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04-8203 (SFD)TAtif BUILDING & SAFETY DEPARTMENT 0 (760).777-7012 -495 CA�L;Ej1C�P1 FAX (760) 777-701.1 Q ��A, ALIFo IA, 2253 INSPECTION REQUESTS (760) 7.77-7153 CITY OR � tF wit"ICEO� ING PERMIT Application Number . . . . ._0410000820.3_ Date 2/17/05 Property Address •... . . . . . 47745 SOFT MOONLIGHT APN: 649-030-069-32 -31311 - Application.description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . HIGH DENSITY RESIDENTIAL Application valuation . . . . 84922 Owner Contractor - - - - - - - - - - - - - - - - - - - - - - - - - - - - --------------- ------SANTA SANTAROSA DEVELOPMENT INC CONSOLIDATED CONTRACTING, INC. 46753 ADAMS ST 46753 ADAMS STREET LA QUINTA CA 92253 LA QUINTA CA 92253 (760) 771-3345 (760) 324-25488 WCC: STATE FUND WC: 1770749-2005 01/01/06 CSLB: 824183 09/3C/05 CCC: B -C8 ------ Structure Information. PLAN 2 ----- 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 424.00 PATIO SQ FTG- 36.00 -' - 'NUMBER OF UNITS "1. 00 1ST FLOOR SQUARE FOOTAGE 1331.00 -------------------------------------------------------------- Permit. . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 518.00 Plan Check Fee 84.18 Issue Date Valuation . . . . 72273 Qty Unit Charge Per Extensi-on BASE FEE 414.50 23.00 4.5000 THOU BLDG 50,001-100,000 103.50 -----------------------------------------------------------------=---------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 70.07 Plan Check Fee 4.38 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 1331.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY--. 46..59 424.00 .0200 -=-------------------------------------------------------------------------- ELEC GARAGE OR,NON-RESIDENTIAL` 8.48 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 & SAFETY DEPARTMENT Application Number: 03 Date: 3 3 • �$ Applicant: Architect or Engineer: lel .FyLt_ Applicant's Mailing Address: Architect or Engineer's Address: D 'fv TKA CTO Pe Lic. No.: G —D 12 I'Li t3UILDINU 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 ,Code, and my License is in full force and effect. e/ License Class % License No. ---'9,9,4- D Q Contractor. 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 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 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 v 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 d policy nu ber are: �_ arrier O�j� yu r) Policy Number 193 q -i Q� =_}mos 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 Ufate2 forthwith comply with th+THOUAND — 3'5�-DLA A:,plican WARNING: FAILURE TO SECURE WPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDLLARS ($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 A 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 thisapplication 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 Ouinta, 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 representatives of this county enter upon the above-mentioned property for inspection purposes. Dace A•_:;Q :DC Signature (Applicant or Agent) Page 2 Application Number . . . . . 04-00008203 Date 2/17/C5 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 .. . . . i 0 r Qty Unit Charge s 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 . . . . 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 32 PLAN 2C, 1331 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 .. . . . . 04-00008203 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, 8.49 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 764.57 .00 .00 764.57 Plan Check Total 98.66 .00 .00 98.66 Other Fee Total 2421.91 .00 .00 2421.91 Grand Total 3285.14 .00, .00 3285.14 511 3 s ® OF a QUINTA & S DEPARTMENT OF 77 12 �� jAII SPO R UEST•LINE - _... `f7-71 3 Owner - - Contractor CON40L TED CONTRACTING Permit Number. 04-8-203 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR.MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 47=745 SOFT MOONLIGHT SFD - LOT 32 PLAN 2C, 1331 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 U/G PLUMBING /WASTE —O U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP �MING COMBINATION OUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH - GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION 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-ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER - AS ELECTRICAL P' ' IMBING + �;HANICAL PUBLIC WORKS DEPARTMENT - jr/NA L COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED _ J ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY,BUILDING Certificate of Occu ancy P V; U - 5 � ' Safety Department� F 5 Thin 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 y F ` construction and/or use. F. 4 �4 BUILDING ADDRESS: 47-745 SOFT MOONLIGHT LOT 32 f' Use classification: SINGLE FAMILY DETACHED . Building Permit No.: 04-8203 r 'r Occupancy Group: R-3 Type of Construction: V -N Land Use Zone- RH F, 1 i jj Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST F i City, ST, ZIP: LA QUINTA, CA 92253 ' 9 a -- By: KIRK KIRKLAND i v ` Date: OCTOBER 9, 2006 ., Building Official is t 1 POST IN A CONSPICUOUS PLACE i