05-1259 (SFD)P.O. Box •1504 `
78-495 CALLE TAMPICO
LA QUIN►'A, CALIFORNIA 92253
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 7.77-7153
" `��j plication Number .
. . . . IZ0-5'00091:2-5-9n '`"`' D&E
�, 4/06/05
Property Address.
.79040 SHADOW TR-...`
APN: ,
649-030-069-21 -31310 -
Application description . . . DWELLING -'SINGLE FAMILY'DETACHED
Property Zoning
HIGH DENSITY RESIDENTIAL
Application valuation
171930
f
Owner
Contractor
- - - - - ------------ - - - -
- - - - \ - - - -------- - ------
----SANTA
SANTA ROSA DEVELOPMENT INC MAFFEI, DAVID LETTERIELLO
46753 ADAMS ST
1451 QUAIL STREET,
#212'
LA QUINTA
CA 92253 NEWPORT BEACH
CA 92660
(760).771-3345
(949) 863-9642
'WCC: STATE FUND
WC: 1620469-2005
01/01/06
CSLB: 375176,
11/30./06
'CCC: B
------ Structure Information
PLAN 1 W/CASITA (MARKET RATE HOUSING). -----
Construction .Type . .
. . . TYPE V - NON RATED
Occupancy Type .
. . . DWELLG/LODGING/LONG <=10
Other struct info
CODE EDITION
2001
# BEDROOMS
5.00
FIRE SPRINKLERS
NO
-GARAGE SQ FTG-
676,. 00
PATIO SQ FTG
293•:`00
NUMBER OF UNITS-.
11.00' .,
1ST FLOOR SQUARE FOOTAGE
-2706,.00
Permit . . . . . .
BUILDING'PERMIT
Additional desc-
Permit Fee
891.50 Plan -Check Fee,
144.87
Issue Date
Valuation
171930
Expiration Date
10/06/05
Qty Unit Charge
Per
-Extension
BASE. FEE
639.50
72.00 3.5000
THOU BLDG 100,001-500,000• -
252.00
-------------------------------------------=--------
---`-------------=-----
Permit . . . . . .
MECHANICAL
' Additional desc
Permit Fee . . . .
114.50 Plan Check Fee
7.16.
Issue Date
Valuation .
. 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
2'7,..00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
6.00 6.5000
EA MECH VENT FAN,
39.00
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 5 j�5q
Applicant: Archite
Applicant's Mailing Address:—Architect
ic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Co , and my Licen is in full force and effect.
icense Class cense No.
ate 41 D Co-� ntractor
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 1, 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 1, 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. , B.& P.C. for this reason
Date: 7.14- 'OS -
or Engineer's Address:
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 'o 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' compensate n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ issMy rs' mpensation i ance carrierr�pdPO_li re^
amer �+ olicyNumber py'
I rtif ha►, in W performance of the work for which this peeA i is i su d, 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.
7
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 A
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 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 authorizeZrep sentatives of this county to enter upon the above-mentioned property for inspection purposes.
ate L O igJS nature An
or Agent): 740
Application Number 05-00001259
r
Page. 2
Date 4/06/05
Qty Unit Charge
Per
Extension
1.00 6.5000
EA MECH OTHER VENT SYSTEM
6.50
--------.--------------------------------------------------------------------
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
123.23 Plan Check Fee
7.70
Issue Date . .
Valuation . . . .
0
_Qty Unit Charge
Per
Extension
BASE FEE
15.00
2706.00 .0350
ELEC NEW RES - 1 OR 2 -FAMILY
94.71
676.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
13.52
---------------------'-------------------=-----------------------------------
Permit . . . .
PLUMBING
Additional'desc
Permit Fee
.207.00 Plan Check Fee
12.94
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
2.00 6:0000
EA PLB ROOF DRAIN
12.00
2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
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
----------------------------------------------------------
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 21, PLAN 1AR/CASITA,
2706 SF.
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS 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
'
1
Page 3
Application Number
05-.00001259 Date
4./06/05
Other Fees
DIF COMMUNITY CENTERS -RES
97.00
DIF;CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
14.49.
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.-00
DIF LIBRARIES - RES
225.'00
DIF PARK MAINT FAC - RES
5.00
DIFPARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
17.19
DIF STREET•MAINT FAC -RES
15.00
DIF TRANSPORTATION -.RES
1098.00
Fee summary
Charged-
Paid Credited
Due
Permit Fee Total
1351.23
.00 .00
1351.23
Plan Check Total
172.67
00 .00
172.67
.Other Fee Total.
2436.68
.00 .00
2436.68
Grand'Total
3960.58
. .00 .00
3960.58
r
GACCA,
: 0 Certificate of Occupancy
^�
Ncolrm)
OFT Building & Safety Department
tr
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: 79-040 SHADOW TRAIL
• Use classification: SFD Building Permit No.: 05-1259
Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL
Owner of Building:.48TH & ADAMS LLC Address: .79-040 SHADOW TRAIL
City, ST, ZIP: LA QUINTA CA 92253
By: KIRK KIRKLAND
Date: JANUARY 16-2008
Building Official
POST IN A CONSPICUOUS PLACE