06-0575 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t�v °F -4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-00000575
Property Address: 79273 SIGN OF SPRING
APN:. 649-030-069-70 -31311 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 78808
Applicant: rchjtect or Engineer:
---------------------- ----- --------------------
LICEN CON RACTOR'S DECLARATION
I hereby affirm under penalty of perjury tha I licensed nder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines d Professi nals Code, and my License is in full force and effect.
Lice lass. B C8 License No.: 824183
Date: ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of 11r, that I am 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 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 ISec. 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 whocontractsfor the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). -
(_ 1 I am exempt under Sec. , B.&P.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: '
Lender's Address:
LQPERMIT
Owner:
SANTA ROSA DEVELOPMENT
46753 ADAMS ST
LA QUINTA, CA 92253
(760)771-3345 . .
Contractor:
CONSOLIDATED CONTRACTI
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: 2/08/06
INC
D Q
JUN 14 2006
G, INC.
CITY OF LA QUINTA
FINANCE DEPT
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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 Policy Number 1770749
I certify that, in the perform o wor for which this permit is issued, I shall not employ any
person in any mannerro/
bject to the workers' compensation laws of California,
and agree that, if 1 sto the workers' compensation provisions of Section
3700 of the LaborCcomply with those provisions.
ate: ph ant•
WARN( G: FAILURE TO SE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJE T AN EMPLOYER TO AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
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.
- 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 a void if work is not commenced
within 180 days from date of issuance of such perm' , or cess- on of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that thea v ormatio is correct. I agree to comply with all
city and county ordinances and state laws relating to build; nstructio ,.and hereby authorize representatives
of this unt o enter upon the above-mentioned grope or inspect; purposes. '
ate: nature (Applicant or Age
Application Number
06-00000575
Permit . . .
BUILDING PERMIT
"Additional desc .. .
Permit Fee, .
545.00 Plan Check Fee
88.56
Issue Date
Valuation
78808
Expiration Date
8/07/06
Qty Unit Charge
Per
Extension
BASE FEE
414.50
_ 29.00_ 4.50.00
THOU BLDG 50,001-100,000
130.50.
Permit . . .
MECHANICAL
Additional desc .
" Permit Fee
46.00 .,Plan Check Fee .,
2.88
Issue Date
Valuation . . ...
0
Expiration Date•.
8/07/06
Qty Unit Charge
Per
Extension
BASE FEE
15.Q0
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 1.00 6.5000
EA MECH EXHAUST HOOD
6.50
Permit. . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
Plan Check Fee `.
4.15
Issue Date . . . .
1.66.41
Valuation
0
Expiration Date
8/07/06
Qty Unit Charge
Per,
Extension
BASE FEE
15.00
1227.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
42.95
423.00• .0200
----------------------------------------------------------------------------
-ELEC GARAGE OR NON-RESIDENTIAL•
8.46
Permit
PLUMBING
Additional desc .
Permit. Fee
116.25 Plan Check Fee
_7.27
Issue Date
Valuation
0
Expiration Date :.
8/07./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
-
- "
• f
r
Applicat'ion.Number 06-00000575
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
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
5.00 .7500 EA PLB GAS PIPE >=5
3.75
1..00" 15.0000 EA PLB GAS METER
----------------------------------------------------------------------------
15.00
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date . . Valuation
0
Expiration Date 8/07/06
Qty Unit Charge Per
Extension
BASE FEE
15-.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD -.LOT 70, PLAN 1BR, 1227 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY•APPROACH. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE
2001 CBC, CMC; CPC, 2004 CEC, 2005
ENERGY CODES
-----------------------------------------------------------------------------
Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER- RES
•'480.00
ENERGY REVIEW FEE
8.86
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
7.88
DIF STREET MAINT FAC -RES
67.00
J DIF TRANSPORTATION - RES
•1666.00
-Fee summary Charged Paid Credited
Due
- - ------------------ ----------- ---------- ---- --- ----------
Permit Fee Total 788.66 .00, .00
788.66•
Plan Check Total 102.86 .00 .00
102.86
Other Fee Total .3732.74 .00 .00
3732.74
Grand Total 4624.26 .00 .00
4624.26
LQPERMTT - -
- -
C.ITY8OFLA Q.0 I NTA'
BUILDING & SAFETY DEPARTMENT
777-7012
Iwai
INS�PECT1ONyREl UEfST LINE
' �--- -- - - 777-7153
Owner SANTA ROSA DEVELOPMENT
Contractor CONSOLIDATED CONTRACTING,
Permit Number 06-575
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR "j§ffffitja SPACES.
JOB ADDRESS 79-273. SIGN OF SPRING
SFD - LOT 70, PLAN I BR. PERMIT DOES NOT INCLUDE
POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH
' i
TYPE OF INSPECTION DATE INSP. i
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF O
OKAY TO WRAP
` RING COMBINATION
QUGH ELECTRIC
ROUGH PLUMBING \
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL -•
EXTERIOR LATH
GAS TEST C7
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
ELECTRICAL
PI IMBING
1ANICAL
�bslLIC WORKS DEPARTMENT {
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Certificate of Occupanc0Y
4
G� 0 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
41
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 79-273 SIGN OF SPRING, LOT 70
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-575
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH
c.
Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
Date: MARCH 8, 2007
Building Official
Ci
t
POST IN A CONSPICUOUS PLACE