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04-7653 (SFD)r IIIIIII VIII III VIII III 48 Ot BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 OFT1�9 -W 9- C,LLE 'PICO FAX (760) 777-7011 LQ.v�IjNTA•;CA �RNIA 92253 INSPECTION REQUESTS (760) 777-7153 JAN 05 2005 BUILDING PERMIT cin c�UN► QJWA Applic tionENLtir"be.r . . . . 04-000Ot 653 Date 12/09/04 Property Address . . . 80837 CALLE AZUL APN: 762-240-003-48 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation 112634 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 06/12/05 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 CRC # BEDROOMS 1 . 00 FIRE SPRINKLERS NO . GARAGE .SQ FTG 250 . 00 PATIO SQ FTG 617 . 00 NUMBER OF UNITS 1 . 00 1ST FLOOR SQUARE FOOTAGE 1740 . 00 - -- --------------------------------------------------------- --------------- - Permit . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 685 . 00 Plan Check Fee 111 . 31 Issue Date Valuation . . . . 112634 Qty Unit Charge Per Extension BASE FEE 639 . 50 13 . 00 3 . 5000 THOU BLDG 100, 001-500, 000 45 . 50 --------------------- ----------------------------------------------------- -- 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 r P.O. Box 1504 1�G� w w 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: 41- Jam'3 Date, J-"4J Applicant: chitect or Engineer f Applicant's Mailing Address: Architect or Engineer's Address: Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under a of perjury that I am licensed under provisions of pter (co fflen '7�E�i Section 7000)of Division 3 of the Business and Professionals C de,and my Licen a is' full rce and effect. U License Classerase No. Oat 7 ractor 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 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 w9f�w ich this permit is issued. I have n will I maintain workers'compensation insurance,as re re ection 37 0 the L;��oQe�for the perform ce of the work for which this permit is is d. s'compensation i ance carrier and p her are: VW y' `p„l /�.amer _olicy Number ` Off I Ce ' that,in the performance of the work for ued,I shat not employ any person in any manna so as to become subject to the workers' compensation laws of C lifomia,an a that,if I sho ecome su e1 workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith co those pro ' ons. 00-1 ate r Applicant WARNING: FAILURE TO SECURE WO R 'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJE�ANMPLOYER TO RIMI t.VAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 'OUSAND 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 applican es Eeraa all,defend,indemnify and hold harmless the City of La Quinta,its officers,agents and employees for any act or omission to the work being performed u r following issuance of this permit. 2. Any permit issued as a result of this application mes null and 'd if work is not commenced wit 180 days from date of issuance of such permit,or cessation of work for 180 days will subject it to cancella' 1 certify that I have read this application and state tha he above inf, o comply with all city d count111111111111 y or m state taws relating to building construction,and herebytttTrize representatives of t i ent n the entioned property fo ' ection purposes. �� at Date / �/ <igna­ture(APPIi n cy .f Page 2 Application Number . . . 04-00007653 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 . . . 80 . 90 Plan Check Fee 5 . 06 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 1740 . 00 . 0350 ELEC NEW RES - 1 OR 2 FAMILY 60 . 90 250 . 00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 5 ..00 --------------------------------------------------------------------------- - Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 146 . 25 Plan Check Fee 9 . 14 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 WATER INST/ALT/REP. 3 . 00 1 . 00 9 . 0000 EA PLB LAWN SPRINKLER SYSTEM 9 . 00 5 . 00 . 7500- EA PLB GAS PIPE >=5 3 . 75 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 48 . PLAN 4B, 1740 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 . --- --------------------------------------- ------ -------------------------- -- Other Fees . . . . . . . ART IN PUBLIC PLACES-RES . 00 sf .f Page 3 Application Number . . . . . 04-00007653 Date 12/09/04 ------------------------------------------------------------------------ --- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS-RES 97 . 00 DIF CIVIC CENTER - RES 366 . 00 ENERGY REVIEW FEE 11 . 13 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 11 . 26 DIF STREET MAINT FAC=RES. 15 . 00 DIF TRANSPORTATION - RES 1098 . 00 Fee summary Charged Paid Credited Due --------------- -- ---------- ---------- ---------- ---------- Permit Fee Total 1005 . 65 . 00 . 00 1005 . 65 Plan Check Total 130 . 42 . 00 . 00 130 .42 Other Fee Total 2427 . 39 . 00 . 00 2427 . 39 Grand Total 3563 . 46 . 00 . 00 3563 .46 IIIIIII VIII III VIII IIII 49 IE Certificate of Occupancy U _ _ > Tit�p �w OF9w 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: 80-837 CALLE AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7653 Occupancy Group: R-1 Type of Construction: V-N Land Use Zone: RL Owner of Building: PUERTA AZUL PARTNERS Address: 17700 SW UPPER BOONES FERRY City, ST, ZIP: PORTLAND, OR 97224 By: STEVE TRAXEL Date: 04-28-2006 Building Official POST IN A CONSPICUOUS PLACE