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04-4100 (SFD) I IIIIIII�I�I�III VIII IIII 59 U S BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 pF � - 7-8 49=5-98TAMPIco FAX (760) 777-7011 LAsQ, ,n UINT ,_CALIFANIA 92253 INSPECTION REQUESTS (760) 777-7153 — g a . BUILDING PERMIT a ,;:- � L'yf jV 4 00041004 Property Address0 Date 5 17 Applications=Num_ber�� / / 's . . . . . 80926 CALLE .AZUL APN: 762-240-003-30 -300961- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 98984 Owner Contractor PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INC 17700 SW UPPER BOONES FERRY RD 169 SAXONY ROAD, STE #105 SUITE 100. ENCINITAS CA 92024 PORTLAND OR 97224 (760) 634-2350 WCC:. STATE FUND WC: WC298892003 06/12/04 CSLB: 813480 10/31/04 CCC: B -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Flood Zone . . . . . . . . NON-AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CRC # BEDROOMS 2 . 00 FIRE SPRINKLERS NO GARAGE SQ FTG 251 . 00 PATIO SQ FTG 316 . 00 NUMBER OF UNITS 1 . 00 FIRST FLOOR SQ FTG 1571 . 00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT , Additional desc . Permit Fee . . . . 635 . 00 Plan Check Fee 103 . 19 Issue Date . . . . Valuation 98984 Qty Unit Charge Per Extension BASE FEE 414 . 50 49 . 00 4 . 5000 THOU BLDG 50, 001-100, 000 220 . 50 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 78 . 50 Plan Check Fee 4 . 91 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: &4.411 OU ate: (D "4-O ef Applicant: --Architect ngineer: ter /!� Applicant's Mailing Address: Architect or ngineer s A ress. f c. No.: Z3 27 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commeocin with Section 7000)of Division 3 of the Business and Professionals Code,and my License is ill full force and effect. /Eicense Class dense No. AX Date 16 Tactor 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 constrict,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 affirn 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. 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 is uedf My orkers'compensati urance carn.er�nd�policy mbar e ��63 Darier 'L ( 4nlrii r�r�Polic Number !/�'�_� . I certifyth ,i is ' t � ie pe ormanc of th ork for which this permit is issued,1 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 work rs'compensation provisions of Section 3700 of the Labor Code,I shall /Vforthwitli comply with those \provisions. pplicant 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. 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,indemnity and hold harmless the City of La Quinta,its officers,agents and employees for any act or omission related to the Ac rjeirtg pedo��ed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes nut void if work is not comrtle ced within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject permit to ca ation. 1 certify that I have read t.is application and state that the abov ' formation is correct. a to ply with all city and county ordinances and state laws relating to building construction,and here authorize representatives of this co ty to ant on the e ' ned party for inspection purposes. Date L- Signature(Applicant or Agent): Page 2 Application Number . . . . . 04-00004100 Date 5/17/04 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 6 . 00 6 . 5000 EA MECH VENT FAN 39 . 00 1 . 00 6 . 5000 EA MECH EXHAUST HOOD 6 . 50 ---------------------------------------------------------------------------- Permit . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 75 .. 01 Plan Check Fee 4 . 69 Issue Date Valuation . . . . 0 Qty Unit Charge Pet Extension BASE FEE 15 . 00 1571 . 00 . 0350 ELEC NEW RES - 1 OR 2 FAMILY 54 . 99 251 . 00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 5 . 02 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc . Permit Fee . . . . 145 . 50 Plan Check Fee 9 . 10 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 13 . 00 6 . 0000 EA PLB FIXTURE 78 . 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 NATER 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 ---------------------------------------------------------------------------- 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 ------------------------------'---------------------------------------------- Special Notes and Comments SFD - .LOT 30 . PLAN 3B. PERMIT DOES NOT .l Page 3 Application Number . . . . . 04-00004100 Date 5/17/04 ----------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE REDUCTION APPLIED FOR 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 10 . 32 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 9 . 89 DIF STREET MAINT FAC-RES 15 . 00 DIF TRANSPORTATION - RES 1098 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 949 . 01 . 00 . 00 949 . 01 Plan Check Total 121 . 89 . 00 . 00 121 . 89 Other Fee Total 2425 . 21 . 00 . 00 2425 . 21 Grand Total 3496 . 11 . 00 . 00 3496 . 11 IIIIIIIIIIIIIIIIIIIIIIIII 57 O p 'Certificate of 'Occupancy G� 0FT9�� 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. BUILDING ADDRESS: 80-926 CALLE AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4100 Occupancy Group: R3 Type of Construction: VN y Land Use Zone: RM PUERTA AZUL PARTNERS LLC. Address: 17700 SW UPPER BOONES FERRY City, ST, ZIP: GARY HARTMAN Date: FEBRUARY 8. 2005 Building Official POST IN A CONSPICUOUS PLACE