04-8226 (SFD)504
-LE TAMPICO
CALIFORNIA 92253
Property Address
APN:
Application description
Property Zoning . . . .
Application valuation .
11we -94
BUILDING PERMIT
BUILDING & SAFETY DEPARTMENT
(760).777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
. . . 04_-_0.0008226 Date 2/17/05
47780 ENDLESS SKY
649-030-069-25 -31311 -
. . . DWELLING - SINGLE FAMILY DETACHED
. . . HIGH DENSITY RESIDENTIAL
. . . 85421
SANTA ROSA DEVELOPMENT INC
46753 ADAMS ST
LA QUINTA CA 92253
(760) 771-3345
Contractor
CONSOLIDATED CONTRACTING, INC.
46753 ADAMS STREET
LA QUINTA CA 92253
(760) 324-5488
WCC: STATE FUND
WC: 1770749-2005 01/01/06
CSLB: 824183 09/30/05
CCC: B -C8
------ Structure Information PLAN 3 -----
Construction Type . . . . TYPE V - NON RATED
Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . . . . . NON -AO FLOOD ZONE
Other struct info . . . . . CODE EDITION 2001
# BEDROOMS 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 422.00
PATIO.SQ FTG 42.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 1339.00
--------------------------------------------------------------- ------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 518.00 Plan Check Fee 84.18
Issue Date . . . . Valuation 72708
Qty Unit Charge Per Extension
BASE FEE 414.50
23.00 4.5000 THOU BLDG 50,001-100,000 103.50
----------------------------------------------------------------------------
Permit ELEC-NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . . 70.31 Plan Check Fee 4.40
Issue Date . . . . Valuation 0
Qty Unit Charge Per Extension
BASE FEE 15.00
1339.00 .0350 ELEC NEW RE,S - 1 OR 2 FAMILY 46.87
422.00 .0200 ELEC'GARAGE'OR NON-RESIDENTIAL' 8.44
----------------------------------------------------------------------------
P.O. BOx 1504I4 4 CE VOICE (760) 777-7012ry.,
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: - 'R% 2 � I Date: _ 3.30 -05--
Applicant:
Applicant's Mailing Address:
Jhf%CA-CTOe�
Architect or Engineer:
I, l V yy� U V
Architect or Engineer's Address:
- / A
Lic. No.: C —0 L7,I?A
BUILDING PERMIT DECLARATIONS
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
ode, and my License is in full force and effect.
�i/
cense Class & Licenser'Ifjo.
/ate --'3 —50-0 6 Contracto Ci-- I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).):
U 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 or 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.).
U 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.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner
WORKERS' 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
y 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. M workers' compensation insurance carrier/and pglicy nur�ba, e: /
'Carrier '6��D Policy Number ✓ i ! 19 `tL4, p1�D 5
_ 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.
Plate v.. J A,,plicant CZI
WARNING: FAILURE TO SECURE WORK S' 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.
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
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 hannless 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 property for inspection purposes.
///Date S— N4 6 6 Signature (Applicant or Agent
Page
2
Application Number .
. . 04-00008226 Date
2/17/05
Permit . . . . . . GRADING PERMIT
Additional desc
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL
Additional desc
Permit Fee . . . .
46.00 Plan Check Fee
2.88
Issue Date . . . .
Valuation . . . .
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 . . . . . . PLUMBING
Additional desc . ..
Permit Fee . . . .
115.50 Plan Check Fee
7.22
Issue Date . . . .
Valuation . . . .
0
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
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
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 25 PLAN 3A,
1339 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
^:ENERGY REVIEW FEE
8.42
Page 3
Application Number
. . . . .
04-00008226 Date
2/17/05
---------------------- -------------------------------------------------------
Other Fees . . .
. . . .
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
8.54
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
----------
764.81
------------------------------
.00 .00
764.81
Plan Check Total
98.68
.00 .00
98.68
Other Fee Total
2421.96
.00 .00
2421.96
Grand.Total
3285.45
.00 .00
3285.45
i
Certificate of Occupancy
Twit ot
i
� y
OF 'i' Building& Safety Department
Y art
p t
This Certiricate 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: 47-780 ENDLESS SKY LOT 25
4
} '
Use classification: SINGLE FAMILY DETACHED Building Permit No.: 04-8226
I
Occupancy Group: R-3 Type of Construction: V -N Land Use Zone: RH
h'
?
Owner of Building: SANTA ROSA DEVELOPMENT INC Address: 46-753 ADAMS ST
City, ST, ZIP: LA QUINTA, CA 92253
By: KIRK KIRKLAND
fit 'L Date: AUGUST 24, 2006
Building Official
POST IN A CONSPICUOUS PLACE
W.
ON
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