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04-5615 (SFD)r BUILDING & SAFETY DEPARTMENT P.O: Box -1504' (760) 777-7012 C� p It _D- '8t--4,9'5-7C_)LF E' I AMP I,GO FAX (760) 777-7011 —L•AUQuIN ' �; IC'ALIFORN�IA 92253 'INSPECTION REQUESTS (760) 777-7153 N AUG 0 4,2004BUILDINGP,.ERMIT ;I' CITY. OF LA QUINTA Appld.c.art-�i!e"i Eg%I�m'ber . ' . . . 0"4 OS(Z T15 . Date 7/23/04 Property Address' 57539 SANTA ROSA TR APN "` 762-,24,0-013715 -3.0;487 - Application description~DWELL`ING - STNGLE.FAMILY DETACHED Property Zoning,. LOK.DENSITY,RESIDENTIAL Application: -valuation 168844` Owner Contractor,. SANTA ROSA DEV GREYHAWK, INC. 40847 SANDPIPER CT1:603' TRASK`ROAD PALM DESERT CA 92260 'ENCINITAS CA 92024 (760),. 634-1.031 WCC: EXEMPT WC :. ; `.: EXEMPT 10/21/04 '-CSL B; 798228 08/31/05 ;CCC B -------------------------- Structure...Informat.on` ------------------------- Construction Type .. . . . . TYPE V - NON' -RATED Occupancy Type DWELLG/LODGING/CONG <=10 Flood Zone- . . . . : . NON-AO'FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 4'.00 FIRE SPRINKLERS NO GARAGE SQ.FTG 809.00 PATIO. SQ FTG,394.00 NUMBER -,OF UNITS 1.00 ..FIRST •FLOOR SQ. FTG 2583.00 Permit BUILDING PERMIT Additional desc Permit Fee 881.;0.0 Plan Check.Fee 143.16 Issue Date Valuation . . . . 1,68844 Qty Unit -Charge. Per Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-5001000 241.50 Permit MECHANICAL Additional desc Permit Fee 108�:,00e Plan Check Fee 6.75 Issue: Date Valua.ti`on 0 Qty Ur -it' Charge Per Extension P.O. BOX 1504 • " VOICE (760) 777-7012 78.495 CALLS TaMPlco FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: &/ S Date: 14 -0 Applicant: Architect or r�Engineer: /rlictis Engineer, Applicant's Mailing Address: Architect or Engineer's Address: ni Lic. No.:j� BUILDING PERMIT DECLARATIONS 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 Professionals Code, and my License is in full force and effect./l cense Class n! ✓�%i/ceensez�No. Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U I am exempt under Sec. BA P.C. for this reason Date Owner WORKERS' 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 and policy number are: Cartier Policy Number 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' comperisation provisions of Section 3700 of the Labor Code, I shall fort with comply with those provisions. Date Of Applicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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. 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 IMPORTANT Application is hereby made to the Director of Buildin. and SafeAPPLICty ACKNOWLEDGEMENT 9 y 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, indemnity and hold harmless the City of La Ouinta, 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 constructio , and eerreby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate��� re natu g (Applicant or Agent): Page 2 .Application Number . . . . . 04-00005615 Date 7/23/04 Qty Unit Charge Per. S Extension BASE FEE 15.00 3.00 '9.0000' EA MECH-FURNACE <=100K 27.00 3.00 9.0000 EA MECH B/C;<<=3HP%100K BTU 27.00 5.00 6.5000 EA' MECH VENT FAN,} 32.50 1.00 6 .:5 0 0 E.A. MECH . EXHAUST.' HOOD 6.50 Permit . . . - . ------------------------------------------------- ELEC-NEW. RESIDENTIAL +. Additional desc .. Permit Fee 121.59.. Plan Check. Fee 7.60 Issue Date . . . Val.uation 0 Qty Unit Charge 'Per Extension BASE FEE 15.00 2583.00...0 , 350 ELEC NEW,RES -'1 OR 2 FAMILY 90.41 809.00 .000 ELEC GARAGE.OR NON-RESIDENTIAL 16.18 Permit . . . . . PLUMBING