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04-4102 (SFD) 1 11111111 IIIII III IIIII IIII 49 ' r^ IE 0 4 v � BUILDING & SAFETY DEPARTMENT P.O. Box 1_504 (760).777-7012 ' OF ,��`' r,%7.8-495 CALLS T�AMPICO FAX (760) 777-7011 LA QuiNTA, CALIFORNIA 92253 INSPECTION REQUESTS 760 777-7153 -' BUILDING PERMIT Applic°at-k6ri-lily er . . . . .�04-000041.0-2J Date 5/17/04 Property Address . . . . . . 80920 CALLE AZUL APN: 762-240-003-31 -300961- Application description . . . DWELLING - SINGLE FAMILY. DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation 85886 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 CBC # BEDROOMS 2 . 00 FIRE SPRINKLERS NO GARAGE SQ FTG 244 . 00 PATIO SQ FTG 163 . 00 NUMBER OF UNITS 1 . 00 FIRST FLOOR SQ FTG 1380 . 00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 576 . 50 Plan Check Fee 93 . 68 Issue Date . . . . Valuation . . . 85886 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 . . . . 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 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Date: (0-4-04 Applicant: --Architect or E. 'n er ffc t Applicant's Mailing Address: Architec ng' eer' Ad f ss: z� Y/- -,I,-tic. No.: '72 Z BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9(co ncing with Section 7000)of Division 3 of the Business and Professionals Co ,and my Licens is in full force and effect. `// (^J' ;cense Class se No. l 6 Date -Contractor t l OWNER-BUILDER DECLARATION I hereby a .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 contractors)licensed pursuant to the Contractors'State License Law.). U I am exempt under Sec. ,B.&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 of the work for which this permit is issued. �C 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 orkers'compensaance carrier-and policy num 4 ILI to Policy Number � pr-9:c Z-V 63�arrier�c t R-►sLuh Mhw 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 worke 'compensation provisions of Section 3700 of the Labor Code,I shall forth comply with those provisions. Date WARNIN AILUR 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 A- 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,ea roes to aod�shall,defend,indemnify and hold harmless the City of La Ouinta,its officers,agents and employees for any act or omission relate a work being performedunder or following issuance of this permit. 2. Any permit issued as a result of this application becom ull and void if work is not com en within 180 days from date of issuance of such permit,or cessation of work for 180 days will subject permit t ancellation. I certify that I have r ad this application and state that thea ve information i rtect. I a mply with all city and county ordinances and state laws relating to building constructs n,and reby authorize representatives of this c my to enter ab on e'Ry for inspection purposes. �� Si/ gnature(Applicant or Agent): 1 Page. 2 Application Number . . . . . 04-00004102 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 ---------------7------------------------------------------------------------ Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 68 . 18 Plan Check Fee 4 . 26 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 1380 . 00 . 0350 ELEC NEW RES - 1 OR 2 FAMILY 48 . 30 244 . 00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 4 .-88 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . 139 . 50 Plan Check Fee 8 . 72 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 12 . 00 6 . 0000 EA PLB FIXTURE 72 . 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 ------------------------------------ 7--------------------------------------- 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 31.. PLAN 1A. PERMIT DOES NOT Page 3 Application Number . . . . 04-00004102 Date 5/17/04 =---------------------------------------------------------------------------- Special Notes and Comments INCLUDE BLOCK WALLS, POOL, SPA OR . DRIVEWAY APPROACH. 75% PERMIT 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 9 . 37 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 . 58 DIF STREET MAINT FAC-RES 15 . 00 DIF TRANSPORTATION - RES 1098 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 877 . 68 . 00 . 00 877 . 68 Plan Check Total 111 . 57 . 00 . 00 111 . 57 Other Fee Total 2422 . 95 .00 . 00 . 2422 . 95 Grand. Total 3412 .20 . 00 . . 00 3412 . 20 u w �+ L CITY OF LA QUINTA f ' ' BUILDING & SAFETY DEPARTMENT w 777-7012 INSPECTI N-ELEUEST LINE 777 - Owner PUERTA AZUL PARTNERS L.L.C. Contractor DAVIS/REED CONSTRUCTION, INC. Permit Number 04-4102 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-920 CALLE AZUL SFD — LOT 31 PLAN 1A. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS/ STEEL CONCRETE SLAB DO NOT POUR CONCRETE UPATIL ABOVE SIGNED ROOF NAIL/ PRE -ROOF �s a OKAY TO WRAP .f I 11NG COMBINATION r-vJUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL o S EXTERIOR LATH 3(• v GAS TEST �- SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC 1 GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER ALARMS/BARRIERS FINAL INSPECTIQP4S TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING N 'LiANICAL F -IC WORKS DEPARTMENT VJ "-f COMMUNITY DEVELOPMENT DEPT. It , FINAL / JOB COMPLETED ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING IIIIIIIIVIIIIIIVIIIIIII 50 IE -�� Certificate ®f Occupancy ot G� OF Building y p& 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: 80-920 CALLE AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4102 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL n Owner of Building: PUERTA AZUL PARTNERS, LLC Address: 17700 SW UPPER BOONES FERRY City, ST, ZIP: PORTLAND, OR. 97224 By: GARY HARTMAN -�' Date: JULY 1, 2005 15U-1ICr1nfg Official POST IN A CONSPICUOUS PLACE •