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04-7444 (SFD)BUILDING & SAFETY DEPARTMENT c www F1 (760).777-7012 OF TAMP`I 0 FAX (760) 777-7011 LA--QrUiNTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 ,..BUILDING PERMIT Application Number &0*�4 0 RAA 4 Date, '11/23/04 - 6dompl- Property Addre-$S�.-' 578-1:0-T.ROQNJ�W-Y,11� APN: 762 -360 -00.8 - Application description DWELLING - SINGLE FAMILY.DETACHED Property Zoning . . . . . . . .LOW DENSITY RESIDENTIAL Application 'valuation 398154 Owner ------------------------- ------ - 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/CONG'<=10 Flood Zone. . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC FIRE, SPRINKLERS NO GARAGE SQ FTG 895.00 PATIO SQ FTG 708.00 NUMBER OF UNITS 1.-00 1ST FLOOR-SQUARE'FOOTAGE 4594.00 ---------------------------- ---------------------------------- ---------------- Permit . . . . . . BUILDING PERMIT, Additional desc Permit Fee . . . . .1686.00 -�Plah`," Che'ck, Fee 1095.90 Issue Date Valuation 398154 Qty Unit Charge. Per Extension BASE.FEE 299.00. 3.5000 THOU BLDG 100,001-500,000 1046.50 --------------------------------------------- ---------- --------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 139.00 Plan Check Fee.. 21.75 Issue Date Valuation 0 Qty Unit Charge- Per 4.00 .9.0000 EA 4.00 9.0000 EA 7.00 6.5000 EA 1.00 .6.50,00 EA BASE FEE I MECH FURNACE <=100K MECH B/C <=3,HP/100K BTU ME CH^VENT, FAN MECH EXHAUST. -HOOD Extension 15.00 36.00 36.00 '45.50 6.50- P.O. BOX 1504 • ���� 78-495 CALLE TAMPtCQ VOICE (760) 777-7012FAX (760) 777-7,011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: 7,6 Applicant:—Architect or Enginee : U/. AQAI Inc. Applicant's Mailing Address: Architect or Engineer's A dress: �Lic. 13UILDING 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 gode and my Licens in full force and effect. License Class /License No. O� / Date Z"' �ntractor 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' Stale 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 contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following de:larations: _ 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 beco subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro ' 'ons. Date X�7Applicant WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR 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 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 work for 1 BO days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree mply with all city and county ordinances and state laws relating to building construction an+dJhereby authorize re entatives of this county to enter upon the aboventi d property for inspection purposes. ate `� Signature (Applicant or Age Page 2 Application Number . . . . . 04-00007444. -Date 11/23/04 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 193.69 Plan"Check Fee 48.42 Issue Date Valuation, . . 0 Qty, Unit Charge "'Per Extension BASE FEE 15.00 4594.00 0350 ELEC NEW."RES,- 1 OR 2 FAMILY, "160.79 . 895.00 0200 ELEC GARAGE :OR NON-RESIDENTIAL 17.°90 Permit . . ." . PLUMBING ,Additional desc PermitFee, . . . 243.75 Plan Check Fee 60.94 - Issue Date Valuation 0. 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 6.0000 EA PLB ROOF DRAIN 18.00 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 11.00 .7500 EA PLB GAS PIPE'>=5 8:.25 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 33, PLANA, 4594 SF. PERMIT DOES NOT INCLUDE POOL,"SPA, BLOCK WALLS OR DRIVEWAY APPROACH Other Fees ART IN PUBLIC.PLACES-RES. 495.38 DIF COMMUNITY, CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 109.59 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 • Page 3 Application Number 04-00007444 Date 11/23/04 ----------------------------------------------------------------------------- Other Fees . . . . . . . . DIF -LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 39.81 DIF STREET MAINT FAC -RES, ;15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total „2277.44 .00 .00 2277.44 Plan Check Total 1227.-01 .00 .00 .1227.01 Other Fee Total 3049.78 :00 .00 3049.78 Grand Total 6-554.23 .00 .00 6554.23 l ' ••. - ' 7 , -R F STRUCTURAL CONSULTANTS;<I N C - 75-153 MERLE DRIVE, STE. B, PALM DESERT, CA 9221.1 PHONE (760) 836-1000 FAX '(760) 836-0856. E- MAIL - RAYMOND@RFSTRUCTURAL.COM JUNE 8, 2005 SOUTHERN HILLS DEVELOPMENT + 81-070 CHANTICLEERDRIVE LA QUINTA, CA. 92253 Attn.: MR. JIM AVENELL ; Re:: THE' SUMNUT AT PGA WEST, •LOT # 33, PLAN 4 (57-810 TROON WAY LA QUINT& CA. 92253:: .K FOLLOW-UP TO WALK THROUGH JOB. NO. ' 4034 DEAR.JIM THIS LETTEWADVISES THAT WE HAVE OBSERVED THE STRUCTURAL REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT. THE TIME �OFYI 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 CONDITIOIQ.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 SHEATFENG.). ` RESPECTFULLY SUBMITTED:•. ROFESS ��QpM.Fgp�F2P• 57958 EXP 06-30-0 (o a C/ m ZEYAD. 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