA 92618 By: GARY HARTMAN Date: June 9, 2005 Building Official POST IN A CONSPICUOUS PLACE