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04-8362 (SFD)T4hf 4,4 aub4 BUILDING & SAFE_ TY DEPARTMENT P.O. Box 1504 , . 3 78-495 CALLS TAMPICO (760).777-7012 ^ �'� ~ ,4 FAX (760) 777-7011 LA QUINTA; CALIFORNiA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT %l�pplication Number . . ...04-0 00 08362 Date 4/06/05 Property Address 79055 SHADOW TR APN: 649-030-069-18 -31310 - Application description . . . DWELLING"•-, SINGLE FAMILY DETACHED Property Zoning . . . . . . HIGH DENSITY RESIDENTIAL Application valuation . . . . 168635 Owner Contractor . 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 2 MARKET RATEHOUSING' ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Other struct info CODE EDITION 2001 # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 679.00 PATIO SQ FTG 286.00 NUMBER.OF UNITS .. 1.00• ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE '2649.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 881.00 'Plan Check Fee 572.65 Issue Date . . . . Valuation 168635 Qty Unit Charge Per Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG 100,001-500,000 241.50 -------------------------------------,�--M�------------------ PermitMECHANICAL Additional desc Permit Fee ! 90.00 Plan Check Fee 22.50 Issue Date c Valuation . . . . .0 Qty Unit Charge -Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18..00 .2.00 9.0000 EA MECH B/C.<=3HP/100K BTU 18.00 5.00' 6.. 5000 EA MECH'' VENT FAN 32.50 1.00 -6.5000 EA MECH EXHAUST HOOD 6.50 P.O. BOC 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: O14 - (ooZ Applicant: Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: -7 / O� Archit, t r E — 11n�r: fyaw —Architect or Engineer's Address: . No.: _ �i12r1 BUILUING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally 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 License is,i II force and effect. ns cense�Class f la ss s icense No. ( �/ ,,---Date( 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, demotish, 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 huncred 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-bui'der 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. . B.& P.C. for this reason Date Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the follow�ng 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 t have and will m intain workers' compensati n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is u d. M orkers' ompensatio ranee carrier ali u Carrier Policy Number ot .� certify that, in the pert rmance of the work for which thi perms is iss e , I hall 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. ate Y I P5 A plicant AW WARNIN : FA URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S U 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 hereby affirm under penalty of perjury that there is a co•istruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Q Lender's Address r C 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 information is correct. I agree to comply with all city and county ordinances and state laws relating to building const ion, and hereby authorize representatives of this county to/enter upon the above-mentioned property for inspection purposes. ate I �ignature (Applicant or Agent): i f , Page 2' Application Number . . . . . 04-00008362 Date ,4/06/05 ------------------------------------------------------- Permit . . . I . . . --------------------- ELEC-NEW RESIDENTIAL Additional desc Permit Fee 121.30 Plan•Check Fee 30.33 .,Issue Date. Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 2649.00 .0350 ELEC NEW RES - 1 OR -2 FAMILY 92.72 679.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL. 13.58 ---------------------------------------------------------------------------- Permit . . . .' PLUMBING Additional desc.. Permit'Fee 181.50 Plan Check Fee 45.38 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 2:00 6.0000 EA PLB ROOF DRAIN 12.00 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 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 18, Plan 2AXR, 2649 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC. ---------------------------------------------------------------------------- Other Fees . . . . . . . ART IN PUBLIC PLACES -RES .00 `DIF COMMUNITY CENTERS -RES '97.00 D'IF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 57:27 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 P Page 3 Application Number . . . . . 04-00008362 Date 4/06/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 16.86 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION -'RES 1098.00 Fee summary Charged Paid Credited. Due ---------=------- Permit Fee Total ---------- 1288.80 -------------------- .00 ---------- .00 1288.80 Plan Check Total 670.86 .00 .00 670.86 Other.Fee Total 2479.13 .00 .00 2479.13 Grand Total 4438.79 .00 .00 4438.79 P S•� k 4�-.., .- :J+n - �' '"72''++a'•z O..'•. .;.. .4 r"-a:.n�. L'W'. 1JA••; Y�.:cP' K`-Si+mYw '- -=N' � SS si. '+?' �. '.4s+wve .bi'r sx ab 'a1. ale iFs>t.,Ta•ia'Y•Pi ^.c.--swres•r w+..R- -.-yf vrYa" �w: - it •� e, to .of Occupanco y 'Certificate 7iX o OF. 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- 055 SHADOW TRAIL ti Use classification: SFD Building Permit No.: 04-8362 Occupancy Group: R-3 Type of•Construction: VN Land Use Zone:' RL • , ♦ 3 Owner -of Building: 48T" & ADAMS, LLC. Address: 79-055 SHADOW TRAIL - City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND September 25, 2008 A:tDate: { r Building Official Al POST IN A CONSPICUOUS PLACE 3