The URL can be used to link to this page

04-7375 (SFD)BUILDING & SAFETY DEPARTMENT ox 1504 r �j CAL -E T,AMPICO• (760)777-7012 FAX (760) 777-7011 �pv 23 2004Ln°S�Q� INTA, CALIFORNIA 92253.INSPECTION REQUESTS (760) 777-7153 �. BUILDING PERMIT -- CITY ®F Qu107A FINANCEDEPT Application Number. 4w,04-00<00--0'-7--375 Date 11/22/04 .Property Address 575-9V1 SANTAROSA TR APN: 762.-=24.0=:0131.4 30;487. - Application description ' DWEL{LING.-- SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuattion• 1'71778 Owner Contractor ---------------.--------- ------------- SANTA ROSA DEV GREYHAWK, INC.: 40847 SANIDPIPER• CT._.,16:03 TRASK. ROAD: PALM'=DESERT ',CA 92260..° ENCINITAS' .'CA 92024 n(760)- 6.34-10,31 WCC`.: � EXEMPT WC: EXEMPT 04•/30/05 C:SLB: 798228 08/31/05 CCC: .,B --- ------.=--=-----------.--- Struct:ure;Information . --=----=------------------ Cons.truction Type TYPE =V - NON .RATED. Occupancy Type DWELLG/LObGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct.in•fo CODE,EDITION 2001 CBC FIRE."SPRINKLERS,.. NO GARAGE SQ1 FTG` 766..00 PATIO $.Q ---FTG ' 136.00 NUMBER-OF,UNITS 1.00 FIRST° FLOOR-, SQ. `FTG 2709.00 Permit BUILDING PERMIT ' Additional desc Permit Fee. 891.--0 P1ari-Chedk' -Fee 579.48 Issue Daae. Valuation 171778 Qty Unit Charge Per Extension FE E. 639.50 72.00 3.5.000 THOU BLDG 100`;001-5,00,000 252.00 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL Additional desc Permit - Fee- .90 &0'' Plan :Check..:Fee 22.50 Issue Date Valuation 0 Qty. Un -,l, -E,- Charge Per . Extension .. • BASE, FEE 15-.00 2.00 9 0,0'00,,EA, :. 'MECH. FURNACE; <=100K 18.00 2.00 9. 0.000_ EA MECH 'B,/C <=314P/TOOK. BTU. 18.00 5.00 '6.-5000.`EA. a MECH ;VENT FAN- .32.50 1.00 65,00.0"EA MECH EXHAUST HOOD 6.50 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: U Date: ) Z•7i •0 Applicant: Architect or Enaineer__ Applicant's Mailing Address: . -k AAJ 22 M Architect or Engineer's Address: 54' 61 13iu1 mak- jZz(/ 2Me 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. cense Class rcense No. DateContractor_ CX�7�11e•T�k. % 'L - 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.). U 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: Carrier 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' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. pplicant 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 Lenders Address 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, indemnity 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 construction, and hereby/authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Xate7 & 7 ignature (Applicant or Agent): Page 2 Application Number . . . . 04=0000737'5 Date 11/22/04 Permit 'ELEC-NEW RESIDENTIAL ." Additional desc , Permit Fee :' 125.1,4 Plan Check Fee 31.29 Issue Date Valuation 0 Qty Unit Charge Per, Extension BASE. FEE . 15.00 2709.00 :.0:3.50 ELEC NEW RES - 1 OR 2 FAMILY 94.82 766.00-'. ,.;020.0 • ELEC .GARAGE OR NON-RESIDENTIAL 15.32 Permit... PLUMBING Additional desc Permit Fee 17.9. 251 Plan Check Fee 44.81 Issue Date . . . Valuation` 0 Qty Unit Charge Per. Extension BASE FEE 15.00 18.00 6.:0000 EA PLB FIXTURE 108.00 1.00 15.0000 EA' PLB,BUILDING SEWER 15.00 1.00 7:50,00 EAPLB`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 9,100 . 750'0 ,.EAS PLB ''GAS PIPE >=5 6.75 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,. a Valuation 0 Qty Unit Charge. Per Extension BASE .FEE 15.00 Special Notes and Comment's SFD - LOT 14, 2T7;0!"9 SF, PERMIT;; DOES, NOT INCLUDE POOL, SPA, BLOCKWALLS,.•OR DRIVEWAY -APPROACH .Other Fees :ART,:IN PUBLIC PLACES -RES .00 DIF COMM UNITY- CENTERS -RES 97.00 DIF CIVIC :::CENTER .1- RES 366.00 ENERGY REVIEW. FEE 57.95 DIF FIRE: PROTECTION -RES 97.00 - GRADINGr::PLAN] CHECK` FEE .00 - D.I-F. LIBRARIES - RES 225.00 Page 3 Application. Number-',:. 04-00007375 Date 11/22/04 Other Fees. ',DIF PARK MNINT. FAC - RES - 5.00 D;IF. PARKS/R'EC - RES 502.00 STRONG 'MOTION '•'(SMI):n - RES 17.17 DIF,::STREET;�MAI_NT FAC -RES 15.00 DIF TRANSPORTATION - R -ES. 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total :1.3b0.89 00 00 1300.89 Plan Check -Total.' 6.78.08 .00 .00' 678.08 Other Fee To 2480.12 .0:0 .00 24'80.12 Grand Total 4459.0='9 ..00' .00 4459.09 a COO' Certificate of Occupancy l 0 is !.N U� Twit ot ��1 OFTk�� Building & Safety Department 1 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 :b provisions of the Building Code and the various ordinances of the City regulating building ; t construction and/or use. a ; S BUILDING ADDRESS: 57-591 SANTA ROSA TRAIL � ikry Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7375 j Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: SANTA ROSA TRAILS, LLC Address: 40847 SANDPIPER CT i City, ST, ZIP: PALM DESERT, CA 92260 � By: GARY HARTMAN Date: DECEMBER 28, 2005 ij ' s ? ? Building Official :, e i POST IN A CONSPICUOUS PLACE •� ...rte.. =s.: r T. 's-,.-' vn...... .s.a+'fs a r. . - .i44 k+¢ +G -r .nmrtt `ti..t-2. ,t&:.A ci r -z -a., de ...xYhY"1 xS �G rc^ k.. ---k-=a,,n_yam+»_,,. .. tea' -- -, +,:- c +gra; {•