Loading...
04-7487 (SFD);o B'UILD'ING,:& SAFETY DEPARTMENT . Bo.x 1504. °" n (760') 777-7012 1 • . n 'VVV 4 5 CALLE TAMPICO : FAX (760) 777-7011 NTA, .CALIFORNIA 92253 :INSPECT,ION. REQUESTS (760) 777=7153 h 4,BUILDING'PERMIT= 2.00 9-.-'0.000 EA 2.00 9.0000 EA BASE "'FEE 15.0 0 MECH _ FURNACE- <=100K .'T8'. 00 MECH.B/•C <=3HP/100K BTU 18.00 N er 04 0.000_7487 Date 11/29/04 433.0.9 PARK A ESPLANADE W APN:609,=380-997-2.7 -2.9:3233- Application description '.. �•., DWELLING +,-- SINGLE- FAMILY DETACHED Property Zoning ,. ; _;MEOWDENSITY RESIDENTIAL Application valuation '.1'731`55 ' Owner ,Contractor ------------- - - ----- .-��:------------------=.�-- _-. PONDEROSA HOMES II, INC. PONDEROSA -HOMES II, INC. 667.1..OWENS,.DRIVE 6671 OWENS DRIVE PLEASANTON, 'CA `:. 4: PLEASANTON, CA 94588 PLEASANTON ;; CA 94-588 (760) 318:-77,10 TANNER INSUR WC: 156t71603 10/01/0E CShB: 7,52884. 08/31/OE CCC: B -----------=-----=-------- Structure Information:, -=----------------------- Construct on.Type • -`TYPE -V NON RATED Occupancy Type DWELLG/LODGING/'CONG <=10 Flood Zone'.. NON - AO FLOOD'.ZONE 'Other struct info.. CODE'EDI;T70N 2001 CRC -BEDROOMS. 4.00 FIRE SPRINKLERS• NO GARAGE SQ FTG _.. r.6 5 4 . 0 0. "PATIO'"SQ'FTG 323.0'0 - 'NUMBER!OF'UNITS. 1.00 ". 15I,FLOOR SQUARE FOOTAGE. 2728.00 Permit BUILDING`•°PERMIT Additional . des,c.. . Permit Fee 89;8``.50"Plan., CheckFee 584.03 Issue Date Valuation 173155 Qty Unit Charge::' Per Extension -BASE FEE 6.39.50 : 74'.00 3.5000 .THOU.:_ BLDG 1_0-0,0_0.1 5 0 000- . 259.00 Permit MECHAN-I CAL • , Additional desc`. ' Permit Fee ,77•:•.00 Plan Check Fee 19.25 Issue Date; Valuation 0 Qty Unit 'C_harge Per °p Extension 2.00 9-.-'0.000 EA 2.00 9.0000 EA BASE "'FEE 15.0 0 MECH _ FURNACE- <=100K .'T8'. 00 MECH.B/•C <=3HP/100K BTU 18.00 r.� • f�f� 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: 141 Date: 7' 05 Applicant: chitect Applicant's Mailing Address: Archite LIP ic. No.: or Engineer: or E gineer's Address: BUILDING PERMIT DECLARATIONS 4�'O& 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 my Lice n ' in full force and effect. ense Class _ icense No. - C ii /Bete O,S� ontractor OWNER -BUILDER DECLARATION . I hereby affirm under penalty of pedury 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 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. , 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' compensajtinin insurance, as required by Section 37d0 of the Labor Code, for the performance of the work for which this permit is Tissued. My workers' compensation ' rance carver andpolicy number are: arrier /.Gttittl4t = olicy Number 2VZ-7/416 3 _ 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 )f0hwih comply with those provisions. Date Appl/ ican t WAR NG: AILURE 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 construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name IA - APPLICANT Address { r 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 180 days will subject permit to cancellation. 