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04-4649 (SFD)i BUILDING & SAFETY DEPARTMENT P.O. Box 1504. (760)-,777-7012 78-495 CALLE TAMPIC.O FAX (.760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 BUILDING PERMIT Application Number 04-0.0004649 Date 7%22/04 Property Address ..• 52300 EISENHOWER DR - APN:' 773-271-003-20 -000000- Application description DWELLING.- SINGLE FAMILY DETACHED Property Zoning COVE RESIDENTIAL Appl,ication.valuation 118158 Owner Contractor JOSEPH BIRDSELL BIRDSELL BUILDERS;.JOSEPH- . 78-0.73 JALOUSIE DR. 35558 SUMMERLAND AVENUE CA9.2.11 :'92211PALM.:DESERT. (760) 360:-2.3.01. .WCC: DAUGARD-INS WC: 22946,491 11/0.1/04. CSLB:. ...811293 08/31/05 CCC: B' ---.--- Structure Irnformation :.1871SQ. FT SFD: -=--- Construction Type TYPE.V - NON:RATED Occupancy Type . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . .. NON -AO FLOOD ZONE Other struct info.. CODE EDITION 2001 CBC # BEDROOMS 3-.00.. FIRE SPRINKLERS. NO GARAGE SQ FTG 45'9 00 PATIO S.Q FTG 161. 00... NUMBER. OF. UNITS. 1. 00. FIRST FLOOR SQ FTG 18 71.A 0' Permit BUILDING PERMIT Additional.desc Permit 'Fee' 706.00 Plan Check Fee 458:90 Issue Date Valuation 118158 Qty Unit Charge. Per Extension BASE FEE 639'.50 19.0.0 3.5000 THOU' BLDG 100,001-500,000 66.50 Permit . . .ELEC-NEW RESIDENTIAL. Additional. desc:. . .Permit -Fee 104.67 Plan Check F.ee . . 26.17. Issue Date: Valuation 0 Qty Unit.. Charge. Per D .'Extension A.LlG 0 3 2004 CITY OF LA QUINTA P.O. Box 1504 • VOICE (:760) 777=791"2 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760)'777-7153 BUILDING & SAFETY DEPARTMENT Application Number: &4&qlDate: S - 3 - 6 4 Applicant: 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 under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licanin in full force and effect. rise Class cense` S No. / Date — �" iJ � C ntractor_�/ %Z 17 j L -T �--� / / Y96'17- 5 .. 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 applicantto a civil penalty of not more than five hundred dollars ($500).): U 1. 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 t hat 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 constrict the project (Sea 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 arm exempt under Sec. ..B.& P.C. for this reason Data F-3 c/ Owner , �-- /J B(1212-!5 t 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 self4nsure 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' compensa on insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemhlt is issued. My workers compensatio -Gran carrier �md licy number are: trier Q6U Cn /1 !� / N� Poticy Number L _ g- y 4 _ I certify that, In the performance of the work for which thispermit Is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Califomiai 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. 3v canf J 6 0Y'Zd1-?10- n -5 �s 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,perfornance 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 inf on is correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorizepepresentatives of this cou, ty6 an u the above meimti�property for inspection purposes. /Date ✓ 0 Signature (Applicant or Agent): 1 1 Page 2 Application Number 04-00004649 Date 7/22/04 Qty Unit Charge Per Extension BASE FEE 15.00 1871.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 65.49 459.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 9.18 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ----------------------------------------------7----------------------------- Permit . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 f Qty Unit Charge Per Extension BASE FEE 15.00 -------------7-------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 65.50 Plan Check Fee 16.38 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 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 . . . . 141.00 Plan Check Fee 35.25 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 .6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00' .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 1871 SQ. FT SFD YHIS PERMIT DOES NOT Page 3 Application. Number . . . . . 04-00004649 Date. 7/22/04 7 ------------------------------------------------------------------ Special Notes and Comments INCLUDE POOL & SPA , BLOCK WALLS OR DRIVE WAY APPROACH.. ---------------------------------------------------------------------------- Other Fees . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 45.89 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 i DIF PARK MAINT.FAC -. RES 5.00 DIF PARKS/REC - RES 502.00 COVE PRECISE PLAN FEE 100.00 STRONG MOTION (SMI) - RES 11.81 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged ---------- Paid Credited ------------------------------ Due Permit Fee Total, 1032.17 00 .00 1032.17 Plan Check Total 536.70 250.00 .00 286.70 Other Fee Total 2562.70 .00 .00 2562.70 Grand Total 4131.57 250.00 .00 3881.57 Comments At the present time, the Desert Sands Unified School District does not collect fees on garageskarports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,871 S.F. or $4,191.04 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC -La Jolla Bank -Joseph Birdsell Check No. 309396 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent ' Fee collected /exempted by Beth Schieferstine Payment Recd $0.00 $4,191.04 -Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting ft CERTIFICATE OF COMPLIANCE - Desert Sands Unified School District 10 47950 Dune Palms Road Z4� ¢ B RMUDADUNES 0 Date $/3/04 La Quinta, CA 92253 RANCHO MIRAGE d tC INDIAN WELLS � No. 26258 760 771-8515 ( ) rG PALM DESERT y LAQUINTA NDIO �QINDIO 0 Owner Joseph Birdsell APN # 773-271-003 Address 52300 Eisenhower Dr Jurisdiction La Quinta City La Quinta Zip 92253 Permit # Tract # Study Area Type Single Family Residence No. of Units 1 Lot # No. Street S.F. Lot # No. Street S.F. Unit 1 52300 Eisenhower Drive. 1871 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments At the present time, the Desert Sands Unified School District does not collect fees on garageskarports, covered patios/walkways, residential additions under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,871 S.F. or $4,191.04 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC -La Jolla Bank -Joseph Birdsell Check No. 309396 Name on the check Telephone Funding Residential By Dr. Doris Wilson Superintendent ' Fee collected /exempted by Beth Schieferstine Payment Recd $0.00 $4,191.04 -Over/Under Signature NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtfs) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original - Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting -�. Certificate of Occupancy G� OF I'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. z } BUILDING ADDRESS: 52-300 EISENHOWER f Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4649 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC s JOE BIRDSELL Address: 78-073 JALOUSIE DRIVE City, ST, ZIP: PALM DESERT, CA 92211 By: KIRK KIRKLAND Date: MAY 10, 2005 f Building Official POST IN A CONSPICUOUS PLACE Concorde Consulting Group Construction Management . Project Management • Engineering • Development � -- December 9, 2004 Mr. Joe Birsell Bid, LLC La Quints, CA RE: 52-300 Eisenhower Road, La Quinta, CA — Structural Observation Letter Dear Joe Per my structural observation on December 9, 2004, we find the work to have been completed per general construction practices and -in compliance with the plaits and code. If you may have any further questions, please call us at our office. Vice President cc. K.M.Kripa, 45114. Sunnydune .—a 4 Ste 9 E Paha Springs, CA 92264 Ph: (760) 322-8626 Fax: (760) 416-1893