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0403-368 (SFD)Certificate of OccupancY tu�crcv i K^nA -RATED 4 F Building & Safety Department artment 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. BUILDING ADDRESS: 56-877 VILLAGE DRIVE t Use classification- SINGLE FAMILY DWELLING Building Permit No.: 0403-368 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL 1 1 j Owner of Building: BIRDIE HOMES, LLC Address: 5,E. CITRUS City, ST, ZIP: REDLANDS, CA, 92373 By: GARY HARTMAN Date: August 4, 2005 Building Official S POST IN A CONSPICUOUS PLACE AUG -04-2005 THU 10:04 AM THE.PALMS FAX N0. 7607778680 P. 02 t " r CITY OF LA QUINTA - �' bbILDING & SAFETY DEPARTMENT 777-7012 INSPECTION REQUEST LINE 777-7153 i Owner -BIRDIE jj0N i I., Ll,c I Contractor FrRcT Derr rrs l VI[ bn V)E�# ' Permit Number 0403-368 POST ON JOB 1N CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 56-, AGE DRIVE JOB ADDRESS 877VILL....,�. ..._:�_._. i SFD, LOT 68 PLAN 3A -C2. PERMIT DOES NOT INCLUDE BLOCK WALL,. POOL, SPA OR DRIVE'WA'Y APPROACH, .. i f 7YPE OF INSPECTION , �.e DATE INSP. TEMPORARY.POWER f 7YPE OF INSPECTION , �.e DATE INSP. TEMPORARY.POWER ^_ SETBACKS U/G PLUMBING / WASTE ROUGH ELECTRIC_ ? ,� U/G ELECTRICAL. / GROUNDING 777 ROUGH MECHANICAL. FOOTINGS/ STEELLAI- CONCRETE SLAB INSULATION (_ �,rL i DO NOT POUR CONCRETE UNTI ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP FRAMING (COMBINATION) ^_ ROUGH ELECTRIC_ ROUGH PLUMBING ROUGH MECHANICAL. INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BO, (DRYWALL) I _ e1 EXTERIOR LATH— . GAS TEST a. r . SEPTIC ABANDONMENT . _ SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR r ( t MASONRY INSPECTIONS FOOTINGS'/ STEEL�� I BOND BEAM .._ POOL•/ SPA/ WATER FEATURE INSPECTIONS P_RE•GUNITE / SETBACKS U/G PLUMBING, U/G GAS U/G ELECTRICAL _ PRE-PLASTER•(ALARMS /BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER _z ELECTRICAL PLUMBING _ MECHANICAL, _ PUBLIC WORKS_ DEPARTMENT _ 1 E COMMUNITY DEVELOPMENT DEPT 2'` o FINAL/ JOB COMPLETED I ABOVE APPROVALS DO` NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING LICENSED'CONTRACTOR 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 Pt*sionals Code -and my License is in full force and effect. License # Lic. Class Exp. Date J r ,.. I 1660441 1 ,.Date ---� Signature of , traetor.•�_y� y / /L,-- . w Y �. t��r a.,_ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the;jollowing reason: ( ) 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(§,-Vofe ssionals Code),../ ( ) I, as owner of the grope !am exclusively'lcontracting with licensed contractors to construct the Q,'oject (Sec. 764 usiriess & Professionals Code). O' I am exempt under Section,_", B&P,C!for this reason Date Signature- of Owner 0 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty j � perjury one% 1#9 following declarations: () I have and will maintaiiVa certificate of con ent 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 insurance carrier & .policy no. are: Carrier Policy No. STATE FUND (This section need not be completed if the permit valuation is for $100.00 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 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, provlislons'! Date:A / /r,al ApplicAt. 1A � , r J l f; Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his,,- application. is,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 applicaton agrees to,: _&, shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and' hereby authorize representatives of this City to enter upon the above mentionedrprope rty,for inspection purposes. 