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04-5575 (SFD)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLE TAMPICo FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) -777-715.3 BUILDING PERMIT Application Number. . . . . . 04-00005575 Date 7/23-/04 Property Address . . . . . . 77121*CASA DEL SOL APN: 7713-360-0`12-12 -2840.9 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property .Zoning . . . . . . . MEDIUM .DENSI'TY .RES Application valuation . . . . 23.618.8 Owner Contractor MARICO CORRALES SANTA ROSA BUILDERS, INC. 81-226 FRANCIS AVE. P.O., BOX 11335 INDIO CA 92201 PALM DESERT CA 92255 WCC STATE FUND WC: 177037904 01/01/05 CSLB: B 10/31/0.4 CCC: 81.4110 ------ Structure Information 3704 SQ. FT. SFD. ----- Construction Type TYPE V - NON RATED Occupancy Type . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . NON -AO FLOOD ZONE Other struat info_ . CODE -EDITION 2001 CBC # BEDROOMS 3.00 - FIRE SPRINKLERS — NO - GARAGE GARAGE SQ. FTG 818.010 PATIO SQ FTG 623.0.0 NUMBER. OF UNITS t '�� 1.. 0��0 FIRST FLOOR SQ FTG 370'.4.00 --------------- '-------------------------------- - - - - - - - - - \j - - \�j ------ Permit, - - - - Permit BUILDING PERMIT Additional desc Permit .Fee . . . 1119.00 P � r. etk. CAe 477.35 Issue ..Date_ 23618;8 Qty Unit C11arge Per w/i �`% Extension BASE FEE 639.50 137-.00 3.5000 THOU BLDG 100,001-500,0 �01 479.50 Permit . . . . . . ELEC-.NEW RESIDENTIAL Additional, desc Permit -Fee 116.00 Plan Check Fee 44.00 Issue Date. Valuation . . 0 Qty Unit Charge Per Extension P.O. Box 1504 78-495 CALLS TAMRICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: Oy-' sT -7,5 Applicant: Applicant's Mailing Address: 4 VOiCE-(760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760) 777-71153 Date` 7-Z3- ot Architect7or -Z3- Architect°or Engineer. ,Architect or Engineer's. Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I heisby affirm under penalty of perjury that I am licensed. underprovisions of Chapter 9 (commencing'wNh Section 7000) of Division 3 of the Business and Protesskmte• Code, and my Licerein full force and effect. License rClash �( License No.�/'/ %U care/y_Co OWNER$UILDER DECLARATION I herebyeffirm under penalty of perjury that:l am exempt from theContrectors' State'Lloense Law for the following reason (Sec. 7031.5. Business and Professions Code: Any dtyorcountyfhat requires a parrnit to cor►struct, elter,'improve, demolish, or repatr any strixdirre, prior 10lts issuancealso mquhas the applicant iw the permit to lite a signed statement that he or do is licensed pursuant to the provisions of the Contractors! State License Law (Chapter g'(commmncIng with Section 7000) of Division 3 of the Business and Professions Code) or ffu&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 moreithemfive hundred dollars ($500).): (U 1, as:owner of the properly, or myempioyess,with wages as;their sole oompensetion, will do the work, and the structure is not Intended or;offered for sale (Sea. 7044, Business and Professions Code: The Contractors'-StaWLIcense Lew does not apply to an owner of property who bufkls or Improves thereon, and who, does the work himself or herself or through his or her own employees; provided that'the improvements are not.intanded or offered for sale._ If, however, the building or Improvement Is sold witiitmone 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 t. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business.and Professions Code: The Contractors Stow License Law does not apply to an owner of property who builds or improves therson, and who contracts forthe 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 .Owner WORKERS" COMPENSATION DECLARATION I.here affirm under, ne of by pe Ily 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:Section3700mf the Labor•Code;dor the perfonnanoe of it* work for which this• perniit'is issued. _ 1 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 purer and policy number are: Cartier Policy Number. . I _ certify that, in the pefomtance of the work for which this permit'is issued: I shall notemploy arty person in any manne ,r so as to become subject to the workers' compensatiomlaws ol"Califomia, and agreethat, if I shouldbecorrre-subject:to themorkers' compensation provisions of Section 3700 of the Labor Code, I shell YoAhwllh comply with arose provisions. Date .