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04-5841 (SFD)r T-Vf 4 4 Q" P.O.-Box 1504 78-,4'9,,5 CALLE TAMPICO LA Q�U�'dNTA„CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 iori' Number OF�0-0-0=0=5841 Date 8/04/04 Property Address . . . . . 8028'5 -VIA PONTITO APN: 772-450-033-69 -298942- Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application -valuation . . . . 260430 Owner Contractor SEDONA HOMES, INC. SUNROSE CORPORATION 49-950 JEFFERSON ST. #130-134 49950 JEFFERSON, #130-134 INDIO, CA INDIO CA 92201 INDIO CA 92201 (760) 772-8224 (760) 77777522 WCC: STATE FUND WC: 16404622003 09/22/04 CSLB: 533670 06/30/06 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 651.00 PATIO SQ FTG 293.00 'NUMBER OF UNITS . i.00 FIRST FLOOR SQ FTG 3017.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 723.38 Plan Check Fee 781.95 .Issue Date . . . . Valuation . . . . 260430 Qty Unit Charge Per Extension BASE FEE 159.88 161.00 3.5000 THOU BLDG 100,001-500,000 563.50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee 95.00 Plan Check Fee 5.94 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension P.O. BOX 1504 �� VOCE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ OZ/1 5 8 Applicant: Applicant's Mailing Address: Date: or Architect or En Ineeris Address: 3/ 172-Ilet a C�JisD�/a►ar� /ad' iic. No.: G qZZ 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 Co e, and my License is in full force and effect. y,_ ;cense Class Tse No._M6 6 2d /bate ontractor 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 contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.8 P.C. for this reason Date Owner I hereby affirm under penalty of perjury one of the following dWORKERS' COMPENSATION DECLARATION eclarations: _ 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 sued. mpensation insl c e carrier and olicy number are: arne orkers' .P6ficy Number `�L,0Jr-6f -X-A-0,0 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. /Date WARNING: FAILURE TO SECURE WORMERS' 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 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 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 representatives of this county to enter upon the above-mentioned property for inspection purposes. —!(ate' 10 `1 ✓Sign/ature/(Applicant or Agentj) A Page 2 Application Number . . . . . 04-00005841 Date 8/04/04 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 ETU 27.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 133.62 Plan Check Fee 8.35 Issue Date . . . . Valuation_ . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3017.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 105.60 651.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.02 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc*. Permit Fee 181.50 Plan Check Fee 11.35 Issue Date Valuation_ 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 69 PLAN 3A 3017 SF. PERMIT Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1148.50 Page 3 Application Number . . . . . 04-00005841 Date 8/04/04 ---------------------------------------------------------------------------- Special Notes and Comments .00 DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% REDUCTION TO .PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . ENERGY REVIEW FEE 78.20 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 26.04 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION- RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 1148.50 .00 807.59 .00 2046.24 .00 4002.33 .00 Credited Due .00 1148.50 .00 807.59 .00 2046.24 .00 4002.33 MAR -26-2005 1.2:40 AM i OQ' a CITY C Iry19�?,EC1 l_. LA QUINTA %ETY DEPARTMENT T-7012 1 REQUEST LINE 7.7153 Contractor Permit Number_ 04-5941 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SION ALL APPLICABLE SPACES * JOB ADDRESS 80-285 VIA PON1110 — SFU - LOT 69, PLAN 3A. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR T,T]T\,TP UAV Avvuneru 0 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING P.01 4 T Certificate of Occupancyo .� KAM Luw�onhn �'� G� OF 9w� Building Y p & 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: 80-285 VIA PONTITO Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-5841 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: SEDONA HOMES Address: 49-950 JEFFERSON ST. #130-134 City, ST, ZIP: INDIO, CA 92201 By: GARY SHOWALTER !a' Date: MARCH 14, 2005 Building Officiatf POST IN A CONSPICUOUS PLACE