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04-7618 (SFD) III III VIII III VIII IIII 24 ' ot U BUILDING & SAFETX DEPARTMENT _B 7x\1504 (760).777-7012 c� 9 D 8-4 5 �1��LLE TAMPICO FAX (760) 777-7011 LAI QUI 'w�, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 JAN 06 2005 BUILDING PERMIT CI?Y AF L QUIP1t A 1� A p� c a on" Number . . . . . �0-4T 070-0 0-76-18 Date 12/08/04 Property Address 8'0"789 CALLE�A L APN: 762-240-003-40 -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 #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/CONG <=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 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: / Date: •. j' O$— Applicant: `"PTchitect or Engineer: 24 Applicant's Mailing Address: Architect or Engineer's Address: J—Lic. No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pena3 er that I am licensed under provisions of Ater 9( m th Section 7000)of Division 3 of the Business and Professionals C e,and my License is irl f rc and effect. (! (}�9�J^ ?cense Class cense No. v Cor �.! + %r�;a� 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 I?rofessions 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 fora 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 which this permit is issued. I have an i aintai workers'compensation insurance,as required by Se '0 3700 of the Labor performance of the work for which this permit is issue . orkers'compensation i nce car' a i� 2�7 C `mer mer d `.7� � _I certif at,in the performanc a work for which this permit is issu d,I shall n mploy any person in any manner so as to l ccome subject to the workers' compensation laws of omia,and agree that if I should be ub' ct to thew ers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith co se provisions. ate �� ?ca WARNING: FAILURE TO SECURE WOR S'COMPENSATION COVERAGE IS UNLAWFUL,AND SHA CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENS 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 condifions and restrictions set forth on this application. 1. Each person upon whose behalf this applic ' ' t whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicatio owner,and the applicant,each agr nd shall,defend,indemnify and hold harmless the City of La Quinta,its officers,agents and employee r any act or omission related to the work being perfo rider or following issuance of this permit. 2. Any permit issued as a res of this application becomes null and void if work is not commen ithin 180 days from date of issuance of such permit,or cessation of work for 180 ays will subject permit to cancellatio I certify that I have read this applicat d state that the above info correct. I agree to comply with all cit nd county ordinances and state laws relating to building construction,and hereby a e repres ins ion purposes. ate 7 Sign�pplica A nt): Page 2 Application Number 04-00007618 Date 12/08/04 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 40 . PLAN 3RB, 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 . . . . 04-00007618 Date 12/08/04 ---------------------------------------------------------------------=----- - 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 3496 . 11 . 00 . 00 3496 . 11