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05-0503 (SFD)1h. 01 • ���\�T BUILDING & SAFETY DEPARTMENT O w Box 1504 (760).777-7012 8'-49 CALLE TAMPICO FAX (760). 777-7011 A INTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number -05.=.0.0.000503 Date. 2/,09/05 Property Address- •. 79195 SHADOW TR - APN: 649-030-069-3 -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, 4212 LA QUINTA CA 92253 NEWPORT BEACH CA 92.660 (760) 771-33AS (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. x1.00 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 Additional desc . . Permit Fee 114.50 Plan Check -Fee 7.16 Issue Date . . . Valuation . . . . 0 r 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. BOC 1504 T4,f 78-495 CALLE TAMPtCO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: OJT ^ 50 3 Applicant: I Architpct,or Applicant's Mailing Address: VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3. 15 'v j' or Engineer's Address: No.: G 0�,k�9 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. 2 e . icn ense Class icens�e No. J S I 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 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 Y of the work for which this permit is issued. -1 -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 ssyyed�. ork�T� ompensation i�ng§wtuance carrier gp�cy u berpre arrier - I, 2C W. rJ Policy Number t'1 � (p� _ I certify that, in the performance of the work for wich 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 provikons. /'\ WARNING: FAILURE TO SECURE WORKER OMPENSATION 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 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 above- entioned property for inspection purposes. L� � Date 3 ignature (Applicant or Agent): ' Page 2 Application Number . . . . . .05-00000503 Date 2/09/05 ---------------------------------------------------------------------- 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 Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 15.0.0 , 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 .3 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 . . . 05-00000503 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 ---------- Paid Credited ---------- Due Permit Fee Total 1421.88 -------------------- .00 .00 142.1.88 Plan Check Total 183.74 .00 .00 183.74 Other Fee Total 2439.65 .00 .00 2439.65 Grand Total 4045.27 .00 00 4045.27 - Certificate of Occupancyo U � Tvf ��IGfI V� { �oF9ti Building & Safety Department } t r 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 provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 79-195 SHADOW TRAIL LOT 3 Use classification: SINGLE FAMILY DETACHED Building Permit No.: 05-503 r y Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: RH r Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST City, ST, ZIP: LA QUINTA, CA 92253 a By: KIRK KIRKLAND A' =-- Date: JUNE 13, 2006 gullicM Official POST IN A CONSPICUOUS PLACE' i 0`4 CI °S F LA QUINTA ��D�G & &FETY.DEPARTMENT OF TN ,' :�'O' ,O`777-7012 ��•,U� ECTION REQUEST LINE 777-7153 Own OSA DEVELOPMENT INC. Contract rCAtbVt CONSTRUCTION MAFFE' Permit Number 05-0503 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACE JOB ADDRESS 79-195 SHADOW TRAIL SFD - LOT 3, PLAN 2AR/CASITA. 3037 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACI 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE. TYPE OF INSPECTION DATE INSF TEMPORARY POWER i SETBACKS U/G PLUMBING / WASTE �- U/G ELECTRICAL/ GROUNDING . /. FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF. - • p OKAY TO WRAP7 U FRAMING COMBINATION (} ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION42 2 M COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL �j EXTERIOR LATH I GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION J G SEPTIC / GREASE INTERCEPTOR ' MASONRY INSPECTIONS. FOOTINGS / STEEL I BOND BEAM POOL /i_ PA / 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 POWER — —e, ELECTRICAL OC PLUMBING `MECHANICAL PUBLIC WORKS DEPARTMENT 'ol0 awl COMMUNITY DEVELOPMENT DEPT. . p C FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE FIICaHT TO TURN ON UTILITIES OR OCCUPY BUILDING