05-1246 (SFD)U
BUILDING & SAFETY DEPARTMENT .
P.O. Box 1504
(760).777-7012
FTt�9 78-495 CALLE TAMPICO`S
FAX (760) 777-7011
A QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT _ 4
plication Number �05�Z0_OQ01.246 Date 4/06/05
Property Address' . . . . 79095 SHADOW TR
APN: 649-030-069-14 -31310 -
Application description . . . DWELLING = SINGLE FAMILY DETACHED,
Property Zoning . . . . HIGH DENSITY RESIDENTIAL
Application valuation 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. (94 9) 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
-----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 958.00 Plan Check Fee 155.68
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 7.16
• 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)777-701 1
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT '/
Application Number: 05- - oZLi Date: 7. l q. aS
Applicant: �Afhitec r En inee :
Applicant's Mailing Address: chitect or ngineer s Address:
ic. No.:
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Cod , and my License is i I force and effect.
ensee Class /License No.
Bate / 10� ntractor ft7f
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 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-bulder 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. , BA 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
I have and will maintaip workers' compensa!ion insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
e y wor comp sation� licy Nu e carrier�n¢ ptf
1-15 mer o�P licy Number I'
I certify that, in the erformance of the work for which this permit is iss d,'fshall not employ a 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 provision .
ppm licant
WARNIN . FAILU E 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.).
Lenders Name 11
Lender's Address 1i 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 applicaton 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.
1 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, nd reby authorize representatives of this county to enter upon the above -me tioned property for inspection purposes.
t,oate Signature or Agent):
. Page
' 2
Application
Number . . . . . 05-00001246 Date
4/06/05
--------------------
Permit .
-----------------------------------------------
. . ELEC-NEW RESIDENTIAL
---------
Additional
desc
Permit Fee
. . . . 134.8.8 Plan Check Fee
8.43
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
12.47
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 Plan Check Fee
.00
Issue Date
. . . . Valuation . . . .
0
Qty
Unit Charge Per
Extension
--------------------=----------7--------------------------------------------
BASE FEE
15.00
Special Notes
and Comments
SFD - LOT
14 PLAN 2AR/CASITA, 3037 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
�.
DIF COMMUNITY CENTERS --RES-
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
15.57
Page
3
Application Number.
. . . . .
05-0.0001246. Date
4/06/05
----------------------------------------------------------------------------
Other Fees . . .
. . . . .
DIF FIRE PROTECTION=RES
97.00
"
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REQ - 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
183.74
.00 :00
183.'74
Other Fee"Total
2439.65
.00 .00-
2439.65
Grand Total
4045.27
.00 .00
4045.27
P :
, , Certificate of Occupancy0 o
�w
C OF'T19� 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 wa$ in compliance with the
provisions of the Building Code and the _various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 79-095 SHADOW TRAIL, LOT 14
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-1246
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH
Y
Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND ' 4
Date: APRIL 3, 2007
Building Official F
POST IN A CONSPICUOUS PLACE
,.. ..z, ,:u. - .i, 1"^ - ..w+ 'i-••*'.. c' ^. -.,' aiMi'>.s. 'v- .. .:. 3t=si"r.* -i. xvlj'Lla't t.r •>.'`=� ,at —
N
oq_ T ,
CITY
AF ENT'
7-7012
PBCTIOAST'
-71
Owner 48 &A t,pGUlti'�A
Contractor GROO C TION
Permit
Permit Number 05-1246
POST ON JOB INCONSPICUOUS F -----
INSPECTOR MUST SIGN ALL APPLICABLE SPA—
JOB ADDRESS 79-095 SHADOW TRAM,
SFD - LOT 14, PLAN 2A,R. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS, OR
DRIVEWAY APPROACH
r
TYPE OF INSPECTION ' DATE
TEMPORR ^" ^ •-- INSP.
SETBACK,
U/G PLUM
U/G^EHEC•
FOOTING;
1
CONCRET
DO
ROS
OKAY TO V
FRA- MIIN
UGHI
ROROUGHI
ROUGH �
INSINS p
INTERIOR G
EXr— ER R
GAS TEST
SEPTIC ABA
• sEW1
SEPTIC / GR
I 1
I FOOTINGS/
BOND BEAM
�POi
PRE-GUNITE
U/G -PLIIMRIN
WORKS DEPARTMENT
JNITY DEVELOPMENT DEPT. -•y
/JOB COMPLETED � � �'
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING