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05-1241 (SFD)re IN BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO - `` FAX (760) 777-7011 A QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 implication Number . . Property Address . . . APN: Application description Property Zoning Application valuation BUILDING PERMIT .: 05'-F0-0001241 Date, 4/06/05 . . . 79090 SHADOW TR - 649-030-069-2.6 -31310 - DWELLING - SINGLE FAMILY DETACHED . . . HIGH DENSITY RESIDENTIAL 190828 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 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 679.00 PATIO SQ FTG 286.00 ' NUMBER OF UNITS - 1.00 1ST FLOOR SQUARE -FOOTAGE. 3037.00 ---------------------------------------------------------------------7------ Permit BUILDING PERMIT Additional desc Permit Fee 958.00 Plan Check Fee 622.70 Issue Date . . . Valuation 190828 .Qty Unit Charge Per Extension BASE FEE 639.50 91.00 3.5000.THOU BLDG 100,001-500,000 318.50 ---------------------------------------------------------- Permit . . . . . . ----------------- 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 <=100K 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 6.5000 EA MECH EXHAUST HOOD 6.50 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: Applicant: Archite Applicant's Mailing Address: chitect . No. Date: 1 1q. 05— ErAgine or Engineer's Address:. O(ZI2.5 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalt of perjury that I am licensed under provisions Chapt 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C9de, and my License i full force and effect. �icense Class ,Xense No. /bate raefii ctor - 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 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 Licerse 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.). L) 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. _k�4halyeandwill mai in 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 ers' c pensation insura arrier and %iii�ua Gy Numb14 b q,6 — �,F I certify that, in the perfor ante of the work for which this pell 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, 1 shall forthwith comply with those provisions. l �'C WARNING: FJILURE TO SECURE WORKERS' COM{ ENSATION 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 ccnstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders 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 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 ;ate nstructio , and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. O ignature (Applicant or Agent): _ -W� Page 2 Application Number . . . 05-00001241 Date 4/06/05 ---------------------------------------------------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 134.88 Plan Check Fee 33.72 Issue Date Valuation . . . . 0 Qty Unit Charge. Per Extension BASE FEE '15.00 3037.00 .0350 ELEC NEW RES - 1 OR•2 FAMILY 106.30 679.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.58 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING . Additional desc Permit Fee . . . . 199.50 Plan Check Fee 49.88 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 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 Plari Check Fee .00 Issue Date . . . Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ------------.------------------------------------------------- Special Notes --------------- and Comments SFD - LOT 26 PLAN 2BR/CASITA, 3037 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 62.27 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 Page 3 Application.Number 05-00001241 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 19.08 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee -'Total 1421:88 .00 .00 1421.88 Plan Check Total 734.93 .00, .00 734:93 Other Fee Total 2486.35 .00 .00' 24.86.35, Grand Total 4643.16 .00 .00 4643.16 OJ Certificate of Occupanc Y .�� 7 �X 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: 79-090 SHADOW TRAIL, LOT 26 NT Use classification: SINGLE FAMILY DETACHED Building Permi No.: 05-1241 x. Occupancy Group: R-3 TypeofConstruction: 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: NOVEMBER 14, 2006 Building Official POST IN A CONSPICUOUS PLACE T CZ��- F WlEP ENT OF I SPS 1ON R _ UU ST LINA E Owner 48TH & ADA1V) Contractor GROOVE CONSTRUCTION Permit Number 05-1241 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-090 SHADOW TRAIL SFD — LOT 26, PLAN 2BR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH TYPE OF INSPECTION I DATE I INSPP, TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE -/ U/G ELECTRICAL/ GROUNDING 7 e'< - FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF OKAY TO WRAP 2 FRAMING COMBINATION 6 ROUGH ELECTRIC ROUGHPLUMBING ROUGH MECHANICAL INSULATION I_ir - -7. O COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) I , _ , EXTERIOR LATH J "vim - & Z-,-, r GAS TEST 4 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 U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. //-/ cc FINAL / JOB COMPLETED /A / / 6�1-r ABOVE APPROVALS DO NOT INCLUDE RIGHT -TO - TURN ON UTILITIES OR OCCUPY BUILDING ef�S E