05-0500 (SFD)r
t
T_df - 4 4 QU M
P.O. Box 1504
78-495 CALLE TAMPICO
I AA
QUINTA, CALIFORNIA 92253
1 BUILDING PERMIT
Q pp��5 Kb Appl cattii�'`Yi • Nr
rat , fess
PN.�UF����(.
n description . . .
P (o rty Zoning . . . . .
Application valuation . . .
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
iffC�5MO.'Q0_'O'O'50'0W Date_ 2/09/05
79225 SHADOW TR
649-030-069-2 -31310 -
DWELLING - SINGLE FAMILY DETACHED
HIGH DENSITY RESIDENTIAL
190828
Owner
Contractor
15.00
SANTA ROSA DEVELOPMENT
INC MAFFEI,,DAVID LETTERIELLO
27.00
46753 ADAMS ST
1451 -QUAIL STREET,
#212
LA QUINTA
CA 92253 NEWPORT BEACH
CA 92660
(760) 771-3345
(949) 863-9642
6.50
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
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
{
Additional desc
Permit Fee . . . .
114.50 Plan Check Fee
7.16
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
Extension
BASE
FEE
15.00
MECH
FURNACE <=100K
27.00
MECH
B/C <=3HP/100K BTU
27.00
MECH
VENT FAN
39.00
MECH
EXHAUST HOOD
6.50
AW
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- MoD Date:_3 •
Applicant: Architect o1rtEnginee,: , 1 le 6 �� 4 . In
Applicant's Mailing Address:
Architect or Engineer's Address:
No.: �� 01 d`� P I
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
and my Licerls� is in full force and effect. �7 I -7
Cod
Class �� cense
iB'ate� 1 I )/OJ nntr.,,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.).
(_) 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.
_y__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 M w rs' compensation i nce carrie)d lic num}y�re:
Gamer t _A, olicy Number (7 y
_ 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 provis
ions.
�te� 1 ( 5/ GS a �/_\0 1�
WARNING: FAILURE TO SECURE WORKE S' 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
Lenders Address 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 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 re resentatives of this county to enter upon the a -mentioned property for inspection purposes.
ate Signature (Applicant or Agent):
:T.+c�:,?xo .i'.>`� • ��fb*RE'; ,MY-R:+*mcy.•.1t'.^-!!Y'.M-..
r r
L.
'• f � yi R }'+f -
f
Page
2
Application Number .
. . . . 05-00000500 Date
2/09/05
--------------------------------------------7-------------------------------
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
.s Permit Fee
199.50 Plan Check Fee
12.47
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
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
•---------------------------7------------------------------------------------
BASE FEE
15.00
Special Notes and Comments
SFD -' LOT 2 PLAN 2B/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
366.0'0
ENERGY REVIEW FEE
15.57
1
l~
Page
3
Application Number
. . .
05-00000500 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
1421.88
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
r
,Certrficato of OdcupancY
�OFTN� . Building & Safety Department
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: 79-225 SHADOW TRAIL(LOT'2)
Use classification:'SFD Building Permit, No.: 05-0500
Occupancy Group: R3 U1 a Type of Construction: VN Land Use Zone: RH
Owner of Building: SANTA ROSA DEV INC -Address: 46753 ADAMS ST
City, ST, ZIP: LA QUINTA CA 92253
By: STEPHEN WILLETT
Date: 6-1-06
s
Building Officiaf
POST IN A CONSPICUOUS PLACE
Z -
'`r CIT11F LA QUINTA
BUI(ING SAFETY DEPARTMENT
777-7012
' INS C 'ION REQUEST LINE
��`��� _:•°g€gam 777-7153
Permit Number 05-0500
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS = .79�-2255'SHAIIO'P- A ' -'. w I
SFD - LOT 2, PLAN 2B/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. -
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS _ S
J/G PLUMBING / WASTE. -S
J/G ELECTRICAL/ GROUNDING
=OOTINGS / STEEL i
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
300F NAIL / PRE -ROOF -Q
JKAY TO WRAP , ,:5�/+
=RAMING (COMBINATION), '-1 r' C 5" 1 `/
ROUGH ELECTRIC P 1
ROUGH PLUMBING
ROUGH MECHANICAL i
NSULATION-LaUz
d
COVER NO WORK UNTIL ABOVE SIGNED _
NTERIOR GYP. BD. DRYWALL C' •1 C' 1
EXTERIOR LATH -
3AS TEST
SEPTIC ABANDONMENT O
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
=00TINGS / STEEL
30ND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
'RE-GUNITE / SETBACKS
J/G PLUMBING
J/G GAS
J/G ELECTRICAL
'RE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS .
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING -G
MECHANICAL
?UBLIC WORKS DEPARTMENT (p /
:.OMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED • _
•e9I�.1r A-f9l9--A. 91 ^^ .1f9 IAI/9112M" 1'91 /91_IT Tf9
t
•