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0209-044 (SATT)LICENSED CONTRACTOR 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 Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 5846.56 Date Signature of Contractor�� a / / ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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 & Professionals Code):, ( ,) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner 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 insurance carrier & policy no. are: Carrier COMMERC9&INDUF Policy No. WC 967203 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 become subject to the' workers' compe , sation prow sions,.of Se 4 ,n�3700�,of the Labor Code, I s. ail,'o6with compl�ith,those provi ion Date '�' Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided in in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers,^agents and employees. 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 State laws relating to the building construction, and hereby authorize represent t' es of this City to enter upon the above- mentioned,pfoperty.for,inspectioposes. Signature (Owner/Agent)/ !. r BUILDING PERMIT PERMITd�# 0ry.4 WN hxy DATE VALUATION ,try q LOT TRACTJOB SITE ADDRESS -740 �SAWA IRO A PLA7.4 APN 770-020- 0:1. OWNER CONTRACTOR / DESIGNER ( EN INFER C'.A`�1. A LAS .ROSAJS LLC .:C°EYFR.I f C. VONE DBA 8UWhT11"r 3c.;'ILD) t P10, BOX 150.1 47W ' OKKAR.R�I N A,YZOI CKJ LA QUINTA CA 92253 WEEWPOM'BRACTI CA 92660 (949>4.y01 9911ls, I.N. USE OF PERMIT :�:fib'Cd`'M I A,:t1 ILY Al iACHED BUILDING 43 TYPIIP, Cr 9473 SAR=UNITS. PERMIT C OPM 1,10T YNCLt3DY BLOCK WALTZ OR POOLS PORCHIPATIO $40,00 sp A.Ptilt'3'AdEN'iSV-fid Go SF' EISM"T D 0015" 01P COTIV.1;RUCT.I:0H CONSTRUCTION FEE 101-000.41 8-000 $1,113.10 PLAN CHW-K IFFE, 101 4WO-439-3 18 $1,437.57 MECHANICA,LFFR 101-000.421-000 S263.0 rs>wWTRIC.AL 1FLUe 101-000-420-000 $373,02 i'IRDMDING IFU 101-.000419-010 $380.00 STROND MOTION FEE - REBID 101-000-241-0-00 $39.33 D VELOPgR IMPACT ;PEE VA1003.80 ART IN PURL C PLA_C&,g - RESIE 270-000-445-000 �,CyAid'�tttdC"iit;►?�1►2 LAN c4I a'r L P'iAAI t1trC T,20,05 .26 L, PRS -PAID JW* Moo OCT 0 4 7001 rcr m, ru. , wrir s imp; mow V20,052.26 CITY OF LA QUINTA FINANCE Dever. RECEIPT DATE �ti- 41-o BY / % /i DATE FI A ED a- INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings .0 Ducts Slab Grade 10Return Air Steel Combustion Air Roof Deck 1,0 Z Exhaust Fans O.K. to Wrap 177 F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath w t 8 -v z S7 ANAL cap 601s I Final �� 0 7 BLOCKWALL APPROVALS Final steel POOLS - SPAS Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines _ / Water Piping ` Heater Final Plumbing Final Plumbing Top Out I L - ,2 �j -c9 57 Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection a 3 s Encapsulation Gas Piping Gas Test a . eZZ • .� A pliances Final Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) COMMENTS: LICENSED. CONTRACTOR 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 Professionals Code, and my License is in full force and effect. License /1 Lic. Class Exp. Date 584656 B 01 /31/2( Date Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees.with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). , ( ) 1, -as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals . Code). () I am exempt under Section , B&P.C. for this reason Date Signature of Owner 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+ corripensation insurance, as'required by Section- 3700 of the Labor Code, for the performance of the work for whichbthis permit is issued. My workers', compensation- insurance carrier &. policy no. are: , Carrier COMMERCE&INDUS' = . Policy.No. WC9692M (This section need not be completed if the permit valuation is for $100.00 or less).. (') 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 become subject to the workers' compensation'provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall -subject an employer to criminal penalties and civil fines up to $100;000, im addition ,to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, ,interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby authorize representatives of this City to enter upon. the above-mentioned property for inspection purposes. Signature (Owner/Agent) Date !