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-mentioned property for inspection purposes. /obateSi! gnature (Applicant or Agent): 0 Page 2 Application Number 04-00007487: Date 11/29/04 Qty Unit Charge Per.. Extension 3..00' ..6..50.00 'EA MECH 'VENT .FAN " . 19.50 1.00 6' 5000 EA MECH EXHAUST HOOD 6.50 _ _ _ _ _ _ _ _ Permit . _ _ _ _ _ _ _ _ _ _ _ . . . _ _ _,_ _ _ _ _ _ _ _ _ _ _ _._ _ _ ------------------------------------ _____-_________________.________Permit ELEC=NEW RESDDEN:TrIAL Additional. desc.: Permit Fee `. 123..56, Plan Che'ck..Fee 30.89 Issue Date Valuati-.on 0 Qty Unit Charge Per Extension BASE -FEE 15.00 2728.00 .:.03.,50 ELEC NEW RES -` 1 OR. 2 =FAMILY 95.48 654.00 .02'00, ELEC. GARAGE OR NON-RESIDENTIAL 13.08 Permit . . . PLOMBING Additional desc ' Permit`Fee 165..75 Plan Check Fee 41.44 Issue Date Valuation ,.. 0 Qty Unit Charge Per Extension BASE_FEE 15.00 16.00 6. 0.:00:0 .EA'PLB FIXTURE 96.00 1.00 15.0:00',0'. EA. PLB BUI.�LDING SEWER, .15.00 1_00 7.50>00 EA PLB. WATER HEATER /VENT 7.50 1.00 3.010001EA PLB WATER INST/ALT/REP 3.00 1.00 9':0000 EA PLB LAWN'SPRINKLER SYSTEM 9.00 7.00 .7500'8A PLB' .:GAS PIPE' >,= 5 5.25 1.00 15.;0000 EA PLB GAS:,METER 15.00. Permit . . . . GRADING PERMIT Additional desc Permit Fee 15.0°0. Plan Check 'Fee .00 ' Issue Date Valuation 0 Qty Unit Charge Per. Extension .-BASE FEE 15.00 Special. Notes and. -,Comments SFD - LOT -27. PLAN 1AXL(2), , 2.728'SF ' PERMIT DOES NOT �_I'NCLUDE sFBLO 'K. WALLS, POOL, .SPA.OR DRIVEWAY AP.PROACH.. Other Fees ,. ART IN 'PUBLIC PLACES -RES .00 •DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER -`RES 366.00 71 ` Page 3 Application Number 04,:-' 00007487 Date 11/29/04 Other Fees ENERGY REUIEWs FEE 58.40 ' -' DI'F" -FIRE ' PROTECTION -RES 97 ..00 GRADINC. .PLAN•:. CHECK 00 .FEE DIF,LTBRARIES := RES 225.00 DIF..PARK�cMAINT FAC - RES 5.00 DIF`:PARKS/REC- RES. 502.00 STRONG MOTION'' (SMI); -, "RES 17.31 DIF, STREET,MAINT 'FA"C-RES 15.00 DIF. TRANS'PORTATI'ON '- RES 1098.00 Fee summary. Charged Paid Credited Due ---- ---------- ------- ------- --- ---------- Permit Fee Total 1279,.:8.1 0U__ .00 1279.81 Plan. --Check Total . 675...61,.,.11': .00 ..00 675.61 Other Fee Total 2480.71 :. .00 .00 24.80.71 Grand Total 4436C'.13., 00� .00 4436.13 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building located at 43-309 PARKWAY ESPLANADE WEST, LOT 27, PHASE 9, LA QUINTA, CA CEILINGS: TYPE: BATTS MAUNFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MAUNFACTURER: Owens Corning THICKNESS: R-13 GENERAL C TRACTOR: PONDEROSA HOMES LICENSE # BY: TITLE. PARAGO SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: "mac G 2� ��,�TLE: ACCOUNT REPRESENTIVE DATE: r. rJ'. ... .. J.. .. I. .. ..... /i: {,. i. 1. �.._. r.. . .:'J,'ii�. "/. .r..".. ../iil.. r.•/Ji li: �. J.. v. .%' ... - .r... ". i. � 'il .e. ,.