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05-1239 (SFD)La V s BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 �� ' (760).777-7012 r• 0 78-495 CALLS TAMPICO ' FAX (760) 777-7011 LA QUINTA, .CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT . ication Number . . . . 25-0'00-0123-9 Date 4/06/05 Property Address . . 79080 SHADOW TR APN: 649-030-069-25 -31310 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . HIGH DENSITY RESIDENTIAL Application valuation _. 171930 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:. 3'75176 11/30/06 CCC: B ------ Structure Information PLAN 1 W/CASITA (MARKET RATE HOUSING) ----- Construction Type TYPE V - NON RATED Occupancy Type . . . . DWELLG/LODGING/CONG <=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 = 1.+00 1ST FLOOR SQUARE FOOTAGE_. 2706.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee 891.50 Plan Check Fee 579.48 Issue Date . . Valuation . . . . 171930 Qty Unit Charge Per Extension BASE FEE 639.50 72.00 3.5000 THOU BLDG 100,001-500,000 252.00 -------------------------------------- ---------------------------------- Permit . . . . GRADING PERMITo Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Qty. Unit Charge Per Extension BASE FEE 15.00. ---------------------------------------------------------------------------- Permit . . ELEC-NEW RESIDENTIAL ' Additional desc Permit Fee . . . . 123.23 Plan'Check Fee 30.81 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" fa„''g7/. Date: %• lel, D S Applicant: Applicant's Mailing Address: hit�ArCIPIor En ee ; . � vV`I.C�f tect or Engineer's Address: ic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pena f perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals e, and License is i II force and effect. nT! License Class ss icense No. 7 .1 AA OWNER -BUILDER DECLARATION I hereby ffirm ler penalty of perjury that I am exemptfrom 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 prov;sions 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 there;rom 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 hund-ed 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 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 Xof the work for which this permit is issued. I hive and will m ' ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is i My res' co ensation ince carrier an of n r e' .mer o/� licy Number It G� �� �/ ��/a 'Vq I certify that, int performance of the work for which this pe it s issu sh II 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 �f fohwith comply with those provisions. e-7 Ippl� icant WARN4WARNI FA URE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION., DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANC ATTORNEYS 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 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 ;ate nstruction, and reby authorize repres tatives of this county to enter upon the above-mentioned property for inspection purposes. 1 Signature (Applicant or Agent): 4, • .^t JI ^ wfS f T .. f it r� 4 V 1 �yL.': Page 2 Application. Number . . . . . 05-00001239 Date 4/06/05 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 ... . ---------- 7 -------------------- . . . MECHANICAL Additional desc Permit Fee 114.50 Plan.Check Fee 28.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA .­MECH FURNACE <=10.0K 27.00 3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 6.00 6.5000 EA MECH VENT FAN 39.00 1.00 6.50°00 EA MECH OTHER VENT SYSTEM 6.50 -------------------- Permit . . . ----------------------------------------------- . . . PLUMBING --------- Additional.desc Permit Fee . . . . 207.0.0 Plan Check Fee 51.75 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 --------------- ------------------------------------------------------------- Special Notes and Comments SFD - LOT°25, PLAN lA/CASITA, 2706 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 57.95 DIF FIRE PROTECTION -RES 91.00 GRADING PLAN CHECK FEE .00 Page 3 Application Number . . . . . 05-00001239 Date. 4/Q6/05. ---------------------- .Other Fees. . . . ----------------------------------------------------- .. . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC.- RES 5.00 DIF PARKS/REC - RES• 502.00 STRONG MOTION (SMI) - RES 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 690.67 .00 .00 690.67 Other Fee Total 2480.14 .00 .00 2480:14 Grand Total 4522.04 .00 .00 4522.04 I-IUA:5E qL CI1 i_AN AA UIL & FE ARTMENT 7-701 INSPECTIO Q LINE Owner 48TH &�► . Contractor GR CTION Permit Number 05-1239 POST ON JOB IN CONSPICUOUS PLACE . INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS' 1-79-080 SHADOW TRAIL SFT) - LOT 25, PLAN IBR. PERMIT DOES NOT INCLUDE POOL,.SPA, BLOCK WALLS, OR DRIVEWAY kPPROACII TYPE OF INSPECTION DATE INSP TEMPORARY POWER SETBACKS G U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING 7, FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BO. DRYWALL EXTERIOR LATH GAS TEST ! �� SEPTIC ABANDONMENT SEWER CONNECTION O r 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 TFUP I ISF nF PFRMANENT POWER I 4;V ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING Lod,, Q•c Certificate of Occupancy g f C� OF'T'� Building & Safety Department This Certificate is issued pursuant to the requirements of Section 709 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the w R provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. F v: BUILDING ADDRESS: 79-080 SHADOW TRAIL, LOT 25 f Use classification: SINGLE FAMILY DETACHED Building Permit No.: 05-1239 Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH � t r r Owner of Building: SANTA ROSA DEVELOPMENT INC . Address: 46-753 ADAMS ST c City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND s _`. cs'a� Date: JANUARY 18, 2007 F ,s Building Official „s }J F POST IN A CONSPICUOUS PLACE