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04-5620 (SFD)BUILDING & SAFETY DEPARTMENT c 70'Boz 150(141 (760).777-7012 OF 9 _ �78-4.95z=C-AL IE��TAMPICo FAX (760) 777-701.1 LA QUI.N,TA, LIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 AJC 0 4.1 iUU4 BUILDING PERMIT CITY OF LA QUINTA Application Number _-0:4=0-0-0- _56=2-0 -� Date 7/23/04 Property Address . . 57654 SANTA ROSA TR APN: 762-240-013-23 -30487 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation . . . . .168844 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 2.001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 8 0 9;, 0 0 PATIO SQ FTG 394.00' - NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 2583.00 Permit BUILDING PERMIT Additional desc Permit Fee 881.00, Plan Check Fee 143.16 Issue Date Valuation . . 168844 Qty Unit Charge Per. Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-500,000 241.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 108.00 Plan Check Fee 6.75 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0 19C — .1-6o24C) Date: q _6 (4 Applicant: Architect or Engineer- //�S OU Applicant's Mailing Address: Architect or Engineer's Address: ic. No.: a) 96 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under rovisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Cpdd'and my Licens n full force and effect. iCicense Class License No. !/ �(�ractor //V i 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 too 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 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,c6ntracting 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& 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. —L-1 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' compensatl.,:i,-risurance 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, I shall forthwith comply with those provisions. Date e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1rUN4=AW..FUL, 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 QJA 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 Ouinta, its officers, agents and employeesfor 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. 1 certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state laws relating to building ;construction, a her y authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. te Sire (Applicant or Agent' C Page 2 Application Number . . . . . 04-00005620. Date 7/23/04 Qty Unit Charge Per - Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE.<=100K 27.00 3.00 9.00,00 EA MECH B/C <=3HP/100K BTU 27.00 5.00 6.5000 EA MECH,VENT FAN 32.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 -------------------- Permit . -------------------------------------------------------- . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 121.59 Plan Check Fee 7.60 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 2583.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 90.41 809.00 ---------------'------------------------------------------------------------- .0200 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 EA PLB LAWN 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 20, PLAN 1/CASITA.- PERMIT DOES Page 3 Application Number -------------------.--------------------------------------------------------- . . . . . 04-00005620 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 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 14.32 " 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 16.88 DIF STREET MAINT FAC -RES 15.00 DI -F TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1292.09 ------ --- ---------- ---------- .00 .00 1292.09 Plan Check Total 167.92 00 00 167.92 Other Fee Total 2436.20 .00 .00 2436.20 Grand Total 3896.21 .00 .00 3896.21 R F STRUCTURAL CONSULTANTS, INC. 75-153 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 ENCINITAS, CA. 92024 Attn.: MR. CHET ALLEN Re.: THE SANTA ROSA TRAIL LOT # 23, PLAN 1 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 REQUIREME CLUSIONS ARE ITEMS SUCH AS: FOOTING SIZE AND REINFORCEMEN LICES, ROOF SHEATHING, AND ANY STRAPS ABOVE THE RO, RESPECTFULLY SUBMITTED � N0.57958 Exp. 06-30-04 Sj. CIVIC ATE OF CA�� ZEYAD FAQIR, PE o��a� Q��-�o Certificate of Occupancy 4F oF.�9�S 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 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. , BUILDING ADDRESS: 57-654 SANTA ROSA TRAIL Use classification: SINGLE FAMILY DWELLING ' .' . Occupancy Group: R3 Type of Construction: VN Owner of Building: SANTA ROSA DEVELOPMENT E; Building Official II=II POST IN A CONSPICU( t , Building Permit No.: 04-5620 Land Use Zone: RL Address: 40487 SANDPIPER COURT City, ST, ZIP: PALM DESERT, CA 92260 By: STEVE TRAXEL Date: NOVEMBER 18, 2005 US PLACE