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04-7626 (SFD) 71 BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760) 777-7012 78-49 LLE TAMPICO FAX (760) 777-7011 CALIFORNIA 92253 INSPECTION REQUESTS-(760) 777-7153 D . JAN 06 2�� BUILDING PERMIT ;17Y or.t A QUInIA pp1G"a"11 in'��I�T'1'lumbe . . . 04-00007626 Date 12/09/04 odress . . . . 80861 CALLE AZ pertyAdUL APN: 762-240-003-52 -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 . 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 V P.O. BOX 1504iti 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: ( Date: / •.s'pS Applicant: Architect or Engineer: .Applicant's Mailing Address: Architect or Engineer's Address: c. No. �iF-/5?225 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm unde n ty of erjury that I am licensed under provisions of pier 9(co en g action 7000)of Division 3 of the Business and Professionals co ,and my Lice se full orce and effect. cense ClassiceNo. _ nse �6ate ;K� 0____ for 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 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. ,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 forvffffM this permit is issued. I have a ill intain workers'compensation insurance,as y� d coon the Lab C or the a performance of the work for which this permit is issued. fR�rs compensation'ins ance carrier and 61i n e 7L��GSI arrier oo iTcy Nu � _I ce ' that,in the performance of the w ich this permit is iss I shall not a oy any person in any mannefso as to become subject to the workers' compensation laws of California, that,if I shout subject to the wo rs'compensation provisions of Section 3700 of the Labor Code,I shall forthwith'coom (whose pro Date -7'bA✓�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 B ct to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this a ' on is made,each person at whose reques or whose benefit work is performed under or pursuant to any permit issued as a result of this applicaf , e owner,and the applicant,each agrees to,and shall,de d,indemnify and hold harmless the City of La Quinta,its officers,agents and employ for any act or omission related to the work being performed under o Ilowing issuance of this permit. 2. Any permit issued as a r ult of Ihis application becomes null and void if work is not commenced withi 180 days from date of issuance of such permit,or cessation of work for 0 days will subject permit to can. ion. I certify that I have read this applic 'on and state that the above i anon is.o . la o comply with all ty and county ordinances and state laws relating to building construction,and hereb�arize re pr ter u o ab - entioned prope r inspection purposes. 4De ms �� Signature(Applicant Page 2 Application Number . . . . . 04-00007626 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 INS.T/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 52 . 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 . 7---------- ------------------------------- ------------------------ - Other Fees . . . . . . . . ART IN PUBLIC PLACES-RES . 00 Page 3 Application Number . . . . . 04-00007626 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 ----------------- ---------- ---------- ---------- ---------- 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