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04-8220 (SFD)o �o BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760)'.777-7012 OFTt�9 78-495 CALLE TAMPICO FAX (760) 777770,11 LA QUINTA;,;CALIF _RN IA 92253 INSPECTION REQUESTS (760) 777-7153 O 6 ILDING PERMIT t�AW'3s1 2005 Applica i n Number 04-00.0.0.8-2.20 Date 2/17/©5 Propert gT0GrS,LAQUONTA . 47855 SOFT MOONLIGHT APN: 'FINANc DEPT. 649-030-069-12 -31311 - Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning HIGH DENSITY RESIDENTIAL Application valuation 85421 Owner. Contractor, a •� .,rx. SANTA ROSA DEVELOPMENT INC CONSOLIDATED CONTRACTING, INC. 46753 ADAMS.ST 46753 ADAMS STREET LA QUINTAL CA 92253 LA QUINTA CA 92253 (760) 771-3345 (760) 324-5488 WCC: STATE FUND WC: 17.70749-2005 01/0-1/06 CSLB: 824183 09/30/05 CCC: B -C8 --=-- Structure Information PLAN 3' ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=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 # _, 42.00 NUMBER -OF UNITS 1.00 .1ST FLOOR SQUARE FOOTAGE 1339.00 ,\ Permit . . . . . . BUILDING PERMIT,4,1 , Additional desc ¢ ' Permit Fee . . . . 518.00 Plan',,Check.Fee 84.18 Issue Date . . . . Valuation 72.708 { Qty Unit -Charge Per Extension 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 Extension BASE FEE 15:00 1339.00 .0350 ELEC :NEW RES_- 1 OR 2 FAMILY-. C146.87 422.00 .0200 ELEC-,.GARAGE OR NON-RESIDENTIAL;• '''' 8.44 ------------------------------------------=--------------------------------- — t-. 14 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING cit SAFETY DEPARTMENT Application Number: 0 �- 22 Date: 3.30 -0s - Applicant: .30.OSApplicant: Applicant's Mailing Address: Kr2a croK Architect or Engineer: k. 'Po LLj�, Architect or Engineer's Address: Lic. No.: C -'0 11 12S 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 my License i in full force and effect.pp License Class License Nd- Q 24 (. Q, Date Contractor/ ily U*Q L. Lq Al TAO G MU.tni -tVA�-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 penally 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. A 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 is ue�d�vly w rkers' compensation insurance car9er and polic number arp�: /Carrier e dlb Policy Numbe✓ �1 s p � 4."l -��� j _ 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' / /Date Date ?7-�'3h—D b Applicant WARNING: FAILURE TO SECURE WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($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 1 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 nter upon the above-mentioned property for inspection purposes. Date 3 3d-c� Signature (Applicant or Agent). ,J. Page .2 Application Number . . . . . 04-00008220 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 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/10'OK 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 . . . . 115.50 Plan Check Fee 7.22 Issue Date Valuation . . . . 0 .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 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 12 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 REVIEW FEE 8.42 Page 3 Application Number . . . 04-00008220 Date 2/17/C5 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 uertificate of Occupanctff br 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: 47-855 SOFT MOONLIGHT LOT #12 Use classification-. SINGLE FAMILY DETACHED Occupancy Group- R-3 Type of Construction: V -N Owner of Building: SANTA ROSA DEVELOPMENT INC & A2 Building Official Building Permit No.: 04-8220 Land Use Zone: RH Address: 46-753 ADAMS ST City, ST, ZIP: LA_ QUINTA, CA 92253 By: KIRK KIRKLAND Date: MAY 17, 2006 POST IN A CONSPICUOUS PLACE T Q/• FyoFr�a�'w BLVN E, DEPARTMENT 2 I � 717-7153 Sl%LINE Owner Contractor Permit Number j POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES --------------- JOB ADDRESS 47.85 S FT MC)()Nanrnm• SFD- LOT 12 PLAN 3A, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, . I BLOCK WALLS, OR DRIVEWAy APPROACH. i 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE, i TYPE OF INSPECTION DATE TEMPORARY POWER INSP. SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL /GROUNDING ` FOOTINGS / STEEL 7 I CONCRETE SLAB e 7 ) j DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL /PRE -ROOF OKAY TO WRAP •' MING COMBINATION G —� rsOUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTILABOVE SIGNED INTERIOR GYP. BD. DRYWALL �- EXTERIOR LATH G SEPTIC ABANDONMENT l �� SEWER CONNECTION • SEPTIC /GREASE INTERCEPTOR I MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE /SETBACKS j U/G PLUMBING U/G GAS I U/G ELECTRICAL PRE -PLASTER ALARMS /BARRIERS I FINAL INSPECTIONS - TEMP. USE OF PERMANENT POWER ELECTRICAL P\'1MBING :HANICAL FOB LIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. e,6 FINAL/ JOB COMPLETED' ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING z J A T Q/• FyoFr�a�'w BLVN E, DEPARTMENT 2 I � 717-7153 Sl%LINE Owner Contractor Permit Number j POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES --------------- JOB ADDRESS 47.85 S FT MC)()Nanrnm• SFD- LOT 12 PLAN 3A, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, . I BLOCK WALLS, OR DRIVEWAy APPROACH. i 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE, i TYPE OF INSPECTION DATE TEMPORARY POWER INSP. SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL /GROUNDING ` FOOTINGS / STEEL 7 I CONCRETE SLAB e 7 ) j DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL /PRE -ROOF OKAY TO WRAP •' MING COMBINATION G —� rsOUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTILABOVE SIGNED INTERIOR GYP. BD. DRYWALL �- EXTERIOR LATH G SEPTIC ABANDONMENT l �� SEWER CONNECTION • SEPTIC /GREASE INTERCEPTOR I MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE /SETBACKS j U/G PLUMBING U/G GAS I U/G ELECTRICAL PRE -PLASTER ALARMS /BARRIERS I FINAL INSPECTIONS - TEMP. USE OF PERMANENT POWER ELECTRICAL P\'1MBING :HANICAL FOB LIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. e,6 FINAL/ JOB COMPLETED' ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING z