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06-0617 (SFD)`P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x706-00000617- Q". BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Property Address: 79268 ROSE DAWN APN: 649-030-069-72 -31311 Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 95421 Applicant:rchitect or Engineer: e -------------------------------------------------- LICENSE P ONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury that I ice sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businesssionals Code, and my License is in full force and effect. cens Lie/C ss: B C8 a r License No.: 824183 Date: 6 tractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjur am exempt from the Contractor's 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 Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or, that he or she is exempttherefrom 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).: (_ 1 1, 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 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.). (_ I 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 contractorls) licensed pursuant to the Contractors' State License Law.). " (_ I I am exempt under Sec. , B.&P.C. for this reason . Date: Owner: 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: LQPERMIT Owner: SANTA ROSA DEVELOPMENT 46753 ADAMS ST LA QUINTA, CA 92253 (760)771-3345 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/09/06 INC Contractor: CONSOLIDATED CONTRACTING 46753 ADAMS STREET LA QUINTA, CA 92253 (760)771-3345 Lic. No.: 824183 ------------------ WORKER'S 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 insurancecarrier and policy number are: ' Carrier STATE FUND P y Number 1770749 I certify that, in the performance the ork for which this permit is issued, I shall not employ any person in any manner so o beco a subject to the workers' compensation laws of California, and agree that, if I s come bject to the workers' compensation provisions of Section 3.700 of the abor shall fo hwith comply with those provisions. te:W. pelican WARNING: FAILURE TO S CU E RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER RIMINAL 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. 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 be null and void if work is not commenced within 180 days from date of issuance of sucrmi4 r cessation of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state tha Kh ve.in ormation is correct. I agree to complywith all city and cou ordinances and state laws elatir to con ruction, and hereby authorize representatives of this coyn* to enter upon the above -maid ed pr e in ection purposes. (Applicant}5r Ager¢)/ / /;f/ 0— r- Application Number . . . . . 06-00000617 Permit . . . BUILDING PERMIT Additional desc . Permit Fee '576.50 Plan Check. Fee 93.68 Issue Date Valuation '85421 Expiration Date 8/08/06 . Qty Unit Charge Per Extension ' BASE FEE 414.50 36.0`0 4:5000 THOU• BLDG 50,001-100,000 162.00 Permit MECHANICAL Additional.desc . ~ - Permit Fee . . . . 46.00 Plan Check Fee 2.88 Issue Date Valuation 0 Expiration Date .. 8/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K•BTU 9.00 1.00- 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 ------------------------------------------ EA MECH EXHAUST HOOD --------------------------------=- 6.50 Permit . .' ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 70.31 Plan Check Fee `. 4.40 Issue Date Valuation . . 0 Expiration Date•. 8/08/06 Qty Unit Charge Per 1 Extension BASE FEE 15.00 1339.00 .0350 ELEC NEW RES.= 1 OR 2 FAMILY 46.87 422.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.44 Permit PLUMBING Additional desc . Permit Fee . . . . 117.00 Plan Check Fee 7.31 Issue Date . . . . Valuation 0 Expiration Date.. 8/08/06 Qty Unit" Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ' LQPERMIT - - �4 Application Number 06-00000617 Permit PLUMBING Qty Unit Charge Per Extension 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 6.00 .7500 EA PLB GAS PIPE >=5 4.50 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 Expiration Date 8/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------•--------------------- Special Notes and Comments SFD - LOT 72, PLAN 3A, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO. PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF'COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE 9.37 DIF FIRE PROTECTION -RES '140.00 { GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC !-RES.' 892.00 STRONG MOTION (SMI) - RES 8.54 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due -- ---------- ---------- Permit Fee'Total. 824.81 .00 .00 824.81 r Plan Check Total 108.27 ..00 .00 108.27 Other Fee Total •3713.91 .00 .00 .3713.91 Grand Total 4646.99 .00 .00 4646.99 LQPERMIT Certificate of Occupancy- ,- 0i 4 OF Buldin & Safet Department 9► Y p t This Certificate is issued pursuant to the requirements of Section 109 of the California Building f 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. t S r BUILDING ADDRESS: 79-268 ROSE DAWN, LOT 72 44 s Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-617 Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: RH x Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST fr ' City, ST, ZIP: LA QUINTA, CA 92253 e By: KIRK KIRKLAND ---' Date: FEBRUARY 15, 2007 8UIrCVirfg Official q r POST IN A CONSPICUOUS PLACE