✓ BUILDING PERMIT PERMIT II / ! / 0209-044 DATE VALUATION $293,327.20 LOT B-3 TRACT 29909 DDRESS 30-740 SANTA ROSA PLAZA APN 770-020-001 OWNER CONTRACTOR/ DESIGNER / EN (NEER CASITAS LAS ROSAS LLC JEFFREY C. STONE DBA SUTAWr BUILD P.O. BOX 1503 4700 VONKARMAN AVE -91 00 LA QUINTA CA 92253 NEWPORT BEACH CA 92660 (949)450-9911 CBL# USE OF PERMIt SINGLE FAMILY ATTACHED BUILDINO03 TYPE C, 5472 S.F. 8 -UNITS. PERMIT DOES NOT INCLUDE BLACK WALLS OR POOLS PORCHIPATIO 840,00 SF APARTMENTS V -N 5,472.0.0 SF ESTIMATED COST OF CONSTRIICTION.. 293;32710 PERMIT FEE 91IA94ARY CONSTRUCTION FEE 101-000-418-000 $1,318.50 PLAN CHECK -FEE 101-00.0-,439-31.8 $1,437.57 . MECHANICAL FEE 101-000-421-000 $263.00 ELECTRICAL FEE 101-000-420-000 $.373;02 " - PLUMBING FEE 101-000-419.000 $399.00 STRONG MOTION FEE •.RESID 101-000'241-000 $29.35 DEVELOPER IMPACT FEE ART IN PUBLIC PLACES • RESIL 270-000-4,45-000 $333.82 RM -TOTAL CONSTRUCTION AND PLAN CH= $20,052.26 LESS PRE-PAIDFEES $0,00 TOTAL PERMIT FEES DUE NOW $20,032:26 RECEIPT DATE BY DATE FINALED INSPECTOR Tom Tisda:a Fire Chief 'Proudly serving the I)cccinber24, 2003 ..Uninoaporatod Arcas of itivcrside County and the City of La:Quinta Cines of . Buitdhig bei partment Banning :.3caumoat Re: Fire and tife Safety Clearance Calimcsa . Canyon l akc K i• The Riverside County;Fire Department is granting � fire and lifEsafety clearance Coachella pio�ect CasIhasI'Las Rosas foi for the followingr phage I and II, locattd 50920 Desert Hot Springs Avei ida `Bermudas; La Qumta:.::Please call 'f you should have and Questions. [radian WellsSRr�IA RISA ' PI -42A �o- indio i>ake tisirttav J. 0 La Quints Respectfully Moreno Valley Palm Dost;rt FRANK:KAVi/ASAKI •r Chief Fire, Deparliment Perris kanoho Mirage San Jacinto e;Ilccu;a ByA0 � U'(ti xy� , Board of Supervisors: Fire Safety Inspector 13ob iiostar; . District I John Tsvagtionc• Oiallict Z . Jim Venable, District 3 Rcy \V iLson. tMuict 4 Marion Ashley. oistrict 5 -EMERG.ENCY'5ERVICESDmSION . F AHNiNG SECTION . INDIO OFFICE 82-675 Highway 111, 2"° FI:; indlo, CA 92201 4'(760) 863-8886 • Fax (760j 863-7072 V 2 a Certificate of Occupancy 4 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 issu_ ince, 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: 50-740 SANTA ROSA PLAZA UNIT #1 Use classification: SINGLE FAMILY ATTACHED Occupancy Group: Am3 Owner of Building: CASITAS LAS ROSAS LLC Building Official Type of Construction: VN Building Permit No.: 0209-044 Land Use Zone: VC 3 Address: JEFFREY STONE DBA SUMMIT BUILDERS City, ST, ZIP: 4700 VONKARMAN AVE. #100 By: STEVE TRAXEL Date: 12-05-2003 ��-a- .Certificate of Occupancy .� i .o Buildin& Safety Department :Q �f 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 yx f ' 4 construction and/or use., BUILDING ADDRESS: 50-740 SANTA ROSA PLAZA UNIT #2 Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-044 y :�•' 'Occupancy i - Group: R-3 Type of Construction: VN Land Use Zone: VC � Vit-. . Kf �i s, I Owner of Building: CASITAS LAS ROSAS LLC Address: JEFFREY STONE DBA SUMMIT BUILDERS City, ST, ZIP: 4700 VONKARMAN AVE. #100 By: STEVE TRAXEL t ` Date: 12-05-2003 Building Official >7 POST IN A CONSPICUOUS PLACE Ftii:ojl�o� Certrficate of Occupancy Building &Safety Department This Certificate pis issued pursuant, to the, requirements of Section 109 of the. California Building Code; cert fj it thatat.