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07-0967 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 07-00000967 47665 DANCING BUTTERFLY 649-030-069-86 -31311 - DWELLING - SINGLE FAMILY HIGH DENSITY RESIDENTIAL 78808 T4ht44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANTA ROSA DEVELOPMENT INC 46753 ADAMS ST DETACHED LA QUINTA, CA 92253 (760)771-3345 Architect or Engineer: 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: B C8 License No.: 824183 Date: Contractor: 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 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 contractors) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , B.&P.C. for this reason ate: V caner: 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: PC Lender's Address: LQPERMIT Contractor: CONSOLIDATED CONTR 46753 ADAMS STREET LA QUINTA, CA 9225 (760)771-3345 Lic. No.: 824183 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 7w _ u. M Y 012007 CITY OF LA Q- UI A Date: 3/29/07 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. 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 1770749-2007 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 Labor Code I shall forthwith comply with those provisions. IicanY. � 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 ($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, 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 count enter upon the above-mentioned prop fo inspection p re ( es Sig Applicant or Agent),' Application Number . . . . . 07-00000967 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 545.00 Plan Check Fee 354.24 Issue Date . . . . Valuation . . . . 78808 Expiration.Date 9/25/07 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 11.52 Issue Date Valuation . . . . 0 Expiration Date 9/25/07 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 -----------------------------------------------7-------------------------- ---------------------------------- 6.5000 EA MECH -------------- EXHAUST HOOD 7 -------------------------- 6.50- .50--1.00 .Permit Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 66.41 Plan Check Fee 16.60 Issue Date . . . . Valuation 0 Expiration Date 9/25/07 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 Issue Date . . . . Expiration Date . . 9/25/07 Plan Check Fee . Valuation . . . . Qty Unit Charge Per BASE FEE 8.00 6.0000 EA PLB FIXTURE 1.00 15.0000 EA PLB BUILDING SEWER LQPERMIT 29.08 0 Extension 15.00 48.00 15.00 Application Number . . . . . 07-00000967 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 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 Issue Date . . . . Expiration Date . . 9/25/07 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per. Extension BASE FEE 15.00 ---------------------------7------------------------------------------------ Special Notes and Comments SFD - LOT 86, PLAN 1B, 1227 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 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 995.00 ENERGY REVIEW FEE 35.42 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 1930.00 Fee summary Charged =--------- Paid Credited -------------------- Due --------=-------- Permit Fee Total 788.66 ---------- .00 .00 788.66 Plan Check Total .411.44 .00 .00 411.44 Other Fee Total 4538.30 .00 .00 4538.30 Grand Total 5738.40 .00 .00 5738.40 LQPERMIT Certificate of Occupancy T."&f 4 4aUMrw 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 provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. Use classification: SFD Occupancy Group: R_3 BUILDING ADDRESS: 47-665 DANCING BUTTERFLY Type of Construction: VN Owner of Building: SANTA ROSA DEVELOPMENT Building Official IN A Building Permit No.: 07-967 Land Use Zone: RL Address: 47-665 DANCING BUTTERFLY City, ST, ZIP: LA QUINTA CA 92253 By: KIRK KIRKLAND Date: February 5, 2008