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04-3825 (SFD)� ot o� JUL 2 0 2064 ucv ITY OF L.A fdUtN7A FINANCE DEPT. BUILDING & SAFETY DEPARTMENT m O. BOX 1504. (760)' 777-7012 017 i 9 78-495 CALLE TAMPICO 4 FAX (760) 777-7011 LA QUINTA,. CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT .Application Number . . . . . 04-40003825 Date 6/21/04 Property Address 52500 EISENHOWER DR APN: 773-301-001- - - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning COVE RESIDENTIAL. Application valuation 169703 Owner Contractor ------------------------ JOSEPH M. BIRDSELL ------------------------ BIRDSELL BUILDERS, JOSEPH (760) 36.0-2301 WCC: DAUGARD INS WC.: 22946491, 11/01/04 CSLB:. 811293 08/31/05 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 # BEDROOMS 4.00 FIRES.PRINKLERS.' NO GARAGE SQ FTG 775.00 PATIO SQ FTG 371.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG\ 2615.00 Permit BUILDING PERMIT Additional desc Permit Fee .884.50 Plan Check Fee 324.93 Issue Date Valuation 169703 Qty Unit Charge Per. Extension BASE FEE 639.50 70.0.0 3.5000 -------- -----------------,--------------- THOU' BLDG 100,001-500,000 245.00 Permit . . . . . ----------------------------------- MECHANICAL Additional desc . Permit Fee, 103.00 Plan Check Fee'. 25.75 Issue Date . . . . Valuation 0 Qty . Unit Charge Per Extension P.O. Box 1504 • VOICE (760) 777-7012 1, 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760)777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Oji' 7,6 Date: i!� O•� Applicant: Applicant's Mailing Address: g A4,1 chitect or Engineer: Architect or Engineer's Address: No.: C s 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 Licensers in full force and effect. rise Class /� -�[Icense No. Date -7-- / `1� '� `' Tactor JO Sz=i'- I3 / 12 y SL L �- H� �, OWNER -BUILDER DECLARATION 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 I am exempt under Sec. B.& 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 issued. My workers' compensation' nce carrier and policy number are: �rrier 4:7a -A 6gA / A -_.--Policy Number � J� 2, "/2 / _ I certify that, in the performance of the work for- hich 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 th t, if should became subj to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio s. ate 7 '-1 G scant 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 VIA 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 Ouinta, 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 cancellati I certify that I have read this application and state that the above informati n is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and herebyauze representatives of this county o enter upon the above-mentioned property for inspection purposes. t/7 -� 74'Signature (Applicant or Agent): S Page 2 Application Number 04-00003825 Date 6/21/04 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA. MECH FURNACE <=100K� 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 EA MECH.EXHAUST HOOD 6.50 -----------------------------------------------------=-------- Permit . . . . . . -------------- ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . .137.03 Plan Check Fee 34.26 Issue Date Valuation• 0 Qty Unit Charge Per Extension _ BASE FEE 15.00 2615.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 91.53 775.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.50 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------=------------------------------ Permit PLUMBING Additional desc Permit Fee . . . . 183.75 Plan Check Fee 45.94 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 19.00 6.0000 EA PLB FIXTURE 114.00 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 7.00 7500 EA PLB GAS PIPE>=5 5.25 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 2615 S.F. SFD PERMIT DOES NOT INCLUDE Fee summary Charged Permit Fee Total 1323.28 Plan Check Total 430.88 Other Fee Total 2579.46 Grand Total 4333.62 Paid Credited Due ---------- ---------- ---------- .00 .00 1323.28 .00 .00 430.88 .00 .00 2579.46 .00 ..00 4333.62 Page 3 Application Number . . . 04-00003825 Date 6/21/04 ----------------------------------------------- Special Notes and Comments ----------------------------- BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 57.49 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 COVE PRECISE PLAN FEE 100.00 STRONG MOTION •(SMI) - RES 16.97 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1323.28 Plan Check Total 430.88 Other Fee Total 2579.46 Grand Total 4333.62 Paid Credited Due ---------- ---------- ---------- .00 .00 1323.28 .00 .00 430.88 .00 .00 2579.46 .00 ..00 4333.62 Certificate of Occu ancp Y0 u��crcv 'M =w� 0 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. } s BUILDING ADDRESS: 52-500 EISENHOWER DRIVE 4 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-3825 f Occupancy Group: R3 Type of Construction: VN Land Use Zone: RC Owner of Building: JOSEPH BIRDSELL Address: 78-073 JALOUSIE DRIVE City, ST, ZIP: PALM DESERT, CA 92211 -� By: KIRK KIRKLAND 2 Date: FEBRUARY 4, 2005 Building Official ; POST IN A CONSPICUOUS PLACE 11/11/2004 04:00 7603403728 own 11 November 2004 GLS GROUP PAGE 01 The City of La Quinta Department of Building and Safety 76.495 Calle Tampico La Quints, CA 92253 Project: Single Famih , Residence for: Joe Birdsell `52-500.-Eisetlhower_ La Quints; C q Regarding: Project Obs(.rvation Archltectur2, Interior., Space ana Lano rianrnng Structural Calculations To Whom it May Concern, On or about 5 November I visited the noted project site to perform code required structural observations. At that time 1 noted only m nor blocking, nailing an I strapping issues that were revolved at the time of my visit. Now, I hereby stag that the project's struiAure is in substantial conformance with the structural design intent as represent !d in the construction documents and the project is ready for final framing in- spection and wrapping. If you have any further que stions regarding this project please do not hesitate in contacting me. Charles D. Garland Architect 14-854 Vella Way, : uite S r3 Pgh Desert, CA 92560: ❑ Phone: (760) 340.3526 o Facsim Ile: (760) 34-37 ]D G, �to.Ct19�J7 fj•'� 10/3/2045._ ff _ ze 14-854 Vella Way, : uite S r3 Pgh Desert, CA 92560: ❑ Phone: (760) 340.3526 o Facsim Ile: (760) 34-37 ]D