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04-7445 (SFD)f DEC 202004 �Z . C1iY OF („A u1�p� U BUILDING & SAFETY DEPARTMENT P.O. Box 15.04. (760).777-7012 C1��1OF T9 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777=7153 BUILDING PERMIT Y Application' Nurnberg , �. 000.0 7�4j� Date il/23/04 Property Address:'.'"t., -,57840 TROON WY APN: 762-360-009= Application description . . . DWELLING SINGLE FAMILY.DETACHED Property Zoning . . . . . LOW DENSITY RESIDENTIAL Application valuation . . ,.41:1276 J 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 712.00 PATIO SQ FTG 1053.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4744.0,0 ---------------------------------------------------------------------------- Permit . . . BUILDING PERMIT Additional desc Permit Fee 1731:50 ;'-Plari.Check Fee Y1125.48`° Issue Date. Valuation . 411276 Qty Unit Charge Per Extension BASE FEE 639.50 312.00 3.5000 THOU BLDG 100,001-500,000 1092".00 -- ----------==-----------------------------------------------'----------------- Permit . . . . . MECHANICAL Additional desc Permit Fee . . . . 114.50 Plan Check Fee 28.63 Issue Date Valuation . . . 0 Qty Unit Charge Per Extension - BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K'BTU ,. ::;27.00 6.00 6.5000 EA MECH.- UENTF.:FAN;. - _' `39.00, 1.00 6:5000 EA MECH EXHAUST HOOD 6.50 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 Application Number: o4 " -2z4LI 5 Date: o� • O Applicant:—Architect or Engineer: Applicant's Mailing Ad dr s Arc ' ect or Engi eer' A dress: s b Zo=-11 s4 Lic. No.: CZ 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 de, and my Li a is i ul fo c and ff ct. Q R `- License Class 1--L Ge n se No. ate_ / Z-'• ,(/ '4 Professionals 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 fora 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.). (, 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. , 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 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 complywith those provisi Date ��'� ���nliranf //�f�I WARNING: FAILURE TO SECURE WORl!pe'F S' COMPENSATION o6VERAGE 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 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 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. 1 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 representatives of this county to enter upon the above-mentio roperty for inspection purposes. ate '� Signature (Applicant or Agen y Page = 2 Application Number . . . . 04-00007445 ;Date 11/23/04 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee 195.28 Plan Check Fee 48.82 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 4744.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY '166.04 712.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.24 Permit PLUMBING Additional desc Permit Fee 236.25 Plan Check.Fee 59.06 Issue Date . . . Valuation 0 Qty Unit,Charge Per Extension BASE FEE 15.00 .26.00 6.0000 EA 'PLB'FIXTURE 156.00 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 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 34, PLAN 23, 4744 .SF. PERMIT DOES NOT INCLUDE POOL, SPA,'BLOCK WALLS 'OR DRIVEWAY APPROACH Other Fees . . . . . . ART IN PUBLIC PLACES -RES 528.19 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 112.55 DIF FIRE'PROTECTION-RES '97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 J Page 3 .. Application Number 04-00007445 Date 11/23/04 ------------------------ Other Fees . . --------------- . . . ------------------------------------- DIF PARK MAINT FAC - RES. 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 41.12 DIF'STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 22.92.53 .00 .00 2292.53 Plan Check -Total 1261.99 .00 .00 1261.99. Other Fee Total 3086.86. .00 .00 3.086.86 Grand Total' 6641.38 .00 .00 6641.38 '. Jun 03 '05 09: OOa ' John• Read ' 760=777-8789 = ° p.3' • - U SA'T`IS1 SHAH & ASSOCIATES YInc. - R �. CONSULTING ENGINEER • 3920'E: Coronado Street, -Suite 203, ANAHEIM, -CA 92807 ... _FAX:(714):'632-1319 PHONE: (719}632-1865• rf E-mail:•sshahinc@sbcglobal.net -. ` +J May 31 2005 ,, :' •�s Soutllem-Hills -Development, Inc:,, 78-150 Calle Tamnpico� ' Suite 101 �' La Quints, CA 92253 j Attention Jim AvenellR =1 s • Reference: Structural Observation . • - �- : Summit at the PGA West r �„ =- ✓,' . Lot 34'- Plan -2B - C57;840-Troon"94iay,,La.Quinta, CA, . Dear lim: , On May 09, 2005 we made visual observation of the structure for the above referenced lot_ ', T Framing and hardware locations appeared to be in substantial compliance with the approved r structural drawings, with following remarks: '! . ' - a) Provide panel blocking between trusses at location per plan • ��-� , Please contact our -office any time for questions regarding this. • . �• SATISH-SHAH & ASSOCIATES, Inc. t. Satish Shah P.E. C 56112 ::' . [. 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