05-0035 (SFD)i
Tuf
BUILDING & SAFETY DEPARTMENT
1504 / (760).777-7012
LE TAMPICO s FAX (760) 7.77-7011
A,_CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT r 4'• ,
A i Ch '0'Number
PP
X0.5-0_0.0.05 Date -� 2/09/05
Prop rt y ddress .
. . . .. 79175 SHADOW TR
APN:
649-030-069-5 -31310 -
Application description
. . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
. . . .. HIGH DENSITY RESIDENTIAL
i
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
(949) 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
i r 1. 0*0
1ST FLOOR SQUARE FOOTAGE
3037.00
Permit
BUILDING PERMIT
Additional desc . .
-
'
Permit Fee . . . .
958.00 Plan Check Fee
622.70
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
.28.63
Issue Date* . . . .
Valuation . . .
. 0
Qty Unit Charge Per
3.00
3.00
6.00
1.00
9.0000 EA
9.,0000 EA
6.5000 EA
6.5000 EA
BASE FEE,
MECH FURNACE <=100K
MECH B/C <=3HP/100K BTU.
MECH VENT FAN
MECH EXHAUST HOOD
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: Date: .! /FOSS
Applicant: Architect or Engineer:
M 16 L.Qe-\ e'. - �►.. G1�
Applicant's Mailing Address: rchitect or Engineer's Address:
ic. No.:�
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under p ty 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 ss License i i full force and effect.
License Class icen a No.
N—, 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 eiempt under Sec. , BA P.C. for this reason
Date Owner.
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
Vof the work for which this permit is issued.
_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
is d. �My ers-sQnpensation insure came] Ind�pa
arner 'S -1 t t d —PMicy Number 1 (r, `i V
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.
SIDS
WARNING: FAILURE TO SECURE WORKER`S MPENSATION 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 0 1A
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 o -mentioned property for inspection purposes.
ate �S !f'ignature (Applicant or Agent):
Page
2
Application Number .
. . . . 05-00000035 Date
2/09/05
------------------- --------------------------------------------------------
Permit
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
134.88 Plan Check Fee
33.72
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
xx- Permit Fee . . .
199.50 Plan Check Fee
49.88
Issue Date . . . .
Valuation i.
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
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 5 PLAN 2B/CASITA, 3037 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
DIFF CIVIC CENTER -,RES
366.00
ENERGY REVIEW FEE
.62.27
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00.
Page 3
Application Number
. . . . .
05-00000035
Date
2/09/05
---------------------7-------------------------------7----------------------
Other Fees . . .
. . . . . .
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC
- RES
5.00
DIF PARKS/REC - 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
734.93
.00
.00.
734.93
Other Fee Total
2486.35
.00
.00
2486.35
Grand Total
4643.16
.00
.00
4643.16
CITY w LA QUINTA
o "BUILDIN� $r� �_ AFETY DEPARTMENT
6y0) 777-7012
INSPECTION REQUEST LINE
t - Ty L. T (7610 777-7153
.,r--n�
Contractor DAVID MAFFFI
Permit Number Q
POST ON JOBxIN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-175 SHADOW 'TRAIL
SFD -LOT 5 PLAN 2B/CA8ITA, 3037 SF.• .
PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS OR DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS _
U/G PLUMBING / WASTE 3p o y-
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL G _ •p
CONCRETE SLAB e3' "al-
DO
Qi
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF 5-2- c>5'- (,rc
OKAY TO WRAP 6_ a C
FRAMING COMBINATION - G �-
ROUGH ELECTRIC
ROUGH PLUMBING p ��
ROUGH MECHANICAL
INSULATION I /_
1�1v c,.eti /Jia .,-- 16 -/6 o )�— I SGL
COVER 140 WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH 4v 2
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION �-j— /(9 - (,ie-
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWE Q/
ELECTRICAL
PLUMBING
MECHANICAL
IPUBLIC WORKS DEPARTMENT
,COMMUNITY DEVELOPMENT DEPT.
FINAL/ JOB COMPLETED . 2 / IV
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING