07-0984 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 7=00.0 84---
Property Address: 47895 DANCING BUTTERFLY
APN: 649-030-069-109 -31311 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: HIGH DENSITY RESIDENTIAL
Application valuation: 84922
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/29/07
Owner:
SANTA ROSA DEVELOPMENT INC
46753 ADAMS ST E::
DETACHED LA QUINTA, CA 9225
(760)771-3345 AD r
Contractor:
Applicant: Architect or Engineer: CONSOLIDATED CONT
46753 ADAMS STREET
LA QUINTA, CA 92253
(760)771-3345
-_- -� — Lic. No.: 824183
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):
1 _ 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.).
(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 1 I am exempt under Sec. , B.&P.C. for this reason
ate: G
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: N 69
LQPERMIT
MAY 012007
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.
_ 1 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 T TE 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 Cad I Shall forthwith comply with those provisions.
'Date:` icon:
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 herebyteuthorize representatives
of this unt t enter upon the above-mentioned propert or inspection purposes.
atb e: nature (Applicant or Agent):
Application Number 07-00000984
Permit .
.
BUILDING PERMIT
Additional desc
Permit Fee . .
. .
572.00
Plan Check Fee
92.95
Issue Date
Valuation . . . .
84922
Expiration Date
9/25/07
Qty Unit
Charge
Per
Extension
BASE
FEE
414.50 .
35.00
----------------------------------------------------------------------------
4.5000
THOU BLDG
50,001-100,000
157.50
Permit .
. . MECHANICAL
Additional desc
.
Permit Fee . .
. .
46.00
Plan Check Fee
2.88
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
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL
Additional.desc
.
Permit Fee . .
. .
70.07
Plan Check Fee
4.38
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
9/25/07
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
1331.00
.0350
ELEC
NEW RES _ 1 OR 2 FAMILY
46.59
424.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
8.48
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
7.27
0
Extension
15.00
48.00
15.00
Application.Number . . . . . 07-00000984
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 . . . .
Valuation
0
Expiration Date
9/25/07
Qty Unit Charge-
Per
Extension
BASE FEE
15.00
--------------------------------------------------------------
Special Notes and Comments
--------------
SFD - LOT 109, PLAN 2AR, 1331 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
995.00
ENERGY REVIEW FEE
9.30
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
8.49
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged
Permit Fee Total. 819.32
Plan Check Total 107.48
Other Fee Total 4492.79
Grand Total 5419.59
0
LQPERMIT
Paid Credited Due
.00 .00 819.32
.00 .00 107.48
.00 .00 .4492.79
.00 .00 5419.59
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OF 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
g
YI
construction and/or use.
BUILDING ADDRESS: 47-895 DANCING BUTTERFLY
t
Use classification: SFD Building Permit No.: 07-0984
Occupancy Group: R-3 Type*of Construction: VN Land Use Zone: RL
W
Owner of Building: SANTA ROSA DEVELOPMENT. Address: 47-895 DANCING BUTTERFLY
P;
City, ST, ZIP- LA QUINTA CA 92253
W
By: KIRK KIRKLAND
Date: January 22, 2008
Building Official
POST IN A CONSPICUOUS PLACE