06-0572 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4t!t 4 4 "
BUILDING & SAFETY DEPARTMENT .
BUILDING PERMIT
Application Number: 06I11 oil I
-00000572
Property Address: 7-93-0'9 S3GN OF SPRING
APN: . 649-030-069-59 -31311 -
Application description: DWELLING - .SINGLE FAMILY DETACHED
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 78808
Applicant:A�ect or Engineer:
------------ -----------------
VCED CO TRACTOR'S DECLARATIONI hereby affirm under penalty of perjury ticense under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Businrofessi nals Code, and my License is in full force and effect.
Licensa( l/a/D.s': I S C8 / License No.: 824183
/
B6ntractor: Aw 1111C4.4
�NER-BUILDER DECLARATION
I hereby affirm under penalty of peV-utheIam exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Buand 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 (5500).:
(_ 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 (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 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 issu6d (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/08/06
Owner:
SANTA ROSA DEVELOPMENT INC
46753 ADAMS ST A
LA QUINTA,,CA 92253
)r Fn
(760)771-3345
JUN 14 2006
Contractor:
CONSOLIDATED CONTRACTI G, INC.. O E
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:
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.
. 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
1 certify that, in the performance a work for which this permit is issued, I shall not employ any
person in any manner so o b ome subject to the workers' compensation laws of California,
and agree that, if I s eco a subject to the workers' compensation provisions of Section
3700 of the Labor d I she forthwith comply with those provisions.
te: pplic t:
WAR)IG: FAILURE TO SE U W ERS'COMPENSATION'COVERAGE IS UNLAWFUL, AND SHALL
SUBJAN EMPLOYER TO IMINAL 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 undevor 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, or ce ation of work for 180 days will subject
permit to cancellation. -
I certify that I have read this application and state that the abo rmatio is correct. I agree to comply with all
city and county ordinances and state laws relating to buil i s uction and hereby authorize representatives
of this coun to enter upo a above-mentioned prope r' ectio urposes.
D ignature (Applicant or Agent):
Application Number
06-00000572
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/100K BTU
9.00
1.00 6.5000
EA MECH
VENT FAN
6.50
1.00 6.5000
7 --------------------------------------------------------------------------
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
LQPERMIT
Application Number
06-00000572
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 Fee15.00
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 59, PLAN 1B,
1227 SF: PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAw ruR K FEES DUE TO MULTIPLII
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
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 '
Oy
CI- -O Lam► `:QUI NTA
BUILDIN_SAFETY; DEPARTMENT
OF G &777 X701'7;'
1" 1 INSRE,,-ION-`REQUEST LINE
.:' 777-.7-1.53 4
Owner
TA�Rl? A DEVE O.PMENT
Contractor ,` dtf&TED CONTRACTING
Permit Number 06-572
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR NWcMI6UAlWP9jG&WGSPACES
JOB ADDRESS
SFD = LOT 59, PLAN 1B. PERMIT DOES NOT INCLUDE ,
POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH
TYPE OF INSPECTION DATE INSP.
TEMPORARY. POWER
SETBACKS Q 6-
U/G
U/G PLUMBING /WASTE p
U/G ELECTRICAL / GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB Ll
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF -
OKAY TO WRAP
41NG COMBINATION
"�,JUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL I
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT i
SEWER CONNECTION d -�
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
i
POOL / SPA /.WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL j
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE -OF PERMANENT POWER i
ELECTRICAL
PI I IMBING
JANICAL
AYIC WORKS DEPARTMENT -
COMMUNITY DEVELOPMENT DEPT:
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING.
}
Certificate of Occu0pancy
-
; 5
z
C� OF'T9� Buildin & Safet Department
g y
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
4 construction and/or use.
BUILDING ADDRESS: 79-309 SIGN OF SPRING, LOT 59
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-572
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 6, 2007
Building Official
s
POST -IN A CONSPICUOUS PLACE
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