Additional desc Permit Fee 166.50 Plan,Check`Fee 10.41 Issue Date . . . Valuation 0 Qty Unit Charge Per Extension BASE, FEE 15..00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.,0000 'EA PLB ,BUILDING SEWER 15.00 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 EP; PLB DAWN SPRINKLER SYSTEM 9.00 8.00 7500 EA PLB GAS PIPE. >=5 6.00 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 Qty Unit Charge, Per Extension .BASE FEE 15.00 ----------------------------=----------------------------------------------- Special Notes and Comments, SFD - LOT' .16., PLAN 1/CAS,ITA.,PERMIT DOES J Page 3 Application -Number: . . . . e 04-00.005615 Date 7/23/04 ---------------------------------- Special, Notes and i J Page 3 Application -Number: . . . . e 04-00.005615 Date 7/23/04 ---------------------------------- Special, Notes and -------------- Comments ---------------------------- NOT INCLUDE BLOCK'WALLS, 'POOL:,,. "SPA OR . DRIVEWAY APPROACH:'75% REDUCTION TO.;PLAN. CHECK FEE DUE TO MULTIPLE`ISSUANCE OF SAME PLAN TYPE Other Fees . . . . ART,IN PUBLIC PLACES -RES .00 - DI F,.COMMUNI'Y CENTERS=,RES 97.00 DIF. CIVIC CENTER- -.RES 366.00' ENERGY REVIEW FEE, 14.32 DIF.`,FIRE PROTECTION -RES t. 97.00 :GRADING. PLAN CHECK FEE .00 DIF LIBRARIES -'RES 225.00 DIF PARK MAINT FAC -RES 5.00 DIF. PARKS/REC".RES 502.00 STRONG'MOTION (SMI) ,.RES 16.88 D`IF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -.RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee .To.tal 1.292.0.9 At .00 1292.09 Plan Check Total 167.92 .00 .00 167.92 Other Fee Total 243'6.20 .00 .0.0 2436.20 Grand Total 3896-.2i,**:`00 .00 3896.21 J 1, . 5 Tat �. Certificate of Occupancy .4j I�3T•w,ro 4 s"a��MC�/ 7 k & Safety Department OF Building Y p ,, 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 t' provisions of the Building Code and . the various ordinances of the City regulating building; construction and/or use.. .y BUILDING ADDRESS: 57539 SANTA ROSA:TRAIL T Use classification: SFD Building Permit No.: 04-5615 k . Occupancy Group: R3 Type of Construction: VN Land Use Zone: RIL k Owner of Building: SANTA ROSA DEVELOPMENT Address- 40847 SANDPIPER COURT City, ST, ZIP: PALM DESERT CA 92260 By: GARY HARTMAN l6' Date: 12-8-2005 Building Official POST IN A CONSPICUOUS PLACE .._.. I a •�o¢ s O QUINTA•. UILDING &S DEPARTMENT 7 12 �P IN SPE N R VEST LINE • Off, G p�pT. 1:53 Owner S N A V Contractor YHAWK; INC. Permit Number 04=56,15._.. POST ON JOB IN, PLACE INSPECTOR MUST -SIGN ALL APPLICABLE SPACES JOB ADDRESS ' 57539 SANTA.ROSA TR SFD - LOT.16, PLAN 1/CASITA. PERMIT DOES NOT INCLUDE BLOCK .WALLS, POOL, SPA OR DRIVEWAY APPROACH./REPLACEMENT JOB CARD i TYPE'OF INSPECTION DATE INSP. TEMPORARY- POWER SETBACKS U/G PLUMBING / WASTE rZ/:Gv o c iU/G ELECTRICAL/ GROUNDING FOOTINGS/ STEEL CONCRETE SLAB DO'NOT POUR CONCRETE Vt4TIL ABOVE SIGNED. j ROOF NAIL/ PRE -ROOF "'/ , r X7.5" 7 OKAY TO. -WRAP I' FRAMING COMBINATION j ROUGKELECTRIC - ROUGH PLUMBING j ROUGR MECHANICAL i INSULATION �.. COVER NO WORK -UNTIL ABOVE.SIGNED GASJEST I SEPTIC ABANDONMENT SEWER'CONNECTION SEPTIC / GREASE - INTERCEPTOR - MASONRY INSOECTI NTERCEPTOR-MASONRYINSPECTI FOOTINGS / STEEL BOND BEAM POOL /.SPA / WATERFEATURE PRE-GUNITE / SETBACKS U/G PLUMBING I. U/G.GAS .INSPECTIONS PRE -PLASTER (ALARMS J.BARRIERS) j j `FINAL'INSPECTIONS i TEMP. USE OF PERMANENT POWER j ELECTRICAL PLUMBING MECHANICAL i PUBLIC WORKS.DEPARTMENT // •Z 2 LLS j COMMUNITY'DEVEL ,,; MENT DEPT I FINAL;/ JOB•C.OM �f D _ IMEK- ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING