05-0504 (SFD)BUILDING & SAFETY DEPARTMENT f
'
BOX 1504
Yb � (760).777-7012
_
p 7 , - CALLE TAMPICO FAX (760) 777-7011
QSLA ,QU TA, CALIFORNIA'92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Apples ation Number0510-0.000504
...,,.Pate 2/09/05
-fiperty Address '.
79180 SHADOW TR
APN:
649-030-069-35 -31310 -
Application description DWELLING - SINGLE FAMILY. DETACHED
Property Zoning . . ..
HIGH DENSITY RESIDENTIAL
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 i .
-------Structure
Information• PLAN 2 W/CASITA MARKET RATE HOUSING -----
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type.
DWELLG/LODGING/CONG <=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 _ '1.00--,
=-------------------=-------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE 3037.00
Permit BUILDING PERMIT
Additional desc
Permit Fee
958.00 Plan Check Fee 155.68
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 -t
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 EXHAUST HOOD 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: 0 5 SO� Date: 3- 13 -05 -
Applicant: Archite t o Engi eer:
II�Ff cc _1 * e3"
Applicant's Mailing Address: Architect or Engineer's Address:
A If
ic. No.:
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 Licen in full force and effect. � I
,cense Class _ License No.^ f�
\-J OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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.).
(_) I am exempt 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
of the work for which this permit is issued.
-KI 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
issued_ ork�compensation ins�cance carrier nd po' y nu Z a
arrier �-E� l� CPQ if"cy Number lr� l X 75
_ I certify that, in the performance 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 provisigns.
7i�
WARNING: FAILURE TO SECURE WORKERS'eOMPENSATION 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.).
Lenders Name
Lenders 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 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 nter upon the abo entioned property for inspection purposes.
Date � S L� ignature (Applicant or Agent)
t
Page
2
Application
Number 05-00000504, Date
•2/0'9/05
----------------------------------------------------------------------------
Permit
ELEC-NEW RESIDENTIAL
Additional
desc
Permit Fee
134.88 Plan Check Fee
8.43
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
Permit Fee
199.50 Plan Check Fee
12.47
Issue Date
r
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
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 r
Permit Fee
. . . . Y 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
35 PLAN 2AR/CASITA,'3037 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
15.57
Page 3
Application Number . . . . . 05-00000504 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'. 19.08
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged
Permit Fee Total 1421.88
Plan Check Total 183.74
Other Fee Total 2439.65
Grand Total 4045.27
Paid Credited Due
---------- ---------- ----------
.00 .00 1421.88
.00 .00 183.74
.00 .00 2439.65
.00 .00 4045.27
Jun 30 06 09:44a Groove Const 7605643546
OQ O�
i4 •`
5 r C
OF LA QUINTA
,tQItVG 8.SAFETY DEPARTMENT
M�,t ✓ 777-7012
�f:�" E& ION REQUEST UNE
/ 4 c �.. 777-7153
Own ,
Contra r CQNCTRij,�' pQN (MAFa Fm -
Permit Number
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS --29-180 SHAD )-W TRAU.
SIS -• LO'r 35, PLAN ZAR/CASITA- 3037 SF. PERMIT DOES NOT
INCI.lIOF, POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.
75% REDVC'170N'rO PLAN CIIVCK FEE DUE TO MULTIPLE
ISSUANCE OF SANTE PLAN TYPE.
S
TYPE OP INSPECTION OATS INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE-
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL -
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE S[ NED ,
ROOF NAIL / PRE -ROOF / O
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABO_ VE SIGNED
INTERIOR GYP. Bb, DRYWALL
EXTERIOR LATH
GAS TEST _ O
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
OOL /_SPA_/ WATER FEATURE INSPECTIONS
P
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS/BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUSUC WORKS DEPARTMENT.
COMMUNITY DEVELOPMENT DEPT. •
FINAL / JOB COMPLETED
P.
a
o Certificate ofOccupancy;.
, {
G�
artment
OF'Ti'�9w Building & Safety Department
I
�
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
,i
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
ti
construction and/or use.
k
�n
BUILDING ADDRESS: 79-180 SHADOW TRAIL LOT 35
Use classification: SINGLE FAMILY DETACHED Building Permit No.: 05-504
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH
r
y
H Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST
F
M City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: JUNE 30, 2006
Building Official
k
POST IN A CONSPICUOUS PLACE
,.
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