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04-6276 (SFD)i •Y " BUILDING & SAFETY DEPARTMENT 1504 (760).777-7012 ALLE TAMPICO FAX (760) 777-7011 -A, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT r 04-00006276 Date 2/25/05 Property Address . . . 80795 VIA PORTOFINO. APN: 772-490-021- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation 435420 Owner Contractor S.L.M. INVESTMENTS SUN VISTA DEVELOPMENT.CORPORAT P.O. BOX 1144 P.O. BOX 1144 LA QUINTA CA 92253 LA QUINTA CA 92247 (760) 771-4722 WCC: STATE FUND WC: 17054604 0.1/01/05 CSLB: 744091 12/31/05 CCC: B ------ Structure Information 4890 SQ. FT.SFD ----- 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 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 1021.00 PATIO.S"Q FTG 1526.00 NUMBER SOF UNITS 1{.00 1ST FLOOR SQUARE FOOTAGE 4225.00 2ND FLOOR SQUARE FOOTAGE ..665.00 Permit . . . . . . BUILDING PERMIT Additional desc'. Permit Fee' 1815.50 Plan Check Fee-. 1180.08 Issue Date Valuation 435420 Qty Unit Charge Per Extension BASE FEE 639.50 336.00 3.5000 THOU BLDG 100,001-500,000 1176.00 Permit . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 221.57 Plan Check Fee 55.39 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 4890.00 .0350 ELEC NEW'RES= 1 OR 2 FAMILY 1.71.15 1021.0'0 .0200 ELEC.GARAGE OR NON-RESIDENTIAL 20.42 ,► W P.O. Box 1504 7�^� VOICE (760) 777-7012 7$-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: O Y bZ ?.6 I Date: Applicant: Applicant's Mailing Address: Architect or Engineer: Architect or Engineer's Address: Lic. No.: 13UILDING 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 Code, and my j,i is in full force and effect. [License Class/� License No.T�t� %� Dat �0 ontra� S,,) ' J 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 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 1 am exempt under Sec. , BA 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 Vdy workeWco nsation insurance carrier and c nu err e' Carrier Ll JPolicy Number—/- = (certify that, in the perfor nce of the work for which this permit is issued, I shall Prot 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 <.pplicant 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. 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 ag ee to comply with nd county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter u he above- ntioned pr y for inspection purposes. Coal ^— Signature (Applicant or Agent): P Page 2 Application Number . . . . .. 04-00006276 Date 2/25/05 Qty Unit Charge Per Extension 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 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 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 6.5'000 EA MECH EXHAUST HOOD 6.50 Permit PLUMBING Additional desc Permit Fee 233.25 Plan Check'Fee 58.31 Issue Date Valuation 0 Qty Unit Charge.. Per Extension BASE FEE 15.00 22.00 6.0000 EA PLB FIXTURE 132.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 .3.00 .6.0000 EA PLB ROOF DRAIN 18.00 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 p9.00 15.00 .7500 EA PLB GAS PIPE >=5" 11'.25 1.00 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments 4890 SQ: FT: SFD THIS PERMIT DOES NOT INCLUDE POOL & SPA BLOCK WALLS OR DRIVEWAY'APPROACH. 10/15/04 2:37:01 PM JJOHNSON ---------------------------------------------------------------------------- Other Fees . . . . . .ART IN PUBLIC PLACES -RES 588.55 Page 3 Application Number . .. . . . 04-00006276 Date 2/25/05 Other Fees . . . . . ------------------- DIF COMMUNITY CENTERS -:RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 118.01 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 22.5.0.0 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 43.54 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 2.437.32 00 .00 2437.32 Plan Check Total 1331.78 500.00 .00 831.78 Other Fee Total 3155.10 .00 .00 3155.10 Grand Total i 6924.20 500.00 .00 6424.20 All Building , 627-6 (� (P.O. BOX 1504 APPLICATION ONLY ALLE ID � / 5 L); � r/WUINTACCALIFORNIA 902253 �(�� Q 13 , Mailing Address a� l Cit 7- �1 .Co ctor / of V�`57`14 �r7 tyQul� Z�aas3 Tel./ y�aa State Lic. City 53 q3 & Classif. L�D 9 Lic. # Arch., Engr /� ,� Designer P-' L)S T;&) Addr-�� _Tel. City. ZZ* Q/ Q State LICENSED CONTRACTOR'S I hereby affirm that I am licen under rovisions of apter 9 (commencing with Section 7000) of Division 3 of the n s and P fession C and m license is in full force and effect. SIGNATURE DATE O ER- ILDER EC RATION I hereby affirm t at I am exempt from the Con ractor's License Law for the following reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that he 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). ❑ 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 Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or im- provement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law) ❑ 1 am exempt under Sec. B. to P.C. for this reason Date Owner WORKER'S COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Poli y Company Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less). 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application a d state that the above information is correct. I agree to comply with all city and ty or ' an nd state laws relating to building construction, and hereby author' esentati s of o enter the ove-mentioned property for inspection purp ,— 0 ^� Signature of applicant Dat Mailing Address City, State, Zip WHITE = BUILDING DEPARTMENT BUILDING: TYPE CONST -q OCC. GRP. A.P. Number �7 2_Lq V -1)2 Legal Description Project Description -e- Sq. e Sq. Ft. V CID No. / No. Dw. / Size / Stories Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. II U)F Grading III I Driveway Enc. IU I Infrastructure I L I TOTAL REMARKS r.' L t, i `t AMOUNT _ �Illli ILII► ILh "I _10 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE Issued by: Validated by: Validation: INSPECTOR Date Permit YELLOW = APPLICANT PINK = FINANCE 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 FF,FN PAID AREA: AMOUNT LEVEL ONE AMOUNT: LEVELTWOAMOUNT: MITIGATION AMOUNT: COMMIIND. AMOUNT: DATE- RF.CF.IPT- CHECK N, INITIATA- CERTIFICATE OF COMPLIANCE (California Education Code 17620) Project Name: Date: February 24, 2005 Owner's Name: S.L.M. Investments Phone No. 771-4722 Project Address: 80-795 Via Portofino, La Quinta, CA 92253 Project Description: Single Family Residence APN: 772 290 021 Tract #: 30354 Lot #'s: 69 through 90 (total of 12) Type of Development: Residential XX Commercial Industrial Total Square Feet of Building Area: 4890.04 Sq. Ft.. s 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: —` L/--0. 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 17620 65995 Number of Sq.Ft. 4891.05 Amount per Sq.Ft. $ 2.68 Amount Collected $ 13,108.00 Building Permit Application Completed: Yes/No Project Approval Note: By: Carey M. Carlson, Asst. Supt., Business Services Agreement Existing Not Subject to Fee Prior to 1/1/87 Requirement Certificate issued by: Marcela Valdez, Facilities Secretary 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 wri en 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 66010 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 bf 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. kT�':e;mmydocs:`tlet lees(C rtilieatc arcompliance. (irrm tablesTO USE.doe' 1/16/03 T -- JCM Inspections 39725 Garand Lane Suite F _ Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS EPDXY INSPECTION REPORT* Dater-g -" Project Name: \ } Project No: A C• 7 Project A drams: _ C'�ll� :-� � , � I _,-A7 Z i1.-G `.:. .a , B ! , mesa Other: a Client: Sub-Contractor. Oa_a il�.f� General Contractor: Architect: Structural Engineer:, i n �l 1 A-- \ r �-.'-� Cr VC..,� � t,,,,. f,�� '�-„} r LA tT e•Fi t ` Anchor Bolts ❑ Rebar Epoxy Type:'�; '..,.r «: i , s , t ..� i r :�,` _ � -` V , i Epoxy Shelf Life: tkD S .` Hole Cleaning Method(s)i�{ Weather. Unresotved'Items: None ❑ See Below Description of Work Inspected: �+ t ..� . , •, < C,� ., t om `• - i t=1 I �. 11 -, ! ) c : car �f � r �. :t ` :�: 77 . � •., � \ o. c ��.1 7 caJ ' �� < c: � Y. � ��- t s.� c .c- � :a � � 1r , a ,,�, • -t'` y c;S- %,A, L' ` i A ''�.t -A `- a i r. car \/N Q�l \ � :' L � P t : U =`' �`',: 1 ^ -a`,'S t1 V ,i ? rnb E C;th'1 `07: t c_ }�7C_ i SC' \ v , A :-�� C tn.:- �._� !" »,.-.lf Lt 1 Cl S' r.�l'�7:•' .,_.L- 1 i1', i7 c c i ^?.-.r ' � r•'.l�_l. '' ""t ' P Y'^..0,�— .C'<� - f'v'�h !'.�� \ aK�'..) C. O C'� f �:` \ C:.- f.� � �. '-�� , . 1�..1 1 ^`' f : t P t--+--� c' ^'f) v.'1 n sv \ aC�. �'`i C � � LI � a t•' � l t i av�� '..� C � n,. � . �W�Ocomplles with written approval from Structural Engineer and ICBO Evaluation Report # S' I hereby certify that 1 have inspected au of the above work, urdess otherwise rioted, and to the best of my ability 1 have farad this work to comply with the approved Plans. speafirations _apo=bte buMng laws• FMW refit issrred at protect complebarL Inspector. Ja C. Millin ICC i cati Na: 842216-a9 I Contractor's Representative: IX -d' LA QUINTA � `I ` BUILDING ETY DEPARTMENT�� .` "� cF"lforn�° F F� ' 1 3 ` -7012 INS PEC . O REQUEST UNE LQtQt WITA -7153 _ FI`ikNCEDEPT. _. gY% ____------ Owner SZ-.M.IN-VESTMENTS __-_--- Contractor SUN VISTA DEV. CORP. Permit Number 04-6 76' POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-795 VIA PORTOFINO 4890 SQ. FT. SFD THIS PERMIT DOES NOT INCLUDE POOL &.SPA, BLOCK WALLS OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER - SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING - FOOTINGS / STEEL Z - _6 CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED. ROOF NAIL / PRE -ROOF - OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC �- ROUGH PLUMBING ROUGH MECHANICAL' l INSULATION. COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR ! MASONRY INSPECTIONS FOOTINGS/ STEEL BOND BEAM POOL/SPA/ R FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER - ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO i ' d d8f.: 10 - 90 22 JeW •� -. .e- L.'. i.., -u.. it'a -..''. -ay.., - '2f: ......._ � - - _ .P .-T. _ -r-fir+ ..iv -Y-.-'11 __ _ _ _ - _ - �- Certificateof Occupancy,. C� OF'i9 - 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.; e BUILDING ADDRESS: 80-795 VIA PORTOFINO ,Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6276 G Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL ' Owner of Building: S.L.'M. INVESTMENTS'. Address: P.O. BOX 1144 +- . • City, ST, ZIP: LA QUINTA, CA 92253 By: STEVE R. WILLETT Date: MARCH 22, 2006 r Building Official ' POST IN A CONSPICUOUS PLACE