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04-4802 (SFD)r<. BUILDING & SAFETY DEPARTMENT . ' . X 15 4 (760) .777-7012 O A E TAM FAX (760) 777-7011 A QUINT FO 92253 INSPECTION REQUESTS (760) 777-7153 .. I ALL B I4DING PERMIT Application Number . . . . . 04=000.04802\. Date 2/17/05 Property Address `79326 COOL REFLECTION APN: 649-030-069-5 -31311 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . HIGH DENSITY RESIDENTIAL Application valuation . . . . 78808 Owner Contractor ------------------------. SANTA ROSA DEVELOPMENT INC `� ----- --------------- CONSOLIDATED CONTRACTING, - - - - INC. 46753 ADAMS ST 46753 ADAMS STREET LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-3345 (760) 324-5488 WCC: STATE FUND WC: 1770749-2005 01/01/06 CSLB: 824183 09/30/05 CCC: B -C8 ------ Structure Information PLAN 1 ----- 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 2.00 FIRE SPRINKLERS NO GARAGE SQ FTG 423.00 PATIO SQ FTG 25.00 ` NUMBER•OF UNITS -� 1.00 1ST FLOOR SQUARE FOOTAGE 1227.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc ' Permit Fee . . . . 491.00 Plan Check Fee 319.15 Issue Date . . . . Valuation . . 66626 Qty Unit Charge Per Extension BASE FEE 414.50 17.00 4.5000 THOU BLDG 50,001-100,000 76.50 --------------------------------------------=-------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 66.41 Plan Check Fee 16.60 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1227.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 42.95 423.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL ' - 8.46 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: 0 vo-, Date: 3 30 •D� Applicant: Architect or Engineer: M. nu LLM Applicant's Mailing Address: Architect or Engineer's Address: 00N/ie,4 ciD"C Jf- Lic. No.: tai• -p 1 a I Sq 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'License No.�» LU' D3 Xte —30—Contractor ;� GD k `o vin tiJ %" wo Cn MA m" G rl a q I u C, 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 fife 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 exempfon. 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 exempl under Sec. , B.& 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. X 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. M workers' compensation insurance carrieliand 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. 2 Rate— fJ0 D 5 Applicant - WARNING: FAILURE TO SECURE WORKECOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU ND 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 he work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name I 1A 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. 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, 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 inf tion 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 cozy t ente upon the above-mentioned property for inspection purposes. J Date/ Signature Signature (Applicant or Agent). i, _ Page Application Number . . . . . 04-00004802 Date Permit . . . . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Plan Check Fee Issue Date . . . . Valuation 2 2/17/05 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------------- Permit . -------------------- . . . . . MECHANICAL Additional desc Permit Fee . . . . 46.00 Plan Check Fee 11.50 Issue Date . . . . Valuation . . . . 0 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 28.88 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BA,'SE 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 5, Plan 1AR, 1227 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS 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 31.92 DIF FIRE PROTECTION -RES 97.00 GRADING;PLAN CHECK FEE .00 Page 3 Application Number 04-00004802 Date 2/17/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 7.88 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 733.91 .00 376.13 300.00 2444.80 .00 3554.84 300.00 Credited Due .00 733.91 .00 76.13 .00 2444.80 .00 3254.84 Certificate of Occupancy0 o Luc�c�n 4 5� C� OFT9� Building & Safety Department This Cert icate is issued pursuant to the requirert►ents 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: 79-326 COOL REFLECTION LOT 5 Use classification: SINGLE FAMILY DETACHED Building Permit No.: 04-4802 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 _ b' Date: JUNE 6, 2006 Building Offi ial POST IN A CONSPICUOUS PLACE M - CITY OF LA QUINTA B 111 pNr R SAaF:. DEPARTMENT ID ® 777-7C I EST LINE VAR 30 2dK Owner Contractor'!ACTING Permit Number 04-4902 POST ON JOB IN CONSPICUOUS PLACE IN MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-326 COOL REFLECTION SFD -- LOT 5 PLAN IAR, 1227 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. TYPE OF. INSPECTION DATE INSP, TEMPORARY POWER SETBACKS U U/G PLUMBING / WASTE d U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED O NAIL / PRE -ROOF OKAY TO WRAP - ? - 0 S 57 MING COMBINATION - Ldp dS .SOUGH' ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNE INTERIOR GYP. BD. DRYWALL /0.- & - d EXTERIOR LATH �i- GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION -0 SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER 0 ELECTRICAL PLUMBING HANICAL f -,;ELIC WORKS DEPARTMENT 477 COMMUNITY DEVELOPMENT DEPT. Z 0 Co FINAL / JOB COMPLETED - - 6 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO. TURN ON UTILITIES OR OCCUPY BUILDING