06-0600 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06.-00.00.0.60.0
Property Address:
7°°272 ROSE DAWN
APN:
649-030-069-73 -31311 -
Application description:
DWELLING - SINGLE-FAMILY
Property Zoning:
HIGH DENSITY RESIDENTIAL
Application valuation:
84922
Applicant:
I hereby, affirm under penalty of perjury
Section 70001 of Division 3 of the Busi
License//CI s: B C8
/ate: b Contractor j
F
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
rchitect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
SANTA•ROSA DEVELOPMENT INC
46753 ADAMS ST
LA QUINTA, CA 92253
(760)771-3345
D
Contractor:
CONSOLIDATED CONTRACTING, INC.
46753 ADAMS STREET
LA QUINTA, CA 92253
(760)771-3345
Lic. No.: 824183
Date: 2/09/06
JUN 14 2006 ID
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rRACTOR'S DECLARATION
under provisions of Chapter 9 (commencing with,
tals Code, and my License is in full force and effect.
License No.: 824183
1�f OWNER -BUILDER DECLARATION
I hereby affirm under penalty of r' ry t at I 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 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),:
(_) 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 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.).
(_ 1 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , PAP.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
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
Y�/ issued.
_ 4 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 and policy number are:
Carrier STATE FUND Policy Number 1770749
I certify that, in the performance of th or which this permit is issued, I shall not employ any
person in any manner -so as to ome su ject to the workers' compensation laws of California,
and agree that, if I shout me subje to the workers' compensation provisions of Section'
3700 of the Labor Cod all forth h comply with those provisions.
ate:� PPlicant:
WAR NI G: FAILURE TO SEC6R ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMINAL 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 duinta, its officers, agents and employees for any act or omission related to the work being
performed under or followingissuance of this permit.
2. Any permit issued as a result of this application becomes null void if work is not commenced
within 180 days from date of issuance of such permit, cessat n of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that th v informatio is correct. I agree to comply with all
city and county ordinances and state laws relating to b onstructio , and hereby authorize representatives
of this co /I to enter upon the above-mentioned prop r inspect purposes.
,yYBe//� Ig�(Applicant or A ent):
-
At
Application Number .
. . . . 06-00000600
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
572.00
Plan Check Fee''.
92.95
Issue Date
Valuation
84922
Expiration Date
8/08/06
Qty Unit Charge
Per
-•
Extension
BASE
FEE
414.50
35.00 4.5000
THOU BLDG
50,001-100,000
157.50
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
70.07
Plan Check Fee
4.38
Issue Date . . . .
Valuation
0
Expiration Date
8/08/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
"1331.00 .0350
ELEC
NEW RES - 1 OR2 FAMILY
.46.59
424.00 .0200
-----------------------------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
8:48
Permit . . .
PLUMBING
Additional desc .
Permit Fee
116.25
Plan Check Fee
7.27
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
LQPERMTT
- -
LQPERMIT
r
Application Number .
. . . . 06-00000600
Permit . . PLUMBING
Qty Unit Charge
Per
Extension
1.00. 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 r 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
5.00 .7500
EA PLB GAS PIPE >=5
3.75
1.00 15:0000
EA PLB GAS METER
15.00
Permit . . . GRADING pEI MIT
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 73, PLAN 2C,
1331 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
7.5% 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
9.30
DIF FIRE PROTECTION -'RES
140.00
C
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
8.49.
DIF STREET'MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary, Charged Paid Credited
Due
Permit Fee Total
819.32 .00 .00
819.32
Plan Check Total
107.48 .00. .00
10.7.48
Other Fee Total
3713.79 .00 .00
3713.79
Grand Total
4640.59 .00 .00
4640.59.
LQPERMIT
r
00,
0j
Certificate of Occuan0cY
OF Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at thetime 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: 79-272 ROSE DAWN, LOT 73
w.
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-600
Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: RH
Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: MARCH 8, 2007'
Building Official
POST IN A CONSPICUOUS PLACE
M
04
� S
OF'T1'�'�`t`�
Owner SANTA ROSA DEVELOPMENT
Contractor CONSOLIDATED CONTRACTING
Permit Number 06-600
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES.
JOB ADDRES'E 272 ROSE DAWN
SFD - LOT 73, PLAN 2C, 1331 SF. PERMIT DOES NOT INCLUDE
POOL SPA
,.BLOCK WALLS OR DRIVEWAY APPROACH
TYPE OF INSPECTION DATE IPSP. €
TEMPORARY' POWER i
SETBACKS
U/G PLUMBING / WASTE _ ,Q
U/G ELECTRICAL/ GROUNDING
- FOOTINGS / STEEL
CONCRETE -SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF p
_OKAY TO WRAP o
MING COMBINATION
_ 0UGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION . Q—
COVER NO WORK UNTIL ABOVE SIGNED:
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT '
SEWER CONNECTION .
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
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
ELECTRICAL _
PI I IMBING
iANICAL
0'0—dLIC WORKS DEPARTMENT
r COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
c,.
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING