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06-0608 (SFD)L \ P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00000608 Property Address: 79336 ROSE DAWN APN: 649-030-069-50 -31311 - Application description: DWELLING - SINGLE FAMILY Property Zonjnq: HIGH DENSITY RESIDENTIAL Application valuation: 85421 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Applicant:Ar.hitecvor Engineer: OP -1 00 -------------------------------------------------- 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 ' nals Code, and my License is in full force and effect. License Class:: 13 C8 License No.: 824183 ITDate: 4 �ontractor: .OWNE -BUILDER DECLARATION 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 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.). ' (_) 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 contractor(s) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/30/06 Owner: SANTA ROSA DEVELOPMENT INC 46753 ADAMS ST LA QUINTA, CA 922i5� 3 (760) 771-3345 !�) JUN 4 2006 . L Contractor: CONSOLIDATED CONTRACTING,WQNCAQUINTA 46753 ADAMS STREET - FINANCE DEPT. LA QUINTA, CA 92253 (760)771-3345 Lic. No.: 824183 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm undei 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. XI 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 Numbei 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 3700 of the Labo ode. I sha fort with comply with those provisions. D� ' � plicant: r WARNING: FAILURE TO SECURE WORKERS' C MPENSATION 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 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 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 county ordinances and state laws relating to building const}q+ i n,'and hereby authorize representatives of this cot t ttoo enter upon the above-mentioned p y for inso�ctio purposes. ate: ' ' ` r" Siure (Applicant or Agent): VA Application Number 06-00000608 Permit BUILDING PERMIT Additional desc . Permit Fee . . .". 576.50 - Plan Check Fee 374.72 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 ?-on Permit MECHANICAL Additional desc . Permit Fee . . . . 46.00 Plan Check Fee 11.52 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 17.60 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 29.24 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 - - Application Number . . . . . 06-00000608 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 -ar Extension BASE FEE 15.00 -------------------------------------------- Special Notes and Comments SFD - LOT 56, PLAN 3CR, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 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 37.47 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 433.08 .00 .00 433.08 Other Fee Total 3742.01 -.00 .00 3742.01 Grand Total 4999.90 .00 .00 4999.90 LQPERMIT Certificate of Occu ancV1 0 Y. i y � 5 4 Qum& OF'T19� Building. & Safety Department' '? This Certificate is issued pursuant to the requirements of Section 109 of the California Building c '# 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; BUILDING ADDRESS: 79-336 ROSE DAWN, LOT 50 Use classification: SINGLE. FAMILY DWELLING Building Permit No:: 06-608 Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH x Eu Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: FEBRUARY 16, 2007 4 Building Officialof 4 POST IN A CONSPICUOUS PLACE; i