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04-7629 (SFD) -"� �IIIII��II�IIIIIIIIIIIII 76 •_ 1E BUILDING & SAFETY DEPARTMENT rc, w4 P.O. Box 1504 (760).777-7012 OFT � 78-4 E TAMPICO FAX (760) 777-7011 p LA, UINT ALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 D BUILDING PERMIT JAN 0 5 2005 . Ap 1 cact%NZG L,Nu"m�be�r 04-0000.7_629 Date 12/09/04 Propy,F11�, - = ress . . . . . 80872 CALLE AZUL APN: 762-240-003-60 -300962- 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: WC298892004 06/12/05 CSLB: 813480 10/31/06 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 1 . 00 1ST FLOOR SQUARE FOOTAGE 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 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 F P.O. Box 1504 • w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 Tf Ot INSPECTIONS (760) 777-7153 '! BUILDING & SAFETY DEPARTMENT Application Number: DSII - -7 ^ Date: Applicant: chitect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm uroerPTNIty of jury that I am licensed under provision —pt 9gyat�Section 7000)of Division 3 of the Business and Professionals Code,and my Licens n full f rte and effect. P Cense Class Li/No. jv' r � ontractor 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 1,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 1,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 M j pin a certificate of consent to self-insure for workers'compensation,as provided for by Section 3700 of the Labor Code,for the performance lll"o of the worr which this permit is issued. have w'I maintain workers'compensation in it by ction 3700 of a Lab e r t rformance of ti9u;Labor for which this permit is � issued orkers'compensati ' ante carrier and I' m /C:amer olicy Number Ice y that,in the p ance of the work for which this permit is issued,I shal not a toy e n in an anner so as to abject to the workers' compensatio s of California,and agree th should become subject to the wo rs'compensation provisions of Se ton 37he Code,I shall forthwith ply with th ons. ate — n WARNING: FAILURE TO SECURE W COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS OVIDED 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 f1 Lender's Address N /� APPLICANT ACK NQE ENT IMPORTANT Application is hereby made to the Director of Building and S ty{t7 afrperm—it s subject to the ns and restrictions set forth on this application. 1. Each person upon whose behalf this application is mad c person at whose request and for whose fit work is performed under or pursuant to any permit issued as a result of this application,the owner,an a applicant,each agrees to,and shall,defend,indemm nd hold harmless the City of La Quinta,its officers,agents and employees for any act or Sion related to the work being performed under or following iss nce of this permit. 2. Any permit issued as a result of this applicat' becomes null and void if work i t commenced within 180 days f m date of issuance of such permit,or cessation of work for 180 days will subject ermit to cancellation. 1 certify that I have read this application and state that t above information is agree to comply with and county ordinances and state laws relating to building construction,and hereby aut nzeht representatives of this co ve-men lone S. ignature(Applicant or Ag Page 2 Application Number . . . . . 04-00007629 Date 12/09/04 Qty Unit Charge Per Extension 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 . . . . 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 ---- -------------------- --------------------------------------------------- - 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 60 . PLAN 1A, 1380 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, .SPA OR DRIVEWAY APPROACH. 75% PLAN CHECK FEE .� REDUCTION APPLIED FOR MULTIPLE ISSUANCE OF SAME PLAN TYPE. ---- ----------- -------------------- -------- Fee's . . . . . . ART IN PUBLIC PLACES-RES . 00 Page 3 Application Number . . . . . 04-00007629 Date 12/09/04 ---- -------- -------- - ---------------------------------------------------- -- - Other Fees . .. . . . . . . . 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 ---------------- - ----------- --------7- ---------- ---------- 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