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06-0611 (SFD)P.O. BOX 1504 ^' VOICE (760) 777-7012 78495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING &. SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/09/06 Application Number: V_06 0000061;1,_ Owner: Property Address: 79320 ROSE DAWN SANTA ROSA DEVELOPMENT INC D APN: 649-030-069-56 -31311 - 46753 ADAMS ST D 7 Application description: DWELLING - SINGLE. FAMILY DETACHED LA QUINTA, CA 92253 Ln� Property Zoning: HIGH DENSITY RESIDENTIAL (760) 771-3345 (� Application valuation: li54L1 JUN 1 rl �ooLJ Contractor: JlJ Applicant: rchitect or Engineer: CONSOLIDATED CONTRA C ING, cINC�F E DEPT ) 46753 ADAMS STREET Fl�tf+PaCE ®SPT' ` C3e1 ZA)o-L -s-, sCce,- - LA QUINTA, CA 92253 (760)771-3345 LiC. No. 824183 ------------------ LICENSED CONTRACTOR'S 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 Profe ionals Code, and my License is in full force and effect. License Class: B C8�— ` License No.: 824183 ate:W4�re_7 ntractor: OWNE .BUILDER DECLARATION - r I hereby affirm under penalty of perjury that 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 apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _) 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 ISec. 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.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:. Q'{ Lender's Address: 1 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 issued, 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 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 beco bject to the workers' compensation provisions of Section jj ��{y�/3700 oft abor de, I shat ortl ith comply with those provisions. ate• L & Applicant: ALJ WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 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 of omission related to the work being .. performed under or following issuance of this permit. - 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. certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and stap laws relating to building construcge ,and hereby authorize representatives of this co o enter upon t ove-mentioned prop or inspe tion urposes. q%_ azure (Applicant or Agentl: / Application Number .. . . . 06-00000611 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'.00 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 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 1 . LQPERMIT .. a Application Number . . 06-00000611 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 . . CTUOINC 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 -56, 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 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 TWIf G X1 V, OF��`' Building & Safety Department ;T, 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: 79-320 ROSE DAWN, LOT 56 t Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-611 ' Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH r l Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST City, ST, ZIP: LA QUINTA, CA 92253 a . r __._. By: KIRK KIRKLAND Date: FEBRUARY 15, 2007 Building OfficialOF POST IN A CONSPICUOUS PLACE �• i+4i - ,:. -'l yy,R "t °�..A r.(i 1'°W{((i'4 .ih?tA'aY's�� -:§@'4;..... keJa' . L. F s.',.�'^Y'w'?+l`++r!ed.'i`"h'F. },w? LV '3h .i'.w.. a.Y+.14 -�.+' t... ,,..�4 •