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04-7646 (SFD) 9 t IIIIIIIIIIIIIIIIIIIIIIIII 45 0) 4 ° u�l'�1,rCv BUILDING & SAFETY DEPARTMENT . w� P. ox'Ox 1504 (760).777-7012 QF - 78-4 S CALLE TAMPICO FAX (760) 777-7011 JAN o 6 2 UofJA I TA3 CALIFORNIA 92253 INSPECTION.REQUESTS (760) 777-7153 c►nof 111NTa BUILDING PERMIT FINANCEDEP'T• - E pplication Number_ . . . . 04-00007646 Date 12/09/04 Property Address 8083 1 CAI-77- AZUL APN: 762-240-003-47 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . _ 98984 , Owner Contractor a ------------------------ 6 ----------------------- -----------I- 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 (76.0) 634-2350 WCC: STATE FUND WC: WC298892003 06/12/05 CSLB: 813480 10/3.1/06 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 2 . 00 FIRE SPRINKLERS NO GARAGE SQ FTG 251 . 00 PATIO SQ FTG 316 . 00 NUMBER OF UNITS 1 . 00 1ST FLOOR SQUARE FOOTAGE 1571 . 00 - --------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Permit Fee 635 . 00 Plan Check Fee 103 . 19 Issue Date . . . . Valuation . . . . 98984 Qty Unit Charge Per Extension BASE FEE 414 . 50 49 . 00 4 . 5000 THOU BLDG 50, 001-100, 000 220 . 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 y 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 ' D P.O. Box 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING &t: SAFETY DEPARTMENT Application Number: iis) (o Date: /�,s• Applicant: chitect or Engineer: Applicant's Mailing Address: ---Architect or Engineer's Address: ic. No.: &_7_303 72 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pg ab of per ury that I am licensed under provisions of pter ( 6th Section 7000)of Division 3 of the Business and Professionals C ,and my License' ull f e and effect. �'] icense Class se No. �/ ,,'a/." , —actor 1 y OWNER-BUILDER DECLARATION I hereby affirm under penalty of perury 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 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 work for w permit is issued. have and 'll maintain workers'compensati ire ectio 70 the rrf ce of the work for which this permit is is s ompens rance carrier a o' y xCy /,'Carrier Policy Number n U I cer i at,in e p rmance of the work for which thi sued,I shall no y any person in any manner so as to become subject to the workers' co pensatio ws of California,and agree that ecome subject to the wo ers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith c those provisions. 01_, D e— �_t Applicant WARNING: FAILURE TO SECU ORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJE PLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,0 MGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perury that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097�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 thea li s to,and shall,defend,indemnify and hold harmless the City of La Ouinta,its officers,agents and employees for any act or ie re ated to the work being pe rider or following issuance of this permit. 2. Any permit issued as a result of this ap ion becomes null and void if work is not commence 'hin 180 days from date of issuance of such permit,or cessation of work for 180 days will ject permit to cancellation. I certify that I have read thisap li ation an tate that the above informa' ect. I agree to comply with all city d county ordinances and state laws relating to building construction,and her orize repres tatives of this count t s iz! Signature(Applicant or nt). r( Page 2 Application Number 04-00007646 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 ------------------- -----------------s--------------------------------------- - Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 75 . 01 Plan Check Fee 4 . 69 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 1571 . 00 . 0350 ELEC NEW RES - 1 OR 2 FAMILY 54 . 99 251 . 00 . 0200 ELEC GARAGE OR NON-RESIDENTIAL 5 . 02 ------------------------------------------ ----------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 145 . 50 Plan Check Fee 9 . 10 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 1 . 00 3 . 0000 EA PLB GAS PIPE 1-4 OUTLETS 3 . 00 1 . 00 15 . 0000 EA PLB GAS METER 15 . 00 ------------------------------------------------: . . . . . . 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 47 . PLAN 3A, 1571 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 Page 3 Application Number . . . . . 04-00007646 Date 12/09/04 - ------------------- ---------- -----------=--------------------------------- - Other Fees . . . . . . . . . DIF COMMUNITY CENTERS-RES 97 . 00 DIF CIVIC CENTER - RES 366 . 00 ENERGY REVIEW FEE 10 . 32 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 . 89 DIF STREET MAINT FAC-R-ES 15 . 00 DIF TRANSPORTATION - RES 1098 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- -- l ------ ---------- ---------- Permit Fee Tota949 . 01 . 00 . 00 949 . 01 Plan Check Total 121 . 89 . 00 . 00 121 . 89 Other Fee Total 2425 . 21 . 00 . 00 2425 . 21 Grand Total 3496 . 11 . 00 . 00 3496 . 11