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04-7649 (SFD) y I IIIIIII VIII III VIII IIII 42 IE V BUILDING & SAFETY DEPARTMENT cw4 P.O. Box 1504 (760).777-7012 OFTt�9 78-495 CALLE TAMPICO FAX (760) 777-7011- 92253 77-701192253 INSPECTION REQUESTS (760) 777-7153 -DING PERMIT JAN 0 6 2005 Applicati. n Numbe 04-0T02F00jr7649 Date 12/09/04 AF L A(aiU{Rfi STA' Property, ddrg :S LA 80830 CALLE AZUL APN: 762-240-003-67 -300962- Application description . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation 98984 Owner Contractor PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INC 17700 SW UPPER BOONES FERRY RD 169 SAXONY ROAD, STE 4105 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 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 .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 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: 0 y- '�(o cf Date: Applicant: --Architect or Engineer: Applicant's Mailing Address: ,--Architect or Engineer's Address: ic. No.: 2 25P BUILDING PERMIT 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 co e,and my License is in full force and effect. '\ icense Class --tlEense No. Date ^� 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 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.). (--) 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.). L) 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 Kof the work for which this permit is issued. I have a5OwiV maintain workers'compens ion insurance,as required by Section 3700 of the Labor Code,for th performance of the work for which this permit is sue workers'com ensa' surance carrier and policy number ar - Y p Carrier Policy Number Y y e y rt5 ertif that,in the performance of the work ich this rmit is issued,I all n m to an rs n in an anner so as o b e subject to the workers' —/compensation laws of California,a gree that,if uld be sub'ect to the rkers'compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply those p sions. �:2 pplicant 000— WARNING: FAILURE TO SECURE WO. 'COMPENSATION COVERA4190UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T 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 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,indemnity and hold harmless the City of La Quinta,its officers,agents and employees for any act or omission related c erg pe der or following issuance of this permit. 2. Any permit issued as a result of this application beco and void if work is not commence ithin 180 days from date of issuance of such permit,or cessation of work for 180 days will subject pCbe ancel:ation. I certify that I have read this application and state that thnformation is ct. I agre ply with all ity and county ordinances and state laws relating to building construction,and hereby au ze representatives of thito enter a above property for spection purposes. r� ate ��� Signature(Applicant or Agent): t^ Page 2 Application Number . . . . . 04-00007649 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 . . . . 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' -- ------------------------------------------------------------------------- - 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 67 .. PLAN 3B, 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 . . . . 04-00007649 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-RES 15 . 00 DIF TRANSPORTATION - RES 1098 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -----=---- ---------- Permit Fee Total 949 . 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 34,96 . 11 . 00 . 00 3496 . 11