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07-0193 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,i&t 4 4 Q" BUILDING && SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07-00000193 Property Address: 53660 VIA PISA APN: 772-530-057- - - �_/* Application description: DWELLING - SINGLF FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 402976 Applicant: Architect or Engineer: 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 License is in full force and effect. License Class: B License Ng,:. 744091 OWNER -BUILDER DECLARATION — I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_ 1 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 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.). ( 1 I am exempt under Sec. , B.&P:C. for this reason Date: Owner: 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: LQPERMIT Owner: COASTAL REAL ESTATE PO BOX 1144 LA QUINTA, CA 92253 Contractor: SUN VISTA DEVELOPMENT CORP P.O. BOX 1144 LA QUINTA, CA 92247 (760)771-4722 Lic. No.: 744091 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/06/07 WORKER'S 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 STATE FUND Policy Number 170546206 _ 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: ��/�/ Applicant: G✓� c' 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. 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. Date:S s0 Signature (Applicant or Agent): 4 4—of LQPERMIT Application Number . . . . . 07-00000193 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1700.00 Plan Check Fee 1105.00 Issue Date . . . . 'Valuation . . . . 402976 Expiration Date . . 10/03/07 Qty. Unit Charge Per Extension BASE FEE 639.50 303.00 3.5000 THOU BLDG .100,001-50n,nnn 1060.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 208.62 Plan Check Fee 52.16 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 4648.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 162.68 797.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.94 1.00 ---------------------------------------------------------------------------- 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 Permit . . . GRADING PERMIT Additional desc . Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/03/07 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- BASE FEE 15.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 152.00 Plan Check Fee 38.00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 9.00 6.5000 EA MECH VENT FAN 58.50 1.00 ---------------------------------------------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Application Number . . . . . 07-00000193 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 207.75 Plan Check Fee 51.94 Issue Date . . . . Valuation . . . . 0 . Expiration Date 10/03/07 Qty Unit Charge Per Extension BASE FEE 15.00 21.00 6.0000 EA PLB FIXTURE 126.00 1.00 15.0000 DA PLB BUILDIN(3 SEWER 15.00 F11. 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 13.00 .7500 EA PLB GAS PIPE >=5 9.75 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------=------------------------------------------------------ Special Notes and Comments 4648 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY APPROACH.February 8, 2007 10:23:05 AM JJOHNSON ---------------------- ----------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 507.44 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 110.50 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE 15.00 DIF.LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 2.2.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 40.29 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited ----------------------L----------------- Due ----------------- Permit Fee Total 2283.37 .00 .00 2283.37 Plan Check Total 1247.10 500.00 .00 747.10 Other Fee Total5148.23 .00 .00 5148.23 Grand Total 8678.70 500.00 .00 8178.70 LQPERAIIT Coachella Valley Unified School District 83-733 Avenue 55, Thermal, CA 92274 (760) 398-5909 Fax (760) 398-1224 This Box For District Use Only DEVELOPER FEES PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMMIIND. AMOUNT: DATE: RECEIPT: CHECK #: INITIALS: CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Residence is at the Hideaway Date: May 29, 2007 Owner's Name: Coastal Real Estate Phone No. 275-9734 Project Address: 53-660 Via Pisa Project Description: 1 SFD APN: 772-530-057 Tract #: Lot #'s: Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 4,648 sq.n ft. Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer. Dated: May 29,2007 Signature: SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE) Education Code Gov. Code Project 17620 65995 Approval Number of Sq.Ft. 4,648 Amount per Sq -Ft. $3.91 Amount Collected $18,173.68 Building Permit Application Completed: Yes/No By: Carey M. Carlson, Asst. Supt., Business Services Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Certificate issued by: Elvira Mattson, Office Technician Signature: NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires that this District provide (1) a written notice to the project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to advise you that the 90 -day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance. N1V:c/mydocs/devfees/certificate of compliance form updated 3-2007 3/9/07 ESI/FME91nc. STRUCTURAL ENGINEERS & CONSULTANTS .53-&&o V �'`�� October 2, 2007 Sun Vista Development Corp. P.O. Box 1144 La Quinta, California 92253 ATTN: Mr. Bob Sturney RE:"Custom House @ the Hideaway - Lot 292" built in La Quinta, California. (ESI/FME 906-A415) Dear Bob, This letter is to follow-up my site observations on the above named projEct. The purpose of the structural observations were to review the primary structure for general compliance with our structural design intent and the structural plans. Based on what was visible, it is our opinion the primary structure is in compliance with our structural plans and/or structura design intent. Our field observations and recommendations does not relieve the contractors, developers, and the building department from their responsibility to follow the plans and code. We are not certifying or guaranteeing the construction work. We did not check various item such as nailing of roof sheathing, foundation reinforcement or lumber species. Thank you for your attention to this matter, please do not hesitate to contac: us if we can be of further assistance to you on this project. Sincerely, - ESI/F i STRIA ERS By: Danny Ma`^ "IrC 33307 For ESI/F R 1800 E. 16th Street, Santa Ana, CA 92701 • (714) 835-2800 * Fax (714) 835-2819 JCM Inspections RA39725 Garand Lane Suite F RA I J1PJ Palm Desert, CA 92211 LT.I.%J I'N S P E C T I O N S Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT Date: Project Name: ^1Project No: t CO�t ��' \�C��l� .L.c��1txv—"N . •-.iI��m'nQI "-;Ar,t n._ C- Att0_��At—m Arta, Project.Address: ,; City: ----� If�k k /'I` r Client: Sub -Contractor: (� �r)A General Contractor: Architect: StructurEl Engineer: 'Anchor Bolts Rebar Epoxy Type: \m Q': N �+ '�� C ` \ C' �'� Epoxy Shelf Life\ �rrlr l j Hole Cleaning Method(s)� rw1��C nr,�/ C�� .� �� ` �� fi l� i,� tt \ r ~' FY _.cc( �.+�\ f ]IBC � Title 24 Other: Unresolved Items: O't`lone F -1 See Below Description of Work Inspected: lrn nV �r C� �.. r�`t-�-.n f 1 1 •--�+ r� f1 4 4"�•�✓1✓✓o t c^r�r f� m'\ 4 �� r- G r- ,'ice` s�`.,�. k t r�.'T � . e r' 1 l n �� .^,vr^'t �► x-0 r\\ �,-Nlr 1\ �n r r` aC �,� �C rK0 >� � a � v'a -�.t"a n t• � ,\.f1 � r � rn r1 "� \ K1 C,ran � � 7"..-_ n t AC � w � r,,_ Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. Inspector: Jack C. Millin ICC Certification No: 0842216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page __A_ of J o Certificate of Occupancy* � � � • �IIlIr/�lr�� Y OF. 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: 53-660 VIA PISA I Use classification: SINGLE FAMILY DWELLING Building Permit No.: 07-193 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL Oiner of Building: COASTAL REAL ESTATE Address: P.O. BOX 1144 N City, ST, ZIP. LA QUINTA, CA 92253 fi By: STEVE TRAXEL Date: MARCH 28, 2008 Building Official POST IN A CONSPICUOUS PLACE