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06-0599 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:06-00000599 - Owner: Property Address: 79277 SIGN`OF-SPRING SANTA ROSA DEVELOPMENT INC APN: 649-030-069-69 -31311 -. 46753 ADAMS ST Application description. DWELLING - SINGLE 'FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: HIGH DENSITY RESIDENTIAL (760) 771-3345 Application valuation: 84922 Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - �rchitect Contractor: Applicant: or Engineer: CONSOLIDATED CONTRACTING, construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 46753 ADAMS STREET permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State 604'rCOAJ Z"&2-- LA QUINTA, CA 92253 License Law (Chapter 9 (commencing with Section 7000) of Division Sof 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 (760)771-3345 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Lic. No.: 824183 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/09/06 11 I 1 I JUN 14 2006 CITY OF LA ------------------------------------------------- LICENS O TRACTOR'S DECLARATION - ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury th t icens under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury, one of the following declarations: Section 7000) of Division 3 of the Busine Profe ionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Clas . B C8 License No.: 824183 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ` ate: ontracto . 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier STATE FUND olic Number 1770749 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in theof w k for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any mcome s bject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, ia subje t to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division Sof 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 3700 of the LabII forthw' h comply with those provisions. APENALTIES any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: ( plicant: (_) 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 WARNI FAILURE TO SECURCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. . property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: 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 p , or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state th t ova in rmation is correct. I agree to comply with all cityand c unty ordinances and state laws relating t ing con ruction, and hereby authorize representatives of th' oun to enter upon above-mentioned pr rty for ' pection purposes. Date: ignature (Applicant or Agen LQPERMIT ' Application Number . . . . . 06-00000599 Permit . . BUILDING PERMIT Additional desc . Permit Fee 572,.00 Plan Check Fee 92.95 Issue Date . . . . Valuation 84922 Expiration Date 8/08/06 Qty, Unit Charges Per Extension BASE FEE 414.50 35.00 4.5000 THOU BLDG 50,001-100,000 157.50 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 9.6000 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 70.07 Plan Check Fee 4.38 Issue Date Valuation 0 Expiration Date 8/08/06 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 Permit " . . PLUMBING Additional desc . Permit Fee 116.25 Plan Check Fee.. 7.27 Issue Date, -Valuation 01 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. 15.06 LQPERMIT - LQPERAfTT Application Number . . . . . 06-00000599 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 8/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------- -------------------------------- Special Notes and Comments SFD - LOT 69., PLAN 2BR, 1331 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE TSSTTAmrF (1F SAME PT.LKT TYPE 2001 CBC, CMC, CPC, 2004 CEC, 2005 ENERGY CODES ----------------------- - --------------- Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 480.00 ENERGY REVIEW FEE "FIRE 9.30 DIF 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 8.49 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1666.00 Fee summary Charged Paid Credited Due Permit Fee Total 819.32 .00 .00 819.32 Plan Check Total 107.48 .00 .00 107.48 Other Fee Total. 3713.79 .00 .00. 3713.79 Grand Total 4640.59 .00 .00 4640.59 LQPERAfTT 6q 2 0:..m r, 1 CITY�OF'kAQNTA �UILDNG&AFETY DERTMEN T MOFT1$ 77,:,TT, 12 IIdSP�EC LON:4EQL�LINE 777-7153 Owner SANTA ROSA DEVELOPMENT Contractor CONSOLIDATED CONTRACTING Permit Number 06-599 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR NWSt PCAL0lP8FlMlG SPACES JOB ADDRESS 79-277 SIGN OF SPRING SFD — LOT 69, PLAN 2BR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSPP, TEMPORARY POWER SETBACKS U/G PLUMBING /WASTE 9 17 U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE-ROOF OKAY TO WRAP (\ AING COMBINATION — -nOUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL 4 INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST 17 SEPTIC ABANDONMENT SEWER CONNECTION 2Z ZJ 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 JANICAL PDBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. -FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING r t�_ Certifica to of'OccuancyP V11 14 � c L r OF Building & Safety Department, This Certificate is issued pursuant to the requirements of Section 109 of the California Building f Code, certifying that, at the time of issuance, this structure was in compliance with the a provisions of the Building Code and the various ordinances of. the City regulating building construction and/or use. A BUILDING ADDRESS: 79-277 SIGN OF SPRING, LOT 69 Y Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-599 ' Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH ` . y f fi 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 'k POST IN A•CONSPICUOUS PLACE