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06-0573 (SFD)P.O. BOX 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 T4'vl 4 4 Q" BUILDING. & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Xrchitect or Engineer: Ce ry &(// f.Vo A-) --------------------------------------------------- LICE D NTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin nd Prof ssionals Code, and my License is in full force and effect. License /Clas : B C8 License No.: 824183 ate: (� entracte _ 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).: (_ 1 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.). ( _) 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.). ( ) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: C 06-000__00573 Property Address: 79297 SIGN OF SPRING APN: 649-030-069-62 -31311-- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 78808 Applicant: Xrchitect or Engineer: Ce ry &(// f.Vo A-) --------------------------------------------------- LICE D NTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin nd Prof ssionals Code, and my License is in full force and effect. License /Clas : B C8 License No.: 824183 ate: (� entracte _ 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).: (_ 1 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.). ( _) 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.). ( ) 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 CITY OF LA q�SNTq Contractor: CONSOLIDATED CONTRACTING, INC. 46753 ADAMS STREET LA QUINTA, CA 92253 (760)771-3345 Lic. No.: 824183 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 1 issued. 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 FWINALPENALTIES Palle Number 1770749 _ I certifyhe performance of wo k for which this permit is issued, I shall not employ any persmanner s t come ubject to the workers' compensation laws of California, and t, if I sho come sub' ct to the workers' compensation provisions of Section 370abor Co shall fort ith comply with those provisions. ate: t: WAR NI G: FAILURS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLINAL 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 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 essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the v formation is correct. I agree to comply with all city and co ty ordinances and state laws relating to buil o struction, and hereby authorize representatives of this to enter upo a above-mentioned prope r inspe n purposes. e: gnature (Applicant or Age I: Date: 2/08/06 Owner: Q a SANTA ROSA DEVELOPMENT ICJ �i 46753 ADAMS ST LA QUINTA, CA 92253 JUN 141006 r (760)771-3345 CITY OF LA q�SNTq Contractor: CONSOLIDATED CONTRACTING, INC. 46753 ADAMS STREET LA QUINTA, CA 92253 (760)771-3345 Lic. No.: 824183 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 1 issued. 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 FWINALPENALTIES Palle Number 1770749 _ I certifyhe performance of wo k for which this permit is issued, I shall not employ any persmanner s t come ubject to the workers' compensation laws of California, and t, if I sho come sub' ct to the workers' compensation provisions of Section 370abor Co shall fort ith comply with those provisions. ate: t: WAR NI G: FAILURS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLINAL 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 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 essation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the v formation is correct. I agree to comply with all city and co ty ordinances and state laws relating to buil o struction, and hereby authorize representatives of this to enter upo a above-mentioned prope r inspe n purposes. e: gnature (Applicant or Age I: I LQPERMIT Application Number . . . . . .06-00000573 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 4.5000 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 15.00 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 ELEC-NEW RESIDENTIAL Additional desc Permit Fee 66.41 , Plan Check Fee 4.15 Issue Date 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 Application. Number .' . . . .. 06-00000573 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 . . . . I Valuation' . . . 0 Expiration Date 8/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 -----------------------------------------.----------------------- Special Notes and Comment's SFD - LOT 62, PLAN 1CR, 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 0.00 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 LQPERMIT _ . s Obi LA QUINTA 1j,0tJT[D'If l G & SAFETY DEPARTMENT M of rN� t 6 777-7012 INS'PEGTION'REQUEST LINE i 777-7153 Owner 'l SANT___ Contractor. CONSOLIDATED CONTRACTING Permit Number 06-573 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MZ%2%7(fflQN_@FPfiPACES JOB ADDRESS SFD — LOT 62, PLAN 1CR. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH a TYPE OF INSPECTION DATE INSP. 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 rJ OKAY TO WRAP 41NG COMBINATION)�j UGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION �J i COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST - SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC./ GREASE INTERCEPTOR. r . MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM I POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER (ALARMS/ BARRIERS FINAL INSPECTIONS I. TEMP. USE OF PERMANENT POWER - / d ELECTRICAL PI' IMBING 1ANICAL POB LIC WORKS DEPARTMENT I COMMUNITY DEVELOPMENT DEPT FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING te of Occupancy. P ,- o oCertifica . 4 9�5 Building & Safety Department OF 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: 79-297. SIGN OF SPRING, LOT 62 Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-573 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: MARCH 7, 2007 Building Official POST IN A CONSPICUOUS PLACE