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04-5611 (SFD)N V S BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760):777-7012 c�MoF X4.9 78-495 CA.LLE-TAMPICO FAX (760) 777-7011 D A AQ 1UINTA, TALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 AUG 0 4 2004 BUILDING PERMIT 7C -TT --Y GF 1. A Q! IIFITA AppAicati�an�Numb Ktv& �Lm . . 04-00005611_ .� Date 7 23 04 //Proarty P M --SANTA Address . . . . . . 57680 ROSA TR APN: 762-240-013-24 -30487- 30487-Application Applicationdescription . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL Application valuation . . . . 206412 Owner Contractor. SANTA ROSA DEV GREYHAWK; INC. 40847 SANDPIPER CT 1603 TRASK ROAD PALM DESERT CA 92260 ENCINITAS CA 92024 (76 0) 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 . FIRE SPRINKLERS NO GARAGE SQ FTG 761.00 PATIO SQ FTG 4 81�,: 0 0 NUMBER OF UNITS -c-, 1.00 ,�' � FIRST FLOOR SQ FTG' 3236.00 ------------------------------------------------------------- Permit . . . . BUILDING PERMIT --------------- Additional desc Permit'Fee . . . . 1014.00 Plan Check Fee 164.78 Issue Date . . . . Valuation . . 206412 Qty Unit Charge. Per ` Extension BASE FEE .639.50 107..00 3.5000 THOU BLDG 100,001-500,000 374.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee 103.00 Plan Check Fee 6.44 Issue Date . . . Valuation 0 Qty Unit Charge Per BASE' FEE Extension ,.15.00 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: D y- 560 I Date: Is _4 -194 Applicant: J­Architecl or Engineer::.. Applicant's Mailing Address: or Engineer's Address: 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 Coen; and ss License is in full force and effect. 790 +cense Class_��t � icense No. Llo y /Contractor OWNER -BUILDER DECLARATION t 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 improvementis 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.). ions Code: The Contractors' U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profess State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with f wions ode licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION 1 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. =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' compensation :,lance carrier and policy number are: �.:arrigr Criilicy 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 comnly with thn— --A,;, ­ 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. 1 hereby affirm under penalty of perjury that there is a constructioCONSTRUCTION LENDING AGENCY g agency n lendin a for the performance of the work for which this y � permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address ENT IMPORTANT Application is hereby made to the Director of BuildingandPSa Safety aCKNOWLEDGEo the 1. Each tY permit subject to the conditions and restrictions set forth on this application. 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, indemnify 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 upon the above-mentioned property for inspection purposes. Date / _Pigni5 azure (Applicant or Agent): Page 2 Application Number . . . 04-00005611 Date 7/23/04, Qty Unit Charge Per Extension 2.00 9.0000'EA MECH FURNACE <=100K' 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 143.48 Plan Check Fee 8.97 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3236.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 113.26 761.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.22 ------- ---------------------------------------------------------------------- Permit PLUMBING Additional desc Permit Fee . . . . 164.25 Plan Check Fee 10.27 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 17.00 6.0000 EA PLB FIXTURE 102.00 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 9.00 .7500 EA PLB GAS PIPE >=5 6.75 1.00 ------------------------------------------------ 15.0000 EA PLB GAS METER 15.00 Permit 7 --------------------------- 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 7 --------------------------------------------------------------- Special Notes and Comments SFD - LOT 24 PLAN 3/CASITA. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL,-SPA OR Page 3 Application Number . . . . . 04-00005611 Date 7/23/04 ----------------------------------- Special Notes and ------------------------------------ Comments ------ DRIVEWAY APPROACH.75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. -------------------- -------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES - 20.00 DIF. COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 16.48 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 20.64 DIF.STREET MAINt FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 1439.73 ---------- -------------------- 00 .00 1439.73 Plan Check Total 190.46 .00 .00 190.46 Other Fee Total 2462.12 .00 .00 2462.12 Grand Total 4092.31 .00 .00 4092.31 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@tFSTRUCTURAL.COM s&,S Z) JANUARY 26, 2005 G5 ENTERPRISES INC. 1603 TRASKE ROAD ENCINITAS, CA. 92024 Ann.: MR. CHET ALLEN , Re.: THE SANTA ROSA TRAIL LOT # 24, PLAN 3 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 oQROFESS/pN� �����yp,� 6 -U_j rn No. 57958 Exp. 06-30-oto CIVIL �P qTF OF CALIF�R ZEYAD FAQIR, PE _ r • 4. �' ., ,' � • � '.a;i.'4YX�tO�CWYN1i?!:.i'^'wr:.R �iY<aSI•Y:Ti::..:W♦TiYKa::9:'n�rkwN.w sY,L`i.fi�{"!!'P"l'.l.y'i, +r::it:rlY•o-'.u0'3'r<:+lt i.. ;;.. - -r':'.t'x �rM�4l!.Y� ``aWRLII!'1�'� .•3:.:.w l...-.M.YallcctLd#!'i::�5,s:.N761kaH"Kn'i•".t>•.9C'Mx*+Rcr�M ?aii t. vM'. .�I:.>.�^r:.�+JF. r.... • �-r ifi -. C e t cafe of Oc�cu asnc •} ` J i y v5 kal i, - - a - k - ?7"x' � �:h \ � - - •.. is E This Ce►�t�ficate s��ssueal pursuant to ahe requirements of Se` bio ; 09of the'Californ�a; Buildin {may t Coale erti id tfaats�at; thea ,time- rof , issuanco this-str-uctur �n `coin liance with' fhe � buildinrovisons ofBldn Codede unacahoulatingg constructonsrd16rr'use g_ : i g BUILDING ADDRESS 57=680 -!SANTA ROSA".TRAIL f ¢ r Use classification SINGLE- FAMILY DWELLING: } _ �. 4 Building Permit No. 5611, �. Occupancy Graup 'R3 Construfio Type of ch: VN _ r — _ . — _ f Land Use.Zone-'RL . Owner of Bu.ildir�g: SANTA ROSH-LDEVELOPMENT _ :. Address:<:4048TSANDPIPER COURT_ .. City ST,,ZIp PALM_-DEtERT,,CA-92260 >. B GARY HARTMAN 4 �' z r DateOCTOBER 18,-.2005• w I . Building Official i POST IN A CONSPICUOUS PLACE= . ,'w.L'LY..-, Y.i:-::-.ae-•.,-:-xKY:l. ;s,_sq" •,:�.:...•,w,r.=.N0.:1'.aal'.i+i�.r �. s.. •>.,..;al..:Als..ale^aibi+:1,+.•.�ik�+4X,i94er:..-rrs'��+IH .r.1 ..':.<-. ...;^�,: `o-• _-;9!....a„i..•ri.e*ii�.rl k.tt•y •�; .aR'!'.'t�+tM!ciF'a179!-WxSM :falReq�£-YiKg6.9Ni:v?i-+f'.4K :..,r• )c•, ..