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04-7476 (SFD)
w Tedf 4 4 a" .O. Box 1504 8-495 CALLE TAMPICO A QUINTA, CALIFORNIA 92253 BUILDING PERMIT Number . . . . ress . . . . APN: Application description Property Zoning . Application valuation . . . Owner ------------------------ DOUG & HILARY HOLDT 50 FAIRCHILD DRIVE KING CITY, ONTARIO BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 0-4_--0-0-0-0747_6 Date 3/07/05 80582 VIA PESSARO 772-500-015- ` - DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 336826 Contractor ALPHA OMEGA CCMMUNICATIONS INC 42829 COOK STREET PALM DESERT CA 92260 (760) 568-1712: WCC: STATE.FUND WC: 164166403 06/30/05 CSLB: 820066 05/31/05 CCC: B ------ Structure Information SINGLE FAMILY DWELLING ----- Construction Type . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION. 2001 # BEDROOMS 3_.00 FIRE SPRINKLERS NO GARAGE SQ FTG 920.00 PATIO SQ FTG 580.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE. FOOTAGE .3315.00 2ND FLOOR SQUARE FOOTAGE 535.00 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1469.00 Plan Check Fee 954.85 Issue Date . . . . Valuation . . . . 336826 Expiration Date.. 9/07/05 Qty Unit Charge Per Extension BASE FEE 639.50, 237'.00 3.5000 THOU BLDG 100,001-500,000 829.50 ----------------------------------------------------------------------------- Permit . . . ... . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 452.75 Plan Check F-ee 113.19 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/11/05 Qty Unit Charge Per Extension s 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: Q � - /) r/0 o Date: 7 Applicant: I I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed undeLprovisionsofChapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals ALOC de, and my License is mull force and effect. �� ) �.; 6-2 -,,, ,/ License Class i License No A Cl/V/ OrNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I m exemp from the Contlactors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to constnl alter mprove, 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. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 iss ed &�worke compensation insurance cam�r and goIicy number are: am '0 '> tR Policy Number 1 R. l,l I I,Za _ I certify that, in the performance of the work for which this permit is issued, I shall this Permit is issued, l shall not 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 th Dare )Ula5.pplicantnixi�4� WARNING: FAILURE TO SECURE WORKERS' CO I PENSATION C r VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSNQ 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 IV 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 ithin 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 ag a to comply ith all city and county ordinances and state laws relating to building construction, and h reby aut�iepresentatives of this c , y nter upon the above- a ti ned prop rty.for inspection purposes. gate aure (Applicant or Agen /�� Application Number . . . 04-00007476 Page 2 Date 3/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 3850.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 134.75 14400.00 .0200 ELEC GARAGE OR NON-RESI=NTIAL 288.00 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 9/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------7---------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . .'. . 119.50 Plan Check Fee 29.87 Issue Date . . . . Valuation _ . . . 0 Expiration Date 9/07/05 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 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------- Permit . . . . . . PLUMBING -------------------------------- Additional desc . . Permit Fee . . . . 207.0.0 Plan Check Fee 51.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/07/05 Qty Unit Charge Per Extension BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 6.0000 EA PLB ROOF DRAIN 6.00 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 12.00 .7500 EA PLB GAS PIPE >=5 9.00 1.00 ---------------------------------------------------------------------------- 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 2263.25 .00 Page 3 Application Number . . . . . 04-00007476 Date 3/07/05 ---------------------------------------------------------------------------- Special Notes and Comments SQ.FT. CASITA) R-3 OCC. TYPE V -N CONSTRUCTION, 2001 CODES PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL OR SPA. SEPARATE DRIVEWAY APPROACH PERMIT REQUIRED FROM PUBLIC WORKS DEPT. ---------------------------------------------------------------------------- Other Fees ART IN PUBLIC PLACES -RES 342.06 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 95.49 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 33.68 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 2263.25 .00 1149.66 500.00 2876.23 .00 6289.14 500.00 Credited Due .D0 2263.25 .D0 649.66 .D0 2876.23 .D0 5789.14 APR -12-2006 WED 12:32 PM GORDON ROSS "J04/11/2005 12:20 7603605719 RA FAX NO. 760 341 7631 'P. 01 YaM ENGINEERING SE PAGE 01 MCM97M B Ye ------------- - Te/ecopy Transmltta! P To: QQz%, ig= Fax No.: Atte: e,jFl, peter: Front: 'mac. U. prolsotlRo: -,�.�.. Tel. No.: (760) 360-5770 EXT. Job No.: Descrlptlon o/ Document: comments: THANK YOU Original t0 De Mailed: ❑ Yes © No This Material Sent: ❑,f Your FAen ❑ Your Fiw wv py At Your Ftaquem C3 Please Call Upon Rocco d Copies: Total Number of Pagla (Including th(e Transmittal): Nota: Please call and ask for taiecupter operator It you did not rec" the total number of pages or Cannot read the pages Gartemkted- Thank you. Trl.ECOPIERS Palm Desert (760) 360-5770 YES?/02 r APR -12-2006 WED 12:32 PM GORDON ROSS 44/11/2006 12:29 7603605719 *-QfIJVVC q April IL, MW Gordonross 42829 Cools Street Sn)te 104 Palm Desert, CA 92264 Attn. Steve FAX NO. 760 341 7631 P. 02 YOUNG ENGINEERING SE PAGE 02 Rs: Holdt Residence, saga via Pessaro, La Qainta, CA 92ZS;i Dear Steve, Here is the correction List as per site observation on 4-6-06: D M975C—O's, 12 2006 BY-------------------- 1. Replace HU612 haagar witb correct inverted HOUS5.50/12 hanger as specified on approved plan drawing. 2. Replace HU612 hangers shown on framing *atcb with correct HOUS550 banger as specified on approved plan dmwin& 3. Provide arc sill plate as shown an approved plan drawing. 4. In place of 3x sill plate, provide W diax10 lag bolts at 12" o.a with 2x blocbtg for shear wall 43. If you have any questions please call. Sincerely, !Marcell McElroy Phone, 760-360-5770 (F= 205) INSPECTIONS JCM Inspections 39725 Garand Lane Suite F Palm DesertCA 92211 Phone: 760-345-5554 - Fax: 760-772-3895 - INSPECTIONS EPDXY INSPECTION REPORT Dat— (p -b Project Name: `.tA s or►� •� 5.'• c_ - �./� j , Proje��t No: o c' 1 ` 1 C . � � ` ��e..•Zv� Project Address: l 3 D -54�,a City- a LA :ma x_ a IBC Title 24 Other: Client: Sub -Contractor: CO i1c i�e. General Contractor: ® Architect: Structural Engineer: Q.f rN C. sa C q, Anchor Bolts Rebar Epoxy Type: �� p s9n n t`o Epoxy Shelf Life: bU4rS1c?c' �iCXS% Hole Cleaning Method(s)��\oea ..7 C�CctaJ�r Vi \K 0--.; Qrt4S�Zt Vk)t,'�!IC e er: lA C1 Unresolved 1 None ❑See Below Description of Work Inspected: Xt' icb nc C 111 •o� � ` 1E1 ! � .v P - Ax- L 4 vJeor� oG n r a % u oe� 1 S enc c7�oc•.+J �o o, - tic O w c�Ocl • pi." . A-0 (\ i c .Q l i� •. (� e +O n r 071`} h I ` fns e M 4'tM i+ C' �. • C.. Q A V Work complies with written approval from Structural Engineer and ICBO Evaluation Report # I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 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 Contractors Representative: Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page 4 of