06-0615 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number. 706_=.00-000615
Property Address: 79289 -SIGN OF SPRING
APN: 649-030-069-66 -31311 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning:. HIGH DENSITY RESIDENTIAL
Application valuation: 85421
Applicant:rc�C hitect or Engineer:
-7 ------------------------------------------------
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.
License Class: 13 C8- License No.: 824183
Date: ;i�ontractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury 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).:
(_ 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 1, 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 theprojects with a contractors) licensed
pursuant to the Contractors' State License Law.).
1 _ 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: I
�lr _
Lender's Address: T;
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/09/06
Owner:
SANTA ROSA DEVE
46753 ADAMS ST
LA QUINTA, CA 9
(760)771-3345
Contractor:
CONSOLIDATED CONTR:P
46753 ADAMS STREET
LA QUINTA, CA 92253
(760)771-3345
LiC. No.: 824183
JUN 14 2006
CITY OF LA QUINTA
------------------
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 3706 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 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 L r Code, I shall forthwith comply with those provisions.
ate: p"cant: '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
'SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 onthis 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 andholdharmless 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 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 my to enter upon above-mentioned property for inspection purposes.
ate: ignature (Applicant or Agent):
r
Application Number .
. . . . . 06=00000615
Permit
BUILDING PERMIT
Additionaldesc .
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
8/08/06
Qty Unit.Charge
Per
Extension
BASE FEE
15.00
1339.00 -.0350
ELEC NEW RES -'l OR 2 FAMILY
46.87
422.00 .0200
_ ELEC GARAGE OR NON=RESIDENTIAL
8.44
Permit
PLUMBING
Additional desc .
Permit Fee
117.00 Plan 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
LQPERMIT
Application Number . . . 06-00000615
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
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
.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 66, PLAN 3C, 1339 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 75% REDUCTION TO
PLAN CHECK HE$ DUE TO.MULTIPLE
ISSUANCE OF SAME PLAN 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
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
LQPERMIT
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colCertificate of OccupanCY
0o
.
14
OF w 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
k
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 79-289 SIGN OF SPRING, LOT 66
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-615
4
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH
n °
Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST
i
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
�ZA�Date: FEBRUARY 16, 2007
Building Official
mill
POST IN A CONSPICUOUS PLACE
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