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04-5342 (SFD)I Ir p a�'w►tA.IM�Q� o� 1. � o � 5 BUILDING & SAFETY DEPARTMENT ix 1504 s''• r, (760).777-7012 rope Address�1 0-000 4 5*34.2 ` A 79135 SHADOW TR Date 2/10/65 Application description 649-030-069-10 -31310 Property Zoning Application valuation - DWELLING - SINGLE.FAMILY HIGH DENSITY RESIDENTIAL DETACHED 168635 Owner -------- _--_ ROSA DEVELOPMENT Contractor ----- INCSANTA 46753 ADAMS ST LA QUINTA MAFFEI, DAVID LETTERIELLO CA . (760) 771-33.45 92253 1451 QUAIL STREET, NEWPORT BEACH #212 (94 9) 863-9642 CA 92660 WCC: STATE FUND ------ WC: 162046972005 CSLB: 375176 01/01/06 Structure Information Construction PLAN 2 CCC: g MARKET 11/30/06 Type Occupancy Type RATE HOUSING TYPE V,- NON RATED ----- Other struct info DWELLG/LODGING/LONG <=10 CODE EDITION BEDROOMS 2001 FIRE SPRINKLERS 4.00 GARAGE SQ'FTG NO PATIO SQ FTG 679.00, NUMBER OF UNITS 286.00'' -------------------------- _` --------•------------- IST FLOOR SQUARE FOOTAGE 1'00 Permit .2649.00 Additional desc BUILDING PERMIT -.----------------- Permit Fee Issue Date 881'00 - Plan Check Fee Valuation 572.65 Qty- Unit Charge Per 168635 . ___--_-69_00 ------3 5000 THOU, -- BASE FEE BLDG 100,001-500 Extension 639.50 _ _ Permit ------------------ ,.000 -------------1�--------__--_ 241.50 Additional des MECHANICAL c Permit Fee . Issue Date 90'00 Plan Check Fee. Valuation 22.50 QtYUnit Char e g ,;Per ' 0 2.00BASE 9.0000 EA FEE Extension 2.00 9.0000 EA 5.00 MECH FURNACE <=00K 1 MECH B/C.<=3HP/100K 15.00 18.00' 6.5000 EA 1..00 6.5000 EA BTU MECH VENT FAN ` 18.00 MECH EXHAUST HOOD 32.50 6.50 P.O. BOX 1504• 1����j fly/ VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: 3-/ 5' 0C Applicant: A�chi t\Or €ngineer: hae I Applicant's Mailing Address: rchl ect or Engineer's Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty 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 is' u11 force and effect. ,,o-'� �' Cicense Class cense�N.. V 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 hundrec 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.). (--) 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.). (__) 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 required by Section 3700 of the Labor Code, for the performance of the work for which this permit is M e m ensation i�wfance carrier ar► d/po' n e ar n �, Sie�rier "7 �� p policy Number 1 CON � 1: '� in r) _ I certify that, in Ihe pe ormance 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 forthwith comply with those provisions. kln< n WARNING: FAILURE TO SECURE WORK' 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 /� Lenders Address R 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 forany 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 a ov -mentioned property for inspection purposes. Date ignature (Applicant or Agent): Page 2 Application Number' 04-00005342 Date 2/10/05 ----------------------------------------- Permit ----------------------------------- 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 10, Plan 2BXR. 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 -DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 57.27 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 r Page 3 Application Number 04-00005342 Date 2/10/05 Other Fees . . . . . . . . . DIF LIBRARIES - RES_ 1 225.00 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 .500.00 .00 - 170.86 Other Fee Total -2479.13 :00 .00 247.9.13 Grand Total 4438.79 500.00 .00 3938.79 1 o� LA QUINTA -meg p & SAtETY DEPARTMENT 77'l-7012 Q '�� p4�c►� SPECTIONI REQUEST LINE 7777153 owner Contractor Permit Number �4- POST ON JOBS G ONS�P UOAe PLACE INSPECTOR M SIGN �Jk.LL,,I� J06 ADDRESS 3Z�t A0M�M� SFD -'I.-OT 10, PLAN 231XR, 2649 SF. P0kM1T DOS NOT 1NCLIJDF. POOL, SPA, BLOCK WALLS OR nRIVE*VAY APPROACH: 2001 CBC' ABOVE APPROVALS DO NOT INCLUDE RIGHT TO m SRM ON UTILITIES OR OCCUPY BUILDING Certificate of Occupancy .4 - -� lima 5 G� OF'T9w Building & Safety Department y 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 i provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 79-135 SHADOW TRAIL, LOT 10 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-5342 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 City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: MARCH 6, 2007 f r a C: Building Official 1 ,h POST IN A CONSPICUOUS PLACE • :,y.:.k .f. .... . -. [NM'+titGa' .--. -• '.A'Yil]2- .is :.,.-�' ':i2�. 3:A-. - Rv - - Y. v.SYf' - ..� _.MPi ...7T:. tX i - _ _ __