�a Applicant WARNING: FAILURE TO SECU ORKERS` C SATiON 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 ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY 1 hsrebyaffirm under penalty of perjury that `there is a construction lending agency For the peftmence of the work for which this permit is Issued (Seo. 3097, Civ. C): Lenders Name Lenders 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 Oft application. 1. Each person, upon'whose behalf this application is made. each person at whose request and for whose benerd 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 shelf, defend, indemnify and hold harmless the City of Le Quints; Its officers, agents and employees for any actor omission •related to the work being performed under, or following Issuance of this permit. 2. Mypermm it issued as a resuR of thisapplicstlon becomes null and void if work is not oommenced;wltMn 180 days from date of issuance of such permlt, or cessetiomof work for 180 days will subject pemmit.to cancellation. ION* that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state lswsrelatumg to building construction, and hereby authorize representatives of this county to enter upon the above- mendonad 19 for,inspectlon purposes. Date y y Signature (Applicant orAgt): en Page 2 Application Number . . . . . 04-00005575 Date 7/23/04 Qty Unit Charge Per Extension BASE FEE 15.00 3704.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 129.64 8.18.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.36 1.0.0 15.0000'EA ELEC TEMPORARY POWER POLE 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 ------------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc . . Permit Fee . . . . 119.50 Plan Check Fee 29.88 Issue Date . . . . Valuation . . . . 0 Qty' Unit Charge Per Extension BASE FEE 15.00 4.00 9.0000 EA MECH.FURNACE <.=100K 36.00 4.00 9.0000 EA, MECH B/C <=3HP/'100K BTU 36.00 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 . . 20.9.25 Plan Check Fee 52.31 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 22.00 6.000.0 EA PLB FIXTURE 132.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 1.0,0 3.0,000 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 1.5.0000 EA PLB GAS METER 15.00. Special Notes and Comments 3704 SQ. FT. SFD . THIS 'PERMIT DOES NOT Page 3 Application Number . . . 04-00005575 Date 7/23/04 Special Notes and.Comments INCLUDE BLOCK WALLS, POOL AND SPA,OR DRIVE WAY APPROACH. ----------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES 90.47 DIF COMMUNITY CENTERS. -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 72.74 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 STRONG MOTION (.SMI) - RES 23.61 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1638.75 .00 .00 1638.75 Plan Check Total 603.54 .00 .00 603.54 Other Fee Total 2.591.82 .00 .00 2591.82 Grand Total 4834.1.1 .00 .00 4834.11; as -? *7,121 (A 51) 7v- Mailing v Mailing Address L_ roll City Zip a Contractor Address City Zip State Lic. & Classif. Arch., Engr �J/ A Designer r �i .�,a 19 1 state. Lica# �iGv 7 BOX 1504 APPLICATION ONLY 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 82253 I hereby.affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70p0iof Divisiory3 of the eusiness•and Professions Code and my license Is; in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I. hereby affirm that I amexempt from the Contractor's License 'Law for the following reason: (Sec. 703f.5;6us1nsss sen Profet&lons Code: Any city or county which requires e permit to construct alter. Improve, demolish, or repair any structure; prior to ,Ba issuance also requires the applicant for .such permit to file a algned,. sfatemenf that he Is licensed pursuant to the provisions' of the. Contractor's. License Law, Chapter 8 (commencing with Section 7000) of DiWsfon 3 -of the Business and Prolesslons Coda; or lhaf. he Is exempt therefrom, and the basis for. the afieged exemption. Any violation of *don 701.5 by 'may applleant .for a permit subjects the applicanuto scivll penalty of notrriore than rive hundreddollars'($500). I':! 