04-8199 (SFD)w
C&t , oF4,Q"
4MPIC0
IFORNIA' 92253
I I.
Application Number
Property Address , r:• ,.• .
APN:
Application description
Property Zoning . .
ApIication valuation
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
0470008199 Date 2/17/05
.47785 SOFT MOONLIGHT•.
649-030-069-.22 731311 -
. DWELLING - SINGLE FAMILY'DETACHED
. . . HIGH,DENSITY RESIDENTIAL
84922 - j
p,
Owner
Contractor
,
SANTA ROSA DEVELOPMENT
INC CONSOLIDATED CONTRACTING, INC.
46753 ADAMS ST
467.53 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
09/30105
CCC: B -C8
------ Structure Information
PLAN 2
-----
Construction Type . .
. . . TYPE V - NONRATED
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
-: " v ;.' s""t
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
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
70.07 Plan Check Fee,.
4.38
Issue Date . . . .
Valuation
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1331.00 .0350
ELEC4,NEW.RES�- 1 OR 2 FAMILY
46.59.
424.00 .0200
--------------------------------------------=-------------------------------
--,GARAGE -OR NON-RESIDENTIA•:
ELEC'- L
8.48
P.O. Box 1504 • "
414. VOICE (760) 777-7012
73-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: l]� . �9 Date:
Applicant: Architect or Engineer:
Applicant's Mailing Address: Architect or Engineer's Address:
Ld u 772 c i v/f
Lic. No.: G— Dy4—I
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
/Eode, and my License is in full force and effect. `�
t/ License Class_ $L License No:�
ate Ry-0� Contractor ! GG 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 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. , B.& 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.
Y 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
�arrier is��itwil%Ce�o�pensation insurance car ' r andgojicyDnulbef aLe:� n ' b
Policy Numb l I H
_ 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 visions.
to V�S A,.plicant
WARNING: FAILURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THO SAND 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 ;n Z 4
I✓ 1
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 Ouinta, 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 enter upon the above-mentioned property for inspection purposes.
to Signature (Applicant or Agent):
Page
2
Application Number. .
. . . . 04-00008199 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.
Extens-on
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/10OK 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
91..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 22 PLAN 2A,
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
n
Page 3
Application Number
04-00008199 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
8.49
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
.32.85.14
.00 00
3285.14
-
,
CoilCertificate
anc of Occupancy
= 3
o� :moo
z
�5
T i
G
Building& Safet Department
p
OF19Y
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
4
construction and/or use.
fi!
t
t
f;
BUILDING
ADDRESS: 47-785 SOFT MOONLIGHT
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8199
Occupancy Group: R3
Type of Construction: V-N Land Use Zone: RH
t
Owner of Building: SANTA ROSA DEVELOPMENT, INC. Address: 46-753 ADAMS STREET
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
k :
Date: MAY 16, 2006
Building Official
POST IN A CONSPICUOUS PLACE
`^ -.'S
ih A
1
LA QUINTA
�G ETY DEPARTMENT
77 -7012
jLt�• �YJ„TIO REQUEST LINE
I
�ill0Lor'ea - 7-7153
' Owner TA ROSA DEVELOPMENT INC.
Contractor CONSOLIDATED CONTRACTING
Permit Number -- 04.,;8199 -
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST. SIGN ALL APPLICABLE SPACES _.�_.___........ __.. _...
j JOS ADDRESS 47-785 SOFT MOONLIGHT
SFW- LOT 22 PLAN 2A, 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.
I
TYPE OF INSPECTION DATE INSP.
"TEMPORARY POWER
SETBACKS2-7
U/G PLUMBING /WASTE G
U/G ELECTRICAL/ GROUNDING Q
FOOTINGS / STEEL
r. CONCRETE SLAB
i
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF _ d
OKAY TO WRAP 2
)MING COMBINATION
40UGH ELECTRIC "
ROUGH PLUMBING
j ROUGH MECHANICAL
iINSULATION
WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL Q
EXTERIOR LATH j
I GAS TEST
I SEPTIC ABANDONMENT
SEWER CONNECTION '
SEPTIC / GREASE INTERCEPTOR
I
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS '
U/G PLUMBING"
U/G GAS
j U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER 5 '!6 U
ELECTRICAL
P''IMBING
�HANICAL
PUBLIC WORKS DEPARTMENT D
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
J
WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL Q
EXTERIOR LATH j
I GAS TEST
I SEPTIC ABANDONMENT
SEWER CONNECTION '
SEPTIC / GREASE INTERCEPTOR
I
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS '
U/G PLUMBING"
U/G GAS
j U/G ELECTRICAL
PRE -PLASTER (ALARMS/ BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER 5 '!6 U
ELECTRICAL
P''IMBING
�HANICAL
PUBLIC WORKS DEPARTMENT D
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING