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04-4130 (SFD) f IIIIIIIIIIIIIIIIIIIIIIIII 43 � oz • U BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 (760).777-7012 3' C�hlOF9 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINT.A, CALIFORNIA 92253 INSPECTION REQUESTS (760).777-7153 ;BUILDING PERMIT • J Application Number c04-00-004130 Date 5/17/04 Property Addres;s. . . . . . 80915 CALLE A2UL APN: 762-240-003-40 -300961-. Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 90120 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 460 . 00 ' PATIO SQ FTG 9 163 . 00 NUMBER OF UNITS 1 . 00 FIRST FLOOR SQ FTG 1380 . 00 -----------------------------------------------------------------:----------- Permit . . . . . BUILDING PERMIT - Additional desc Permit Fee . . . . 599 . 00 Plan Check Fee 97 . 34 Issue Date Valuation 90120 Qty Unit Charge Per Extension BASE FEE 414 . 50 41 . 00 4 . 5000 THOU BLDG 50, 001-100 , 000 184 . 50 -------------7-------------------------------------------------------------- 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 2�BUILDING & SAFETY DEPARTMENT Application Number: 6) w Date: &-4-oqD Applicant: Archit ct or Engineer: MtJ Acc2k P1�.�ec Applicant's Mailing Address: Architect or Engineer's Address: 46 1 1 7"xjkec- Ave A9, V- o '&_ • Ca` quco C. No.: C-231-7 9 BUILDING PE IT 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 Code,andmy Li sg i i full force and effect. rise Class TIM L License No, LA / Date t�'t'0 _ Lt �Ctar Ay C_Z11S��(y� / 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 stile 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 certifica(e 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 issu�eed. My workers'compensation ins�cance carrier and golic�n�¢err ` Q artier 21 1,KJI-N X� Q_y%�cay� �p5 iic Number era ii & _I ceAify that,in the pertormance f 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. vis b :,.LURE pplicant L/�•�1�5 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,indemnify and hold harmless the City of La Quinta,its officers,agents and employees for any act or omission r tedto the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application omes 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 pe it to cancellation. I certify that I have read 's applicatio nd state that th bove information is. rr . I ply with all city and county ordinances and state laws relating to building construction,an re heautho'ze r presentatives of this c abov ed propertyfor inspection purposes. "Date 4/19/ Signature(Applicant or Agent): Page 2 Application Number . . . . . 04-00004130 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 . . . . 72 . 50 Plan Check Fee 4 . 53 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 1380 . 00 . 0350 ELEC NEW RES - 1 OR 2 FAMILY -'48 . 30 460 . 00 :0200 ELEC GARAGE OR,_NON-RESIDENTIAL 9 . 20 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 139 . 50 Plan Check Fee 8 . 72 I.ssue 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 ---------------------------------------------------------------------------- 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 40 . PLAN 1AA. PERMIT DOES NOT Page 3 Application Number 04-00004130 Date 5/17/04 ------------------------------------------------7--------------------------- Special Notes and Comments INCLUDE BLOCK WALL, 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 . 73 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 . 01 DIF STREET MAINT FAC-RES 15 . 00 DIF TRANSPORTATION - RES 1098 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 904 . 50 . 00 . 00 904 . 50 , Plan Check Total 115 . 50 . 00 . 00 115 . 50 Other Fee Total 2423 . 74 . 00 . 00 . 2423 . 74 Grand Total 3443 . 74 . 00 . 00 3443 . 74 IIIIIIIIIIIIIIIIIIIIIIIII 45 i ,- Certificate o'f Occupancyo ' o 4`,� Lrwpoutm�4� . 0F9w5 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: 80-915 CALLE AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-4130 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RM DAVIS REED CONSTRUCTION, INC. Address: 169 SAXONY ROAD, SUITE 105 City, ST, ZIP: ENCINITAS, CA 92024 By: KIRK KIRKLAND ✓� Date: AUGUST 11, 2005 Building Official POST IN A CONSPICUOUS PLACE