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04-8219 (SFD)T4hf 4 4 Q" P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 w. A escription Property Zoning . . . Application valuation BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777 -7011 - INSPECTION REQUESTS (760) 777-7153 04 00.0,08219 Date 2/17/05 . . . 79356 COOL REFLECTION 649-030-069-10 -31311 - . . . DWELLING - SINGLE FAMILY DETACHED . . . HIGH DENSITY RESIDENTIAL . . . .85421 4• ', gam. ;. Contractor ( rt •t- ---- `'--.--------------- CONSOLIDATED CONTRACTING, 46753 ADAMS STREET Owner SANTA ROSA DEVELOPMENT INC 46753 ADAMS ST LA QUINTA CA 92253 (760) 771-3345 INC. LA QUINTA CA 92253 (760) 324-5488 WCC: STATE FUND WC: 1770749-2005 01/01/06 CSLB: 824183 09/30/05 CCC: B -C8 ------ Structure Information PLAN 3 ----- Construction Type . . . TYPE V - NON RATED Occupancy Type . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 422.00 PATIO SQ FTG 42.00 NUMBER' OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1339.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT*; Additional desc Permit Fee . . . . 518.00 Plan Check Fee 84.18 Issue Date . . . . Valuation 72708 Expiration Date 8/17/05 Qty Unit Charge Per Extension BASE FEE 414.50 23.00 4.5000 THOU BLDG 50,00i-100,000 103.50 ------------------------------------------7--------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 70.31 Plan Check Fee 4.40 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/17/05 Qty Unit Charge Per Extension BASE'- FEE ` - 15.00 1339.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 46.87 P.O. BOX 1504• �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D .P2 / 9 Date: 3.30.0,5- Applicant: '30'osApplicant: Architect or Engineer: f1. tut-LaYL, Applicant's Mailing Address: Architect or Engineer's Address: iRAC TOK Lic. No.: G — Ol 7., I M 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 ode, and my License is in full force and effect. ��� 3 License Class_, License No. ",bate 3-30 - 0 6 Contractor/ 60>U fZQ L b pA TW0 cou-rf?i Lnmri I qc . OWNER43UILDER 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 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. 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 pensation insurance ca n, nd policy number are: /6arrier S-ewMX 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 Califomia nd 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 pro isi ns. i Applicant ✓WARNING: FAILURE TO SECURE WORKE ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTE ST, 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 A / A I� Lender's 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. t. 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, indemnify 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. /Date 3 — 3 O-oS Signature (Applicant or Agent). Page 2. Application Number . . . . . 04-00008219 Date- 2/17/05 Qty Unit Charge Per Extension 422.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.44 ---------------------------------------------------------------'------------- Permit . . . . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------------------------------7---------------------- Permit . . . . . . MECHANICAL Additional desc . . , Permit Fee . . . . 46.00 Plan Check Fee 2.88 Issue Date Valuation . . . . 0 Expiration Date 8/17/05 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . 115.50 Plan Check Fee 7.22 Issue Date . . . . Valuation 0 Expiration Date 8/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 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 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 1.00 15.0000 EA PLB GAS METER 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 10 PLAN 3BR, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO Fee summary Charged Permit Fee Total 764.81 Plan Check Total 98.68 Other Fee Total 2421.96 Grand Total 3285.45 Paid Credited Due ---------- ---------- ---------- .00 .00 764.81 .00 .00 98.68 .00 .00 2421.96 .00 .00 3285.45 Page 3 Application Number . . . . . 04-00008219 Date 2/17/05 ---------------------------------------------------------------------------- Special Notes and Comments 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 8.42 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 8.54 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 764.81 Plan Check Total 98.68 Other Fee Total 2421.96 Grand Total 3285.45 Paid Credited Due ---------- ---------- ---------- .00 .00 764.81 .00 .00 98.68 .00 .00 2421.96 .00 .00 3285.45 Certificate ®f Occupancy i #Qum& OFT�w 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: 79-356 COOL REFLECTION LOT #10 Use classification: SINGLE FAMILY DETACHED Building Permit No.: 04-8219 Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST City, ST, ZIP- LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: 05-17-2006 Building Official 7 POST IN A CONSPICUOUS PLACE A BUILDINGFE PA4R�} g77- INSPE'CIF H pp��0. ff A�N 4RTMT LINE Owner b" I A KlJJ�1� ;LUY1N11:1V 1 lI I Contractor CONSOLIDATED CONTRACIP Permit Number 04-8219 POST ON JOB IN CONSPICUOUS PLAC INSPECTOR MUST SIGN ALL APPLICABLE SPA( JOB ADDRESS 79-356 COOL REFLECTION SF'D - LOT 10 PLAN 3BR, 1339 SF. PERMIT DOES NOT INCLUDE POOL, BLOCK WALLS, OR DRIVEWAY APPROACH. 75% REDUCTION TO PL CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. TYPE OF INSPECTION DATE TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING 1 FOOTINGS / STEEL - s CONCRETE SLAB - 2 DO NOT POUR CONCRETE UNTIL ABOVE SIGNET ROOF NAIL / PRE -ROOF - `' p /- I nkAY TO WRAP - .G I{ )MING COMBINATION HOUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION ICOVER NO WORK UNTIL ABOVE SIGNED i INTERIOR GYP. BD. DRYWALL C1 �✓ j EXTERIOR LATH f / v GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS ' PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS i U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS) FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER - U ELECTRICAL MING ,HANICAL PUBLIC WORKS DEPARTMENT a/ COMMUNITY DEVELOPMENT DEPT,010 I FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING