04-4445 (SFD)ox 1504
i CALLS TAMPICO
INTA, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
Application Number
-_04-_0-0-00-4-445_'_-_-1 Date
7/22/04
Property Address . .
. . . .. 55585 TURNBERRY WY
APN:
767-550-011- - -
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: 1659679
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/CONG <=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
---------------------------------7-----------------7------------------------
Permit . . . . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
96.50 Plan Check Fee
6.03
•Issue Date
Valuation
0
Qty Unit Charge Per
Extension
w.
P.O. Box 1504 •
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
ZIZApplication Number: Date:-LH`�Z/
Applicant: ---Architect or En ire r:
Applicant's Mailing Address:
A -w (l f'tf- /F#�� SbC/lfi S
Architect or Engineer's Address:
No. Z'7 Llti�
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
and License is in full force and effect. / Ds
License Class ss ZLicense No.
Date ` �y �� / Co� V i '_/ F:0-2--AA1V1— " VZ
OWNER -BUILDER 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 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U 1 am exempt under Sec. B.& 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.
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
isi ued.. My w�cers co pensabon i rance carrier an policy number are:
arrier l�7 rl Tt�' FVM4 olicy Number 4'I
_ 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.
�`�'Ly 2 pGcant G�jFCW VA J cXJvc
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 constriction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lenders 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�repro ntatives of this county to enter upon the above-mentioned property for inspection purposes.
Date 7 Sig/ nature (Applicant or Agent):
Application Number
. . . .04-00004445
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 28.
PLAN 3BR.
PERMIT
DOES NOT
1
l
Page 3
Application Number
. . ... .
04-00004445 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
l
general conformance to working drawings -final
date: 12/13/04
observation report date: 1217/04
observation report #:
to: Mr. Bob Gramann
client: California Cove Communities
project name: Las Ventanas
tract I phase I lot: 29347 / Models / 28
FEss/O
R ACey
� to
C7 0. C051995 m
LU m
XP.X231 oS�
cPjq CI VIS-
OFC A�1F�P
The above mentioned structure is in general conformance with the intent of the
city approved structural plans. This "Final Conformance" does not include
any exclusions listed below and conditions which are performed after our final
walk-through. These conditions are, but not limited to, hardware removed
during straight,edging of walls and ceilings, cut-outs in the shear walls by the
subcontractors, and removal of any transfer element by the subcontractors.
The client agrees to indemnify our firm from any liability related to these
conditions.
This "Final Conformance" is being provided based on the fact that all items
detailed in the above mentioned report have been corrected, observed, and
signed off by our representative. This acknowledgement provided by our firm
does not relieve the contractors et. al. (general contractor, sub- contractors,
material persons) from their responsibility to adhere to the city approved plans
and specifications.
The client*acknowledges this observation service does not constitute an
issuance of a warranty or guarantee of any type.
exclusions: ' None
0 PO Box 1799 • Tustin 0 CA 0 92781 0 t: (714) 633-4482 0 f: (714) 633-4437 0 w: AAANDASSOCIATES.COM 0
Certificat.le of Occupancy
a C
��'Ct' =r%� vco�,e4ro � •
OF T��9wJ 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- 55-585 TURNBERRY WAY
Use classification: SFD Building Permit No.: 04-4445
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CA COVE (� LQ LLC Address: 8105 IRVINE CENTER DR
City, ST, ZIP: IRVINE CA 92618
By: GARY HARTMAN
Date: 8-10-2005
Building Official
POST IN A CONSPICUOUS PLACE
r