1 Signature.\(O ner/Agen�t� = Date j ,?'= %�I� ;- BUILDING PERMIT” PERMIT# DATE VALUATION LOT �j TRACT tel' f -1�/ N 71+Kti •p!� •^l €f�np JOB SITE APN v ADDRESS - 44.. 77 tT lr . IQT? fw ). .._�_ Chad o _ OWNER - CONTRACTOR/DESIGNER/ENGINEER B 3m Hi3wiS 1 i 1, UC! RMST PAMUCA Dr-,ArC1,T CPiirMrj CORP. 5 I:„ Ci-CRUN AVE SM 205 5 T-1, MRTTS ANT-- : 205 .' TUANDS CA 92373 ;"X)1,. AP; DS CA 92373 (9539}'798.3688 CBLO 4911 USE OF PERMIT mqC'9:G .'. I ANkY DAmf m VD, L T 68.PL; N W .C3 . PERMIT DOES NO]- ENCl,UMP 151AC1C WAIA,,, 8004 9F.A. OR DRiYJ EWAYAPPROACH, CW'4'OM CONSTRUCITOW 4,020.00 Sig P4I.itl,HMATIO 1,"4.00 SE' 0�'�£> �4C1MARP{.SRT i3Clo0 IS ERM" ME COW.I' OF CONILDRUCIn(:'AN 34I�W.26 pl:.'L�:(4lJ:rr:sr'JW S'i7A/!il!6:X Y COHSTRUC, ION FEE 1151•000.4,18-000 $1,496,51) P -1,A14 CiiT?i::k: FEi? l ti 1-C2aG-ct39-3 i 8 i,.aa4. a4 ?1d1ZCI3AA 1CAi��: EE 101.0000-44.211-/0�/0�,0 MIN 7�qct ELECTRICAL—PEE 1 0 t-000-�i•d^i0-00MIi $7.J %.80 t�i�ilAljl3i dCtFER 101-000.4.19.000 �i22�:iS STIR HO MOTION FEE + RE ID 101-000-24 1-000 X34.14 ORADINiry FEE 10.1 »000.413 -WO WIN DFY. L PF,R 1;1V.AC T FL,f~ $2,405,00 Ali`!• 119 PUBLIC PLACES -AUK 270.000.445.0013 S393.33 �.. ffuvy aL CO •CJ'C no,.,T �. .'PI AIT CI1ta1C: $6,143.81 1. L1JSS P!?,�_ P.�1�'f.�sl'sS . APR,/ �A $0.00 = �0®! CI .. 5 y. f:JTy ® Pxiaffr ye s _C . ]: o",A fiJv�ty gar . RECEIPT. DATE_ BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings _ Underground Ducts Ducts Slab Grade e Return Air Steel -2 Combustion Air Roof Deck d Exhaust Fans O.K. to Wrap F.A.U. Framing Compressor Insulation a Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath p �en�. Y3o Final Final BLOCKWALL APPROVALS POOLS - SPAS steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping _ / !� Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: • � ro :Siy �lfteS;�„•! �.++'Sr�'Cr"i^LF ��':�. . . v. Y. � � � ' `a .'e{�yw..{C.:x e.,, 'I!•,�,� VYr. �. ,Y.. w..•Mk. .. 'REGISTERED INSPECTOR'S WEEKLY REPORT JON iAtV®Y' 78-194 Elenbrook Ct. ,Palm Desert, CA 92211 Office (760) 772-7192} Fax (760) 772-7193 Pager (760)-,776-333& TYPE OF O REINFORCED CONCRETE TRUCT. STEEL ASSEMBLY O Q INSPECTION O POST TENSIONED CONCRETE O ASPHALT' OTHER PERFORMED O REI FORCED MASONRY IL O FIRE PROOFING JOB l0 V` REPORT SEQUENCE NO. � DAY OF WEEK TYPE 9f�,�lUCTUL nn/�• 4(,/ � - PERMIT NO. � � ll "bg�ur- ��■�/\ V MATERIAL DESCRIPTION , ARCHITECT -� IN�jJ NRS. CHARGED ENGINEER ASSISTANTS' HRS. CHARGED s E i `T ' V . r GENERAL 4ir INSPECTION f. f�: C A Su" p• t�� DATECONTRACTOR -S e� �, N a (�'tS es Szv mS t 1 31 ��- C w 6 (0 7 i� COPY SENT TO CLIENT O i CONTINUED ON NEXT PAGE O PAGE OF CERTIFICATION OF COMPLIANCE ` JI I, CERTIFY THAT I HAVE INSPECTED TO SHE BEST OF M; IG TURE OF REGISTERED 15 CTOR KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE: i. a 1 Q NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED $ O® �/' L PLANS. SPECIFICATIONS. AND APPLICABLE. SECTIONS OF THE DATE bF RE ORT REGISTER NUMBER GOVERNING BUILDING LAWS. 1AaR'L� Certificate of Occupancy Yom{{. � '�!'.A [vru•.,exr� ... G� OFBuilding & 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. BUILDING ADDRESS: 56-877 VILLAGE DRIVE Use classification- SINGLE FAMILY DWELLING Building Permit No.: 0403-368 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: BIRDIE HOMES, LLC Address: 5 E. CITRUS City, ST, ZIP: REDLANDS, CA, 92373 _ By: GARY HARTMAN Date- August 4, 2005 Building Official POST IN A CONSPICUOUS PLACE