1, as owner of'the property, or:my employees with wagesps their sole compensation, will do the work, and the structure is not Intended or offered for sale. (See. 7044, Su/anesa-and ftressions Code; ThIe Contractor's License_ Lew does not ,apply to an ,owner of property who balfds or i7ipioves thereon ene"a"d who dosuch work' himself or through his own empbyeea; provided that such frnprovements are not Intended or offered for sale. N,, however, the buddB?p or fmp`rovomerit Is sold within ons year of compiedbn, the ownerbuWgr, wilt"have the 'burden o f proving That he dM not bad or Nnprove for the pi{goose:of sale.) 11P 1, as owner of the property, am exclusively contracting with, licensed contractors;con- struct co struct the project. (Sec, 7044, Busihsss,and Professions Code:; The Contractor's License Lew does not apply to in ..owner of. property' who builds of Improves thereon, and who contracts for :such.pro)ectwivith a contractors) Ikensed puhuian(to thi'Contreetor'sLicense Law:) f7 I am exempt. under Sec.—B., & P:C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent toself•insure, or a certificate of WoriieCe.gompansation Insurance, or a certified copy'thereof. (Sec. 3800,. Labor Code.) Policy No. Company r7 Copy is filed with the city. O Certified"copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE .(This section need not be completed If the permit Is for one hundred dollars (,i100) valuation or leas.) I certify that in the performance of the work1or which this permit+is Issued, I,shall'not =any' person in any manner so, as to become subject to the Workers' Compensation Laws of California. -Date - Owner ;NOTICE TO APPLICANT: 0, after me" this Certificate of. Exemption you should become subject to the Workers' Compensation „ provisions sol' 69 Labor Code, you mint forthwith - comply with such provisions of this permit shaf/.be deemed revoked. - CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance'of`the work for which this permit is,issued. (Sec. 3097, Clvll Code.) Lender's Name Lender's Address This:is a. building,perrrilt'when property filled out,aigned'and validated, and:is subjectto expiration if miork thereunder Is Suspended for 180'daya I certify that I have read this application and state that the above informatien 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 city to enter the above. mentioned property for inspection purposes. Signature of applicant —Date— Mailing ateMailing Address City, State, Zi. JILDING: TYPE`CONST.OCC. GRP. 717, P. Number -775— e� �l���f�C Igal Description 1-T ( ? r� ? �l� G oject Description Ft,� No. No. Dw. 1 Stories Units ,New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PERMIT Plan Chk. Dep. Plan Chk. Bal.. Const. Mach. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL AMOUNT -tom Su ZONE: ' BY: Minimum Setback Distances: Front Setback from^Cent Rear Set m.Re�rop..L e Side Stre4 ' tba�RFi? er' sin 0 Side SetbW .om Property Li FINAL DATE INSPECT Q Issued by: Validated by: t �— Validation: WHITE = FINANCE YELLOW- APPLICANT PINK - BUILDING DIVISION CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT `kOF 777-7012 If INSPECTION REQUEST LINE 777-7153 OWner SANTA ROSA BUILDERS, INC. Contractor SANTA OSA BI1ILDFRS, iNC: - Permit Number 14A575 POST ON JOB IN CONSPICUOUS PLACE. INSPECTOR MUST SIGN.ALL APPLICABLE SPACES JOB ADDRESS 77121 CASA DIEL SOL 3704 SQ. FT. SFD .'THIS PERMIT DOES NOT INCLUDE 'BLOCK WALLS, POOL AND SPA,OR . DRIVE WAY APPROACH. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER �TII� FOOTINGS /'STEEL CONCRETE SLAB DO NOT POUR C ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING (COMBINATIOI ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL ! INSULATION COVER NO 1 INTERIOR GYP. BD. (DRY EXTERIOR: LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION UNTIL INSPECTIONS rvv i irvua / 01 rr-L BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE /SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER - d ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT )LAITY DEVELOPMENT DEPT. f JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING #. Certificate ®f Occupancy of��,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. BUILDING ADDRESS: 77-121 CASA DEL SOL Use classification: SFD Building Permit No.: 04-5575 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RM Owner of Building,: MARCO CORRALES Address: 81-226 FRANCIS AVE. City, ST, ZIP: INDIO CA 92201 _ By: KIRK KIRKLAND �t 'L Date: 2-8-06 Building Official POST IN A CONSPICUOUS PLACE