04-8228 (SFD)TA_ty 4 4 Q9 ra
P.O. Box 1504
9LE TAMPICO
CALIFORNIA 92253
20051. . BUILDING PERMIT
ess t_
APN:
Application description
Property Zoning
Application valuation`.
Owner
SANTA ROSA DEVELOPMENT INC
46753 ADAMSST•
LA QUINTA. CA- 92253
(760) 771-3345
BUILDING & SAFETY DEPARTMENT
(760).777-7011
FAX (7x60) 777-7011
INSPECTION REQUESTS (760) 7.77-7153
04-00008228_ Date 2/17/C5
47755 SOFT MOONLIGHT.
619-030-069-31 -31311 -
DWELLING - SINGLE FAMILY DETACHED
HIGH.DENSITY RESIDENTIAL
85421
, ;4
Contractor
CONSOLIDATED CONTRACTING, INC.
46753 ADAMS STREET
LA QUINTA CA -92253
(760) 324-5488
WCC: STATE FUND
WC: 1770749-2005 01/01/06
CSLB: 824183 09/30/05
CCC: B -C8
------ Structure Intormation PLAN 3
-----
Construction Type.. .
. . . TYPE V - NON RATED
Occupancy Type .. . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001
# BEDROOMS
3.-00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
422.00
PATIO SQ FTG
x. ....
,� �, . • 4 2 . 0 0
NUMBER` OF UNITS -t}
1.00
1ST FLOOR SQUARE. FOOTAGE
1339.00
-----Permit :,
---------�------------�--------
BUILDING PERMIT----------------------------------
Additional descst
,.
..
Permit Fee . . .
518.00 Plan Check Fee
84.18
Issue Date
Valuation . . .
. 72708
Qty_ Unit Charge
Per
Extenson
BASE FEE
414.50
23.00 4.5000
THOU BLDG 50,001-100,000
103.50
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
70.31 Plan Check Fee
4.40
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extens_on
BASE FEE
15.00
1339.00 .0350
ELEC NEW RES '- 1 OR 2 FAMILY
;,M; 46.87
422.00 .0200
ELEC,_d�kRAGE OR NON-RESIDENTIAL"
'� 8.44
P.O. B o x 1504
• ��G��1�!
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: Date: 3 36
Applicant: Architect or Engineer:
!ba. �Ej) l.At—
Applicant's Mailing Address: Architect or Engineer's Address:
C0NT2,gCi0fl�_ --
Lic. No.: es -0 ► 2 t26
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
Co D A Jode, and my License is in full force and effect. / n ^ I ?
,/ License Class 1%� License N
,,,6,'te Contractor✓ t;' G 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 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.).
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
Kof 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
i ued. My workers' compensation insurance carne end olicy num er are:
Carrier , 'i>�'T,.(, Policy Number.' �'1 p'1 4cl "'PL.
I certify that, in the perfofmance 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 prow ions.
ate —p L, A;,plicant
WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSA D 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 i ormation 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 coun to ter upon the above-mentioned property for inspection purposes.
ate , —z)�_-0 Signature (Applicant or Agent)r
Page
.2
Application Number .
. . ... 04-00008228 Date
2/17/05
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
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . .
46.00 Plan Check Fee
2`.88
Issue Date . . . .
Valuation
0
t Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 9.00.00
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 6.5-000
-------------------------------------------------------------------=--------
EA MECH EXHAUST HOOD
6.50
Permit . . . . . . PLUMBING
Additional desc
Permit Fee
11.5.50 Plan Check Fee
7.22
Issue Date . . . .
Valuation*
0
Qty Unit Charge
Per r
Extension
BASE'FEE
15.00
8.00 6.0000
EA PLB FIXTURE
48..00
1.00 1.5.0000
EA PLB BUILDING SEWER
15.: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
Special Notes and.Comments
SFD - LOT 31 PLAN 3A,
1339 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 REVIEWFEE
8.42
m
Page 3
Application Number
. . . . .
04-00008228 Date
2/17/05
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
8.54
DIF=STREET MAINT FAC -RES.
15'.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
----------
764.81
------------------------------
.00 .00
764.81•
Plan Check Total
98.68
.00 .00
98.68
Other Fee Total
2421.96
.00 00
2421.96
Grand Total
3285.45
.00 .00
3285.45
m
3 A XX �3
H�F LA QUINTA
ow BUILD,IN SAFETY DEPARTMENT i
} INa§ r 777-7012
_ INSPECTION REQUEST LINE
t i Of, ®ems ._---777'7153 +
4 Cti
Own ROSA DEVELOPMENT, INC.
Contractor CONSOLIDATED CONTRACTING
Permit Number 04-8228
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 47-755 SOFT MOONLIGHT
}
SFD - LOT 31 PLAN 3A, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, y
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 I
SETBACKS
U/G PLUMBING / WASTE -
U/G ELECTRICAL/ GROUNDING Z72 _
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP �
l MING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION v
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL O s�
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION T f 2 aG
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL f'
BOND BEAM R
S
i
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS k
'U/G PLUMBING y
U/G GAS
U/G ELECTRICAL +
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL "
P'' IMBING
` •HANICAL
' BLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT. &--2.z-0<-
S
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING rlNAL,
Certificate- of Occupancy,
17D
OF Building & SafetY Department..
This Certi} � � o _o ficate is issued pursuant to the requirements of Section 109 of the California Building
i 4 Code, certifying that, - at the time of issuance, this structure was incompliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 47-755 SOFT MOONLIGHT LOT 31
Use classification: SINGLE FAMILY DETACHED Building Permit No.: 04-8228
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH
Owner of Building: SANTA ROSH DEVELOPMENT INC Address: 46-753 ADAMS ST
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
LY
Date:. OCTOBER -9,2006
Building Official
T
POST IN A CONSPICUOUS PLACE
ra