04-8225 (SFD)BUILDING & SAFETY DEPARTMENT
P.O. Box 1504- (760).777-7012
78-495 CALLE TAMPICO
FAX (760) 777-701'
LA QUINTA,, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
is ion Number . . . . . . 0 �_W8�
�25 Date 2/17/05,
for erty Address,-
. . . . 47765 SOFT MOONLIGHT
APN:
649-030-069-24 -31311
Application description
. . . DWELLING - SINGLE FAMILY
DETACHED
Property Zoning . . .
.... . . HIGH DENSITY RESIDENTIAL
Application valuation
'85421
Owner
-Contractor
------------------
----------
SANTA ROSA DEVELOPMENT
INC CONSOLIDATED CONTRACTING, INC.
46753 A ' DAMS ST-
46753 ADAMS STREET
LA QUINTA
CA 92253 LA QUINTA
CA 92253
(760) 771-3345
(760) 324-5488
WCC: STATE FUND
WC: 1770749"2005
01/01/06
CSLB: 824183
09/30/05
CCC: B -C8
------ Structure Information.
PLAN 3
Construction Type . .
. . . TYPE V NON RATED.
Occupancy Type . . .
. . . DWELLG/LODGING/cbNG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct.info . .
. . . CODE EDITION
2001
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
422.00
RATIO SQ FTG42
' 00
'NUM13ER'OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1339.00*
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
.518.00 Plan Check Fee
84.18
Issue Date . . . .
Valuati6 I n
727D8
Qty Unit Charge
Per
Extension
BASE FEE
414.D0.
23. 0 1 0 4.5000
THOU BLDG 50,001-100,000
103,50
k
----------------------------
-------- L ------------------------------------------
Permit . . . . . .
ELEC-NEW RESIDENTIAL
Additional desc
Permit Fee . . . .
70.31 Plan Check Fee
4.40
Issue Date
Valuation . . .
. 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1339.00 .0350
ELEC-NEW RES - 1 OR 2 FAMILY
46. 87
422.00 .0200
-------------------------------------------
EI]ECGARAGE OR -NON- RESIDENTIAL 8.44
-----------------------------------
r
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: ZS- Date:
Applicant: Architect or Engineer:
M. PQLLA21�,
Applicant's Mailing Address: Architect or Engineer's Address:
CO N 7-/2� c 7-0 A�
Lic. No.: L— X912122
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
ode, and License is in full force and effect. / 73,4- rR
License Class
� License No.y li
Xte :3 �U •"Obi ContractoJ c c [
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
of the work for which this permit is issued.
,/
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 ca loer and pot' umber e,
tl6arcier SATE LLD Policy Number L 1 I Di" - �p1l
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ a y 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
�lforthwith comply with those pr i ns.
Date ` r7 D �i�j A:,plicant/ l
WARNING: FAILURE TO SECURE WORKS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOU 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 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 n r upon the above-mentioned property for inspection purposes.
� J
ate ��� Signature (Applicant or Agent):
Page
2
Application Number .
. . . . 04-00008225, 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
----------------------------------------------------------------------
----------------------------
P
Permit . .. . . . . MECHANICAL
Additional desc
Permit Fee
46.00 Plan Check Fee
2.38
Issue Date . . .
Valuation . . . .
0
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 . . . . . . PLUMBING
Additional desc
Permit Fee . . . 1
115.50 Plan Check.Fee
7.22
Issue Date
Valuation . . . .
0
Qty, Unit Charge
Per
ExtensiDn
BASE FEE
15.00
8.00 .6.0000
EA PLB FIXTURE
48.30'
1.00 15.0000
EA PLB BUILDING SEWER
15.J0
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA 'PLB WATER INST/ALT/REP
3.J0
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.J0
1.00 15.0000
EA PLB GAS METER
15.D0
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT:24 PLAN 3BR',
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 REVIEW FEE
8..42
7
•
Page
3
Application Number
. . . ...
04-00008225 Date
2/17/02
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
Certificate of'Occupancy
ZATM
G� OFBuilding & Safety De'partment.
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: 47-765 SOFT MOONLIGHT
Use classification: SFD Building Permit No.: 04-8225
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RH
Owner of Building: SANTA ROSA DEVELOPMENT, INC. Address: 46-753 ADAMS ST.
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: SEPTEMBER 19, 2006
Building Official
POST IN A CONSPICUOUS PLACE
l��
-
Contractor. CONSOLIDATED CONTRACTING
Permit Number 04-8225
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
c ,
JOB ADDRESS * 47-765 SOFT MOONLIGHT .
SFD - LOT 24 PLAN 3BR, 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.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS o
U/G PLUMBING/ WASTE K, Cj
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF d 5 S7
OKAY TO WRAP
( 'MING COMBINATION
rtOUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION 16,52 4
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH U �iGL
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION 3 %U G
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G I"LECTRICAL
PRE --PLASTER (ALARMS/ BARRIERS)
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
P''IMBING
HANICAL
`OBLIC WORKS DEPARTMENT d (p
COMMUNITY DEVELOPMENT DEPT. OYo-
FINAL / JOB COMPLETED r -
a
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
F LA. QUINTA.
BUILDIN
SAFETY DEPARTMENT t
M FMAR 3 20n�
777-7012
P
ON REQUEST LINE
WY OF L QU16ti fA
777-7153
Contractor. CONSOLIDATED CONTRACTING
Permit Number 04-8225
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
c ,
JOB ADDRESS * 47-765 SOFT MOONLIGHT .
SFD - LOT 24 PLAN 3BR, 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.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS o
U/G PLUMBING/ WASTE K, Cj
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL/ PRE -ROOF d 5 S7
OKAY TO WRAP
( 'MING COMBINATION
rtOUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION 16,52 4
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH U �iGL
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION 3 %U G
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G I"LECTRICAL
PRE --PLASTER (ALARMS/ BARRIERS)
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
P''IMBING
HANICAL
`OBLIC WORKS DEPARTMENT d (p
COMMUNITY DEVELOPMENT DEPT. OYo-
FINAL / JOB COMPLETED r -
a
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING