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04-8363 (SFD)V BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760),777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 n Number ddress .ftrIN Application description Property Zoning . . Application valuation . BUILDING PERMIT . . . <0A7 -0=0_0!08_36F3) Date 4/06/05 . 79125 SHADOW TR 649-030 - -069-11 31310 - DWELLING - SINGLE FAMILY DETACHED HIGH-DENSITY RESIDENTIAL . . . 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 RATE HOUSING ----- 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 143.16 Issue Date .Valuation 168635 Qty Unit Charge Per Extension BASE FEE 639.50 69.00 3.5000 THOU BLDG -100,001-500,00.0 241.50 Permit. . . . MECHANICAL Additional desc Permit.Fee . . 90.00 Plan Check Fee '. 5.63 Issue Date 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 4 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: a g- 91:366 Applicant: Applicant's Mailing Address: . Date: 7. /4. D S_ Architt>Mo�r gi er: —Amhitect or Engineer's Address: ,---tic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpgn�lty 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 my License i 'n full force and effect. License Class ,cense No. Date I if O Can tor 99W it 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 -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 of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as re uir d by ection 3 00 the Labor Code. for the performance of the work for which this permit is C�yAr jMy work compeation in ce carrier and poli amer t J i�J�`[ olicy Number. vo V -1 ertify that, in the p rformance of the work for which this permit is issued. 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 fort ww tth comply with those provisions. L ate V pplicant�� /► WARNIN : FAI RE 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 )PC 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 owne-, 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 authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. .�7 Signature (Applicant or Agent): ,/�!/ Page 2 Application Number . . . . 04-00008363 Date 4/06/05 ------------------------------------------------------------------------------ Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 121.30 Plan Check -Feer. 7.58 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 11.35 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.'OOQO EA PLB WATER INST/ALT./REP 3.00 1.00- 9.0000 EA .PLB LAWN SPRINKLER SYSTEM YPLB 9.00 1.00 3.0000 EA 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 11, Plan 2AX, 2649 SF. NO CASITA. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2001 CBC. 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 Page 3. Application Number . . . . . 04-00008363 Date 4/06/05_ ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 14.32 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/REC - RES 502.00 J 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 167.72 .00 .00 167.72 Other Fee Total 2436.18 .00 .00 2436.18 Grand Total.' 3892.70 .:00 .00 3892.70 •f1. g•d 'fig S` LL'" Iriar-LAQ11lll Owner 4`aiM r GROOVE CO, - ON - Permit Number U4'83G3 POST ON, JOB IN CONSPICUOUS PLACE _ INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-125 SHADOW TRAIL SFD l- LOT 11, PLAN 2AX. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH TYPE INSPECTION DATE INSP. TEMPORARY POWER SETBACKS _ U/G PLUMt31NG /WASTE �� C U/G ELECTRICAL / GROUNDIN zL' FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL A�BO'VE SIGNE ROOF NAIL /+PRE -ROOF �f=�' OKAY TO WRAP ) .. '; •`' ' : '��. FRAMING (COMBINATION � - w ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL INTERIOR_GYP. BADRYWALL EXTERIOR LATH GAS TEST MASONRY FOOTINGS / STEEL BONO BEAM POOL / SPA / WATE; PRE-GUNITE / SETBACKS U/G PLUMBING UJG GAS _ U/G ELECTRICAL PRE L STE�ALARMS_/ BARRI FINAL I TEMP. USE OF PERMANENT Pa ELECTRICAL• PLUMBING Mi:GHAN1CAl 9b9Ef19909L zsuo3 anoo.lq eZb:60 90 SZ inC- V) M 4 - LO 0 LO r- 0 N c 0 U 0 0 L L9 OCertificate of . Building & Safety Department . .1 ',1 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: 79-125 SHADOW TRAIL LOT 11 Use classification: SINGLE FAMILY DETACHED Building Permit No.: 044363 Occupancy Group: R_3 Type of Construction: V -N Land Use Zone: RH Owner of Building: SANTA ROSA DEVELOPMENT -INC Address: 46-753 ADAMS ST -r&4, Building Official POST IN A CONSPICUOUS P City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date:. JULY 24, 2006