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04-5607 (SFD)14 U '"y BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 OFTl�91 p78-493 CAL TAMPICo FAX (760)777-7011 U �I:A Q"'UINTA, �C�ALiFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 AUG 0 4 2004 U BUILDING PERMIT CITY OF LA QUINTA 1INNGE DF,PT. App] a -tion Numberc04 000"0"5"607 Date 7/23/04 Property Address . . . 57643 SANTA ROSA'TR -APN: 762-240-.013-12 -30487 - Application description . . DWELLING•- SINGLE FAMILY DETACHED Property Zoning . . . LOW DENSITY RESIDENTIAL Application valuation 177721 Owner Contractor SANTA ROSA-DEV GREYHAWK, INC. 40847 SANDPIPER CT 1603 TRASK ROAD PALM DESERT CA 92260 ENCINITAS CA 92024 (760) 634-1031 WCC: EXEMPT WC: EXEMPT 10/21/04 CSLB: 798228 08/31/05 CCC: B ------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone NON -AO FLOOD ZONE Other-struct info . . . . CODE EDITION 2001 CBC - # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 710.00 PATIO SQ FTG 502.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2747.00 --------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc Permit Fee 912.50 Plan Check Fee 593.13 Issue Date Valuation 177721 Qty Unit Charge Per Extension BASE FEE 639.50 78.00 3.5000 THOU BLDG 100,001-500,000 273.00 Permit . . . . . MECHANICAL Additional desc Permit Fee 96.50 Plan Check Fee 28.63 Issue Date Valuation 0 P.O. BOX 1504 78-495 CALLS TAMPICO VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: 4 -01-A Applicant: --Architect or.Enaineer_ Applicant's Mailing Address: 1,F I vrry crT 3 n--rC3 uV — Architect or Engineer's Address: Lic. No.: 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 ' in full force and effect. icense ClC/las�s/ense No. Date O T tr 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 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 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 withinoneyear 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 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 peAormance 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 tabor Code. I shall forth "th comply with those provisions. Date 'T / 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 APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Buildingand Safety A 1. Each person upon whose behalf this application is made, each person at Permit se request a d for to the hose benefit work istions and performedunder or pus set forth on this rsuant 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 construction, and hereby authorize representatives of this county to enter Pon the above-mentioned property for inspection purposes. /ateGu ig•S nature (Applicant or Age Page 2 Application Number . . . . 04700005607 Date 7/23/04 Qty Unit Charge Per -Extension BASE FEE 15.00 -2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K-BTU 18.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 --------------------------------- 6:5000 EA MECH EXHAUST'HOOD 6.50 Permit. . . . . . . ELEC-NEW 7 -------------------------- 7 --------------- RESIDENTIAL Additional desc Permit Fee 125.35 Plan Check Fee_. 31.34 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension, BASE FEE 15.00 2747.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY . 96.15 710.00 , -.--------------------------------------------=------------------------------ .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.20 Permit . . . . PLUMBING , Additional desc Permit Fee 192.00 Plan Check Fee,. 48.00 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 .20.00 6.0000 EA PLB FIXTURE 120.00 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 EA PLB LAWN SPRINKLER SYSTEM 9.00 10.00 :7500 EA PLB GAS PIPE >=5 7.50 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 Qty Unit Charge Per Extension ----------- BASE FEE 15.00 ----------------------------------------- Special Notes and Comments ------------------------ SFD - LOT 12, PLAN 2/CASITA. PERMIT DOES Page 3 Application Number . . . . . 04-00005607 Date 7/23/04 Special Notes and Comments NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH --------------=------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY.REVIEW FEE 59.31 DIF*FIRE PROTECTION -RES 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 17.77 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1341.35 ------------------------------ .00 .00 1341:35 Plan Check Total 701.10 .00 .00 701.10 Other Fee Total 2482.08 .00 .00 2482.08 Grand Total 4524.53 .00 .00 4524.53 R F STRUCTURAL CONSULTANTS, INC. 75453 MERLE DRIVE, STE. B, PALM DESERT, CA 92211 PHONE (760) 836-1000 FAX (760) 836-0856 E- MAIL RAYMOND@RFSTRUCTURAL.COM JANUARY 26, 2005. G5 ENTERPRISES INC. 1603 TRASKE ROAD i ENCINITAS, CA. 92024 Attn.: MR. CHET ALLEN f� r Re.: THE SANTA ROSA TRAIL LOT # 12, PLAN 2 r LA QUINTA, CA. 92253 FOLLOW-UP TO WALK THROUGH JOB NO.: 4055 DEAR ALLEN THIS LETTER ADVISES THAT WE HAVE OBSERVED THE STRUCTURAL REQUIREMENTS THAT ARE VISIBLE DURING CONSTRUCTION AT THE TIME OF OUR SITE VISIT. WE BELIEVE THAT THE AS-BUILT.CONSTRUCTION AT THE TIME OF OUR VISIT IS IN GENERAL CONFORMANCE WITH OUR STRUCTURAL PLANS AND RELEVANT CORRESPONDENCE ISSUED BY OUR OFFICE. WE OBSERVED THE BUILDING IN ITS FRAMED CONDITION PRIOR TO INSTALLATION OF DRYWALL AND STUCCO. WE OBSERVED THE VISUAL AND ACCESSIBLE STRUCTURAL REQUIREMENTS. ( EXCLUSIONS ARE ITEMS SUCH AS: FOOTING SIZE AND REINFORCEMENT, TOP PLATE SPLICES, ROOF SHEATHING, AND ANY STRAPS ABOVE THE ROOF SHEATHING.). RESPECTFULLY SUBMITTED ti No. 57958 Exp. 06-30-0(0 sT�r C I V1�. OF CA��F ZEYAD FAQIR, PE F .i F { Certificate of Occupancy0 z r C� OFT9w Building & Safety Department n This Certificate is issued pursuant to the requirements of Section 109 of the California Building- uilding Code, 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 j l construction and/or use. 9 BUILDING ADDRESS: 57-643 SANTA ROSA TRAIL x, Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-5607 ; Occupancy Group: R3 Type of Construction: VN Land..Use Zone: RL } 4 - Owner of Building: SANTA ROSA TRAILS, LLC Address: 40847 SANDPIPER CT City, ST, ZIP: PALM DESERT, CA 92260 By: GARY HARTMAN Date: FEBRUARY 1, 2006 41 f Building Official POST IN A CONSPICUOUS PLACE