- the time. , of issuance, this structure wase in compliance with the rovisons of th°e Bu�ldin Codeard 'the various • ordinances -of the City regulating building p g tY g g g construction and/or use. { BUILDING ADDRESS: 50:=740'SANTA ROSA.PL-AZA UNIT #3 Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-044 a Occupancy Group: R-3 Type of Construction: VN Land Use Zone: VC .Owner of Building: CASITAS LAS ROSAS LLC Building Official Address: JEFFREY STONE DBA SUMMIT BUILDERS City, ST, ZIP: 4700 VONKARMAN AVE. #100 By: STEVE TRAXEL Date: 12-05-2003 Q Certificate of Occupancy Builaling &Safety Department A 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 con'structionaand/or use. BUILDING ADDRESS: 50-740 SANTA ROSA PLAZA UNIT #4 Use classification: SINGLE FAMILY ATTACHED, Building Permit No.: 0209-04.4 Occupancy Group: R-3 =Type of Construction:.VN Land Use Zone: VC ,4 Owner of Building: CASITAS LAS ROSAS LLC Building Official Address: JEFFREY STONE DBA SUMMIT BUILDERS City, ST, ZIP: 4700 VONKARMAN AVE.'#100 By: STEVE TRAXEL Date: 12-05-2003 POST IN A CONSPICUOUS PLACE It Certificate of Occupancy Building Safety DopOrtment This` Certificate is. issued 'pursuant to the requirements 0 f Seictioii. 09. of thb%,P#��fqrpia Buildin 9 .. 'ifig-4 that; itlime of issuance, this -'sii re was in compliance with the* `- PA61iiiion§_..of .-the -Building Code and the various ordinances of the',Xity regulating building construction andlor use. BUILDING ADDRESS: 50-740. SANTA -ROSH P-LAZ-A,V41T.#5Pl ' Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-044 Occupancy Group:. R-3 Type of Construction: VN Land Use Zone: VC Ownei of Building: CASITAS LAS ROSAS LLC Address: JEFFREY STONE DBA SUMMIT BUILDERS City, ST, ZIP: 4700 VONKARMAN AVE. #100 By: STEVE, TRAXEL -05!-2003 Date: 12 Building Official INA CONSPICUOUS PLACE �-a- Qc Certificate of Occupancy Ell OF Bdilding.,& 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 -comp!iance with the E " provisions of the Building Code 'and the various ordinancesof the City' regulating., building constrii6tion and/or use. j 1,4 BUILDING ADDRESS: 50-740 SANTA ROSA:PLAzA UNIT #6 Of Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-044 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: VC Owner of -Building: CASITAS LAS ROSAS LLC Address: JEFFREY STONE DBA SUMMIT BUILDERS City, ST, ZIP: 4700 VONKARMAN AVE. #100 By: STEVE TRAXIEL Date: 12-05-2003 0 Building Official POST IN A CONSPICUOUS PLACE Certificate of Occupancy Building - � A Safe y D:epartr7 en 4 A This Certificate is issued pursuant. to the requirements of Section 109'oftthe California, Building de, -i. in, compliance with 'the -Cb certifying of issuance, this .structure was Wng that, at the time regulating pro siont -.of Building Code and the various ordinances of the City re'diati-9 building construction and/or use. BUILDING ADDRESS `50-740t SANTA.'ROSA,#PLAZA ILINIT#T pw Use classification: SINGLE FAMILY ATTACHED Building Permit No.: 0209-044' Occupancy Group: R-3 Type of Construdbo'n: VN, Land Use Zone* VC Owner of Building: CASITAS LAS"ROSAS LLC Address:. JEFFREY STONE DBA SUMMIT BUILDERS City, ST,'ZI P: 4700 VONKARMAN---AVE. #100 By: STEVE TRAXEL 641-1 Date: 12-05-2003 . 1 Building Official OUS F -�a Arm j `ate �'c%ate of Occupancy CertiTic 1 o e 'OF -9. Bdildifig,,& Safty Departmen# h Coiti-fica te is 'sued pyrs' nt to thd of Section '109 of the, California' Building T Is Is pursuant , compliance with the C e of is str ipplic if 'issuance, structure was qq yfnq that, ai.:thb time 't �j ula provlsions: of 'the- Building Code and the Various� ordinances of the City reg" ting building, H 14 71, on a or use. c �ction -hd BUILDING ADDRESS:, 50-740 SANTA-ROSKOL'AZA UNIT #8 Ie Use classification: SINGLE «FAMILY ATTACHED Building Permit No.: 0209-044 Occupancy Group: R-3. Type"of Construction: VN Land Use Zone: VC Owner of Building: CASITAS LAS ROSAS LLC Address: JEFFREY STOkE.DBA SUMMITBUILDERS City, ST,-ZlP:'4700*V0NKARMAN AVE. #100 By: STEVE TRAXEL Date: 12-05-2003 Building Official* POSTINA CONSPICUOUS PLACE