06-0564 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA 92253
T -4-h
- t 4
BUILDING & SAFETY DEPARTMENT
BUILDING -PERMIT
Application Number: 06-00000564
Property Address: 47695 SOFT—MOONLIGHT l/
APN: 649-030-069-38 -31311
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 78808 4p
Applicant: Architect or Engineer:
coo.
-----------------
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 Pro ionals Code, and my License is in full force and effect.
License Clas7: B C8 License No.: 824183
te: 4(r Co ctor.
OWNE .BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, atter, 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 Contractor's 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).:
1 _ 1 1, 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 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.). '
1 ) 1, 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.).
(_ 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
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: i
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/08/06
Owner:,
SANTA ROSA DEVELOPMENT INC
46753 ADAMS ST
A p LA QUINTA, CA 92253
7' (760)771-3345
�CP \
Contractor:
p �O CONSOLIDATED CONTRACTING, INC.
4`.653 ADAMS STREET
!A L'A�QUINTA, CA 92253
(760)771-3345
Lic. No.: 824183
WORKER'S 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.
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 issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1770749
_ 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 s}}}'''h-ect to the workers' compensation provisions of Section
247700 of the bor de, I $hall fo K"i h comply with those provisions.
tee: ' V pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPAISATION 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.
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 info r ation is correct. I agree to comply with all
city and county ordinances and state laws relating to building cons tr ct n, and hereby authorize representatives
of thi��gnature
myabove-mentioned pro y for ins trio purposes.
ate:Appticant or Agent):
Application.Number
. . 06-00000564 .
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
545.00 Plan Check Fee
354.25
Issue Date . . .
Valuation
78808
Expiration Date
8/07/06
Qty Unit Charge
Per
Extension
BASE -FEE
414.50
29.00 4.5000
THOU BLDG 50,001-100,000
130.50 .
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
46.00 Plan Check Fee
11.50
Issue Date. . . . .
Valuation. . . . .
0,
Expiration Date
.8/07/06
Qty Unit Charge
Per
Extension
-
BASE FEE
15.00
1.00 9.0000
EA MECH FURNACE <=100K
9.00
1.00 9.0000
EA MECH B/C <-=3HP/100K BTU
9.00'
1.00 6.5000.
EA MECH VENT FAN
6.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc . . .
Permit Fee . . .
66.41 Plan Check Fee
16.60
Issue Date . .
Valuation
0
Expiration Date
8/07/06
Qty .Unit Charge
'Per
Extension
BASE FEE
15.00
1227.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
42.95
423.00 ..0200
ELEC GARAGE OR NON-RESIDENTIAL.?
8.46
---------------------------.------------------
---------------------------
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
116.25 Plan Check Fee
29.06
Issue Date . . .
Valuation . . . .
0
- Expiration Date
8/07/06 '
Qty Unit Charge
Per
Extension
BASE FEE
15.00
8.00 6.0000
EA PLB FIXTURE.
48.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00•
' LQPERMIT ,
-
_
LQPERAIIT
Application Number .
. . . . 06-00000564
Permit . . . . . . PLUMBING
_ Qty Unit Charge
Per
Extension
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
X1.00 3.0000
EA- PLB WATER INST/ALT/REP
3.00
1.00 9'.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00 '
5.00 .7500
EA PLB GAS .PIPE >=5
3.75
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
Expiration Date
8/07/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
------------------------------------------------------
Special Notes and Comments
SFD - LOT 38, PLAN 1CR, 1227 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
2001 CBC, CMC, CPC, 2004 CEC, 2005
ENERGY CODES
--------------------------------------------------------------------
.Other Fees . .
. . . . ART IN PUBLIC PLACES -RES
--------
20.00 .
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
35.43
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
7.88
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged Paid Credited
Due
----------
Permit Fee Total
---------- ---------- ----------
788.66 00 .00
788.66
Plan Check Total
411.41 .00 .00
411.41
Other Fee Total
3759.31 .00 .00
3759.31
Grand Total
4959.38 .00 .00
4959.38
LQPERAIIT
/(n���� 4acyCer ifiicate of 0.6cuponcy
SOF 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: 47-695 SOFT MOONLIGHT, LOT 38
Use classification: SINGLE FAMILY DETACHED Building Permit No.. 06-564
S
Occupancy Group- R-3 Type of Construction: V -N Land Use Zone: RH
Owner of.Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST -
5
- City; ST, ZIP: LA QUINTA, CA 92253
' By: KIRK KIRKLAND
b Date: FEBRUARY•20, 2007
Building Official
POST IN A CONSPICUOUS PLACE