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05-0512 (SFD)o - 4 BUILDING & SAFETY DEPARTMENT .O. B 504 ; r (760) 777-7012 \ C� OFTK�9�`' -` 95 E TAMPICO �•;`' FAX (760) 777-7011 LA NT ALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT ` G .. Applcatio umber 05-00000512 -'-Date 2/09/05 Prope Address, 79150 SHADOW TR ' 'APN:" 649-030-069-32 -31310 - Application description DWELLING -.SINGLE FAMILY DETACHED Property Zoning .. . . . . . . HIGH DENSITY RESIDENTIAL Application.valuation _171930 \ 1 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 1 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 676 00 PATIO SQ FTG 293'.'00 ' NUMBER OF UNITS 1.00 1ST`'FLOOR SQUARE FOOTAGE 2'7'06.,00. \ -------------------------------7-------------------------------------------- Permit . . . . BUILDING PERMIT .Additional desc ;i _ Permit Fee . . . 891.50 Plan Check Fee 144.87\ Issue Date . . . Valuation 171930. Qty Unit Charge Per Extension BASE FEE 63.9.50 '72.00 3.5000 THOU BLDG 100,001-500,000 252.00 -----------------------------------------------------------=---------------- Permit `MECHANICAL . 1. t:I 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 OTHER VENT SYSTEM 6.50 P.O. BOX 1504• ���. w VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING cit: SAFETY DEPARTMENT Application Number: D5- 51g ( Date: C -)S - Applicant: Applicant's Mailing Address: Architect r En 'neer: IPA e itect or Engineer's Address: Lic. No.: b �)( op�,q BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C , and ss License is ir�fpA force and effect. .n I - / icense Class i� n iL!cense moo. (P 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.). 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 prcperty 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: 1 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 ed.�My wgrkers' co ensation ins 'a ice carrier agrj pghe qumb are: arrier rn acv Number Ilny,( �`.{ ( —rynn 5 I certify that, in the performance 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. ate S ;,cal�/ WARNING: FAILURE TO SECUENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDLARS ($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 constuction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address /' 1 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 employeesfor 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 a ter upon the ib a ntioned property for inspection purposes. ate Signature (Applicant or Agent): Page 2 Application.Number . . . . . 05-00000512 Date 2/09/05 -------------------------- Permit -------------------------------------- ELEC-NEW RESIDENTIAL ------------ Additional desc Permit Fee ... . . 123.23 Plan Check Fee 7.70 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 PLUMBING Additional desc Permit Fee . . . 207.00 Plan Check Fee 12.94 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 ---------------------------------------------------------------------------- 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 32, PLAN 'lA/CASITA, 2706 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 14.4.9 Page 3 Application Number . . . . . 05-00000512 Date 2/09/05 -------------------------------------------------------------------"--------- 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/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 172.67 .00 .00 172.67 Other Fee Total 2436.68 .00 00 2436.68 Grand Total 3960.58 .00 .00 3960.58 t � r t , C . Coa- V .-Certificate of Occupancy 4� J.im S C�OF.T9� & Safety Department 'Building 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 the Building Code the the City provisions of and various- ordinances of regulating building construction and/or use. �4 BUILDING ADDRESS: 79-150 SHADOW TRAIL,,LOT 32 . Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-512 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. 1, City, ST, ZIP: LA QUINTA, CA 92253 By: KIRK KIRKLAND Date: MARCH 29, 2007 Building Official Iii •. - � ` POST IN A CONSPICUOUS PLACE • ro,., _. •.. M .:...n.tir -., .. -... •-'-....w-Y. :.-. Y.ra4:. J- +.m Yia. _wuyY. - .-a✓: - _ �l l) ft c-> r�' t/ I MN 5 t _4� 32= LA QUINTA UILIN S ETY DEPARTMENT MSF v �p0 7 -7012 IN N REQUEST LINE 4� 777-7153 Permit Num r/�5-�-s . POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 79-150 SHADOW VRML SFD - LOT 32, PLAN IA/CASITA. 2706 SF..PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDIICI'ION TO PLAN CI~TECK VCE DUE TO MI.lLTIPI..E' ISSUANCE OF SAME PLAN TYPE. TYPE OF INSPECTION DATE INSP. i TEMPORARY POWER SETBACKS .0 S• U/G PLUMBING / WASTE _ U/G ELECTRICAL/ GROUNDING d , FOOTINGS /STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF (j O ; i OKAY -TO WRAP --C:p- FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION CaVEq un WAorr rr.rrn •wsw..� .......__ SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS . FOOTINGS / STEEL BOND BEAM POOL / SPA / �WATFR FEATURE INSPECTIONS PRE-GUNITE /SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS / BARRIERS FINAL INSPECTIONS TEMP, USE OF PERPOWER _ ELECTRICAL -I PLUMBING , MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITYDEVELOPMENTDEPT. �� _o f<- FINAL /JOB COMPLETED mss/ ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING