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
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N
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(�'tS es
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1
31 ��-
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6 (0
7
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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