06-3269 (SFD)P.O. BOX 1504
78-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00003269
47764 DANCING BUTTERFLY
649-030-069-138 -31311 -
DWELLING - SINGLE FAMILY
HIGH DENSITY RESIDENTIAL
85421
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SANTA ROSA DEVELOPMENT INC
46753 ADAMS ST
DETACHED LA QUINTA, CA 92253 FFO (760)771-3345
Architec�t� or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Provals Code, and my License is in full force and effect.
License Class: B C8 License No.: 824183
ate Contractor:
OWN -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 _ 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 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. , 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:
LQPERASIT
Contractor:
CONSOLIDATED CONTRACTING,
46753 ADAMS STREET
LA nUINTA, CA 92253
(760)771-3345
Lic. No.: 824183
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/08/06
u U
OCT 2 0 2003
TY OF LA 1711 ItAt•r.
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.
Y� 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 sect to the workers' compensation provisions of Section
3700 of the Lpborj, q e, I•shall fqtthwjth comply with those provisions.
WARNING: FAILURE TO SECURE WURKERS' COMFFENSATION 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 construc on, nd hereby authorize representatives
of this cWtt ter upon he above-mentioned prop for•inspec on p poses.
nature (Applicant or Agent):
Application Number . . . . 06-00003269
Permit .
. . BUILDING PERMIT
Additional desc
. .
Permit Fee . .
. .
576.50
Plan Check Fee
93.68.
Issue Date . .
. .
Valuation . . . .
85421
Expiration Date
3/07/07
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
3/07/0"
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
3/07/07
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1339.00
.0350
ELEC
NEW RES - 1 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
3/07/07
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
LQPERTIIT
Application Number . . . . . 06-00003269
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
4.5,0
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 . .
3/07/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 138, PLAN 3C, 1339 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 . . . . .
-----------------------------------
. . . . 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
Permit Fee Total 824.81
Plan Check Total 108.27
Other Fee Total 3713.91
Grand Total 4646.99
LQPERAIIT
Paid Credited Due
.00 .00 824.81
.00 .00 .108..27
.00 .00 .3713.91
.00 .00 4646.99