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06-0616 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 00;6=00000616' --J 79269,SIGN OF -SPRING 649-030-069-71 -31311 - DWELLING - SINGLE FAMILY HIGH DENSITY RESIDENTIAL 85421 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANTA ROSA DEVELOPMENT -INC 46753 ADAMS ST DETACHED LA QUINTA, CA 92253 (760)771-3345 rchitect or Engineer: NS CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju/e�ss Iic sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bud Pro essionals Code, and my License is in full force and effect. �(�!�3 C8 LicenseNo.: 824183 ate: 'ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of ppryat m exempt from the Contractor's 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 Contractor's 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 permitsubjects the applicant to a civil penalty of not more than five hundred dollars-($ 500).: - (_ I 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 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.). - - (_ 1 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.). (_ 1' I am exempt under Sec. , BAP.C. for this reason Date: Owner: 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: �y Lender's Address: LQPERMIT Contractor: CONSOLIDATED CONTRACTING, 46753 ADAMS STREET LA QUINTA, CA 92253 (760)771-3345 Lic. No.: 824183 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/09/06 D Q� JUN 14 2005 CITY OF LA QUINTA NC.. FINANCE DEPT. ------------------------------------- WORKER'S 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. 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 and policy number are: ' Carrier STATE FUND Pot' umber 1770749 I certify that, in the performance of e w k for which this permit is issued, I shall not employ any. . person in any manner o a t ecome ubject to the workers' compensation laws of California, and agree that, if 1 sh 1 ome su act to the workers' compensation provisions of Section 010 of the Labor C hall fort ith comply with those provisions. Date: Iy OY icant: WARNING: FAIL RERE OR COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO R PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN AD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT' ACKNOWLEDGEMENT ' IMPORTANT Application is hereby made to the Director of Building and Safety fora 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 result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such per ' , or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the a e infor 'tion is correct. I agree to comply with all city and county ordinances and state laws relating to the c0nstru ton, and hereby authorize representatives of this courxy toAiter upon type above-mentioned pope r inspe ion purposes. (Applicant or Application Number . . . . . 06-00000616 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 576.50 Plan Check Fee 93.68 Issue Date . . . . Valuation . . . . 85421 Expiration Date.. 8/08/06 Qty Unit Charge Per. Extension ' - BASE FEE 414.50 36.00 4.5000 THOU BLDG 50,001-100,000.. 162.00 _. Permit . . . MECHANICAL Additional desc . Permit Fee . . 46.00 Plan Check Fee 2.88 Issue Date Valuation 0 Expiration Date 8/08/06 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 ELEC-NEW RESIDENTIAL Additional desc '. Permit Fee 70.31 Plan Check'Fee 4.40 Issue Date . . . . Valuation. 0 Expiration Date 8/08/Q6 Qty Unit Charge Per Extension BASE FEE 15.00 1339.00 .0350 ELEC NEW RES - 1 OR "2 FAMILY 46.87 422.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.44 Permit PLUMBING Additional desc . Permit Fee . . 117.00 Plari Check Fee 7.31 Issue Date Valuation 0 Expiration Date 8/08/06 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 . LQPERMIT . LQPERIIIIT Application Number. . . . . . 06-00000616 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0,000 EA, PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER -----------------------------------------------------------------------.----- 15.00 Permit . . GRADING PERMIT Additional desc . 'Permit Fee 15.00 Plan Check Fee .010 Issue Date Valuation . . . . 0 Expiration Date 8/08/06 Qty Unit Charge .Per. Extension BASE FEE 15.00 -- ----------------------------------------- Special Notes and Comments ' SFD - LOT 71, PLAN 3AR, 1339 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO FLAN CIIBCK FEE€ DUR TO W.TL.TTPT.F ISSUANCE OF SAME PLAN TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2.005 ENERGY CODES Other.Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 74:00 DIF CIVIC CENTER -RES 480.00 ENERGY REVIEW FEE 9.37 DIF FIRE PROTECTION -RES 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES -RES 355.00 DIF PARK MAINT FAC = RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 8._54 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION --RES 1666.00 Fee summary Charged . - Paid Credited Due Permit Fee Total 824.81 .00 .00 824.81 Plan Check Total 108.27 .00 .00 108.27 Other Fee Total 3713.91 .00 .00 3713.91 Grand Total 4646.99 ..00 .00 4646.99 LQPERIIIIT 0P.. Certificate of Occu ancY OF���' Building Y p & Safety Department f 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: 79-269 SIGN OF SPRING, LOT 71 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-616 1 Occupancy Group: R-3 Type of Construction: V -N 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: FEBRUARY 16, 2007 s Building Official POST IN A CONSPICUOUS PLACE