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04-6832 (SFD)a� `V 'ty,4o IBUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 oF-'° .FEB ?.8-4'92S00ALLE� AMPICO FAX "(760) 777-7011 LA-QUINTA; CALIFORNIA 92253 - INSPECTION REQUESTS (760) 777-7153 CITY 0F LA ��Ihitifi FINANCE DEPT. BUILDING PERMIT Application Number., 04-000,06832 Date 10/19/04 Property Address. . . . .56-821 VILLAGE DR APN: 764-050-027- - - Application'description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . LOW DENSITY RESIDENTIAL Application valuation 353009 Owner Contractor BIRDIE HOMES III, LLC FIRST PACIFICA DEV CORP 5 EAST CITRUS AVE. STE. 105 300 -EAST STATE ST, SUITE #100 REDLANDS CA 92373 REDLANDS" CA 92373 (9 G9) 798-3688 WCC: STATE'FUND WC: 00083532004 01/01%05 CSLB:. 760044 03/31/05. 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 FIRE SPRINKLERS NO GARAGE SQ'FTG 730.00 PATIO SQ FTG 1044:.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 4020.00 Permit.. BUILDING PERMIT Additional.desc Permit Fee 1528.50 Plan Check Fee 248.38 Issue Date. Valuation 353009 Qty Unit Charge Per Extension BASE FEE 639.50 254.00 3.5000 THOU BLDG 100,001-500,000 889:00 --------------------------------------------------------°--------------_----- Permit . . MECHANICAL Additional desc Permit Fee . . . . 140.50 Plan Check Fee 8.78 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.0.0 9.0000 EA 'MECH FURNACE ,:c=100K 27.00 3.00- 9.0000.EA, MECH B/C <=3H�P/`100K BTU. 27.00 10.00 6 . 5000' EA MECH VENT FAN-` 1.00. 6..5000 EA MECH EXHAUST HOOD 6..50 P.O. Box 1504 4��I�� 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: Date: cS • 7' 0- 5 -Applicant: hitect or Enginee Applicant's Mailing Address: hitect or Engineer's Address: Lic. No.: CAR L -LS I hereby affirm under COO, and my LicenS icense Class BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION :tion 7000) of Division 3 of the Business and Professionals 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 ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance V of the work for which this permit is issued. /�I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the, performance of the work for which this permit is iss w rkers' com nsalion in a ca rri a�d�olic er r$. Cartier icy Number ��^� � DpS 1 certify t at, in the performance o the work for which this permit is .sued, I s all 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. A . h 1 I��/��T7�>��%i-m 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 IA - 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 count to enter upo he ab a en ned property for inspection purposes. /nate / O Signature (Applicant or Age r . Page 2 Application Number . . . . . 04=0'0006832 Date 10/19/04, Permit . . . . . . .ELEC=NEW RESIDENTIAL Additional desc - Permit Fee . . . . 170.30 Plan'Check Fee 10.65 Issue Date Valuation, 0 Qty Unit Charge Per Extension BASE 'FEE 15.00 4020.00. .0350 ELEC NEW RES - 1 OR 2 FAMILY' 140.70 730:00:..0200 ELEC GARAGE OR NON-RESIDENTIAL 14..60 Permit ... . . . . PLUMBING Additional desc Permit Fee 233.25 Plan,Check Fee 14.58 Issue Date . . . . Valuation 0. Qty Unit Charge Per Extension BASE FEE 15'.00 26.00 6.000'0 EA PLB FIXTURE 156.00 1.00 15.0000 EA PLB BUILDING SEWER. 15.00 2'.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.00 3.0000 EAS-PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM s 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 SFD - LOT 66, PLAN 4A -C2. PERMIT DOES" NOT. INCLUDE POOL, SPA, BLOCK WALLS,' OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE,DUE.TO MULTIPLE ISSUANCE OF SAME PLAN TYPE.. -------------------------------------------------------------------------------- Other Fees . . . . .. . . ART ,IN PUBLIC PLACES -RES 382.52 DIF COMMUNITY CENTERS -RES 97.0.0 DIF -CIVIC CENTER - RES 3`66.00 ENERGY REVIEW FEE 24.84 DIF FIRE_PROTECTION-RES 97-00 Page 3 Application Number 047.000.06832 Date 10/19/04 Other Fees GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI),- RES 35.30 'DIF STREET MAINT FAC -RES 15.00 DIF -TRANSPORTATION— RES 1098.00 Fee summary, Charged Paid Credited;.. Due Peranit-Fee Total 2087.55 .00 .00.. 2087.55 Plan Check Total 282.39 .00 00 282.39 Other. Fee Total 2"847.66 .00. .00 2847.66 Grand Total 5217.60 .00 .00 5217.60 f f� ��-- Certificate of Occupancy0ot �J �C } GJ7 G�` OF9 Buildin9► & Safet Department 6 Y p This (ertificate 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. G # a BUILDING ADDRESS: 56-821 VILLAGE DRIVE 6 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-6832 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL 2 Owner of Building: BIRDIE HOMES 111. LLC Address: 5 E. CITRUS AVE. STE. 105 a City, ST, ZIP: REDLANDS, CA 92373 ai By: GARY HARTMAN Date: MARCH 30, 2006 'I Building Official w ` h w POST IN A CONSPICUOUS PLACE ti Mar 30 06 12:16p THE PALMS 7607771965 p,�,,, a s CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT �Fy OF tN- .:.. 777-7012 INSPECTION REQUEST LINE 777-7153' Owner -lFtt]R'nEE HO MFC iii i__ - Contractor IC DFV O OP NT Permit Number nd 6832 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS_ 56 871 vii -i -err»'- DRIVE r SFD — LOT 66, PLAN 4A -C2. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH TYPE OF INSPECTION. DATE INSP- TEMPORARY POWER SETBACKS U/G PLUMBING I WASTE 3 z U!G ELECTRICAL I GROUNDING FOOTINGS / STEEL - a CONCRETE SLAB- -s - DO NOT PCfUFI CONCRETE NIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP �" % - e- - FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION' COVER NO WORK UNTIL AB VE SIGNED ' INTERIOR GYP. 80. DRYWALL EXTERIOR LATH GAS TEST Iq SEPTIC ABANDONMENT SEWER CONNECTION ! ? '- SEPTIC / GREASE INTERCEPTOR ` MASONRY INSPECTIONS FOOTINGS / STEEL _ BOND BEAM POOL / SPA I WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING UIG GAS U/G ELECTRICAL PRE -PLASTER ALARMS/BARRIERS FINAL INSPECTIONS TEMP USE OF PERMANENT POWER Fl ELECTRICAL PLUMBING - MECHANICAL t PUBLIC WORKS DEPARTMENT • COMMUNITY DEVELOPMENT DEPT. >� o FINAL 1 JOB COMPLETED - ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY, BUILDING "