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05-0033 (SFD)T44f 4 4"Q9 a Box 1504 5 CALLE TAMPICO NTA, CALIFORNIA 92253 BUILDING PERMIT N BUILDING & SAFETY DEPARTMENT (760) .777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 4� \A ' /��� ,�• ter",,. EA 3.00 A G�;� n Number . . . . . 05-00000033 Date; 2/09/05 �ro�y Addres's . . . . . . 79165 SHADOW TR AIPnT: 649-030-069-8 -31310 - Application description DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . HIGH DENSITY RESIDENTIAL Application valuation 171930 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) 771-334.5 (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- TG NUMBER NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 2706.00 Permit' BUILDING PERMIT Additional desc• - - Permit Fee . . . . 891.50 Plan Check Fee 579.48' Issue Date . . . . Valuation . . . . 171930 Qty Unit Charge Per Extension BASE FEE 639.50 72.00 3.5000 THOU BLDG 100,001-500,000 252.00 --------------------------- -----------------------------=------------------- Permit . . . . . MECHANICAL Additional desc Permit Fee 114.50 Plan Check Fee 28.63 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per 3.00 9.0000 EA 3.00 9.0000 EA 6.00 6.5000 EA 1.00 6.5000 EA BASE FEE MECH FURNACE <=100K MECH B/C <=3HP/100K BTU MECH VENT FAN MECH OTHER -VENT SYSTEM Extension 15.00 27.00 27.00 39.00• 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: �S- 33 Date: 3 • /3 'OS Applicant: chitect r Engineer: o Applicant's Mailing Address: Architect or Engi en er's Address: Ic. No.: C7 19 - BUILDING 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 de, and my License�n full force and effect. -1% 517 License Class ' cense No. Date S bS ontractor4=f� 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 penally 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 Kof 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 / S4- Y w rs' c ensationa mance carrier a9d li6ntTt�Er 1 / �, ,, . tier 1 1r_( G crV/Policy Number l (� CJ r I (� �1 Ill% 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. Date 3 /S los- WARNING: OS WARNING: FAILURE TO SECURE WORKEWCOMPENSATION 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 OC 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 construction, and -hereby authorize representatives of this county to enter upon the ab ve-menti property for inspection purposes. ate i' S JD S gnature (Applicant or Agent): Page 2 Application Number . . . . . 05-00000033 Date 2/09/05 Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 123.23 Plan Check Fee 30.81 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.. 51.75 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 15.100 Plan Check Fee .00 Issue Date Valuation . . . . 0 Qty, Unit Charge Per Extension ---------------------------------------------- BASE FEE 15.00 ----------------------------- Special Notes and Comments SFD -LOT 8, PLAN lA/CASITA, 2706 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 57.95 - DIF FIRE PROTECTION -RES 97.00 GRADING PLAN..CHECK FEE 00 Page 3 Application Number . . . . . 05-00000033 Date 2/09/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF LIBRARIES - RES 225.00 DIF PARK MAINT_FAC - RES 5.00 DIF PARKS/REC - RES 50.2.00 -,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. 690.67. .00 .00 690.67 Other Fee Total 2480.14 .00 .00. 2480.14 Grand'Total 4522.04 .00 .00 4522.04 M Certificate of OccupancY Iwcocoa,.rm g i G� OFBuilding & Safety Pepartment _; 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: 79-165 SHADOW TR LOU 8- Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-033 #; Occupancy Group: R-3 Type of Construction: VN Land Use Zone: RL 3: ; .Owner of Building: SANTA ROSA DEV. INC. , Address: 46-753 ADAMS ST. - City, ST, ZIP: LA QUINTA, CA 92253 t R By: STEVE TRAXEL Date: 10-19-2007. Building Official i r POST IN A CONSPICUOUS PLACE