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04-7623 (SFD) 21 J& � BUILDING & SAFETY DEPARTMENT �Nox 1504 (760).777-7012 CALLE TAMPICO FAX (760) 777-7011 LAUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 JAN o 6 2005 1 � BUILDING PERMIT CSF>-A QUI TA Application Number 04-0000762 Date 12/08/04 Property Address . . . . . 80783`CAD E AZUL APN: 762-240-003-39 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation 85886 ry 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 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: Date: 05- Applicant: chitect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: No. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Ch terMinoth Codnd my Licens inII force and effect. Section 7000)of Division 3 of the Business and Professionals ' / ense Class• Tactor OWNER-BUILDER DECLARATION I hereby affirm under penalty of pedury 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 pedury 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 f 'ch this permit is issued. 1 haved maintain workers'compensation insurance,as required by S ti n 3700 of the Labor Code,fo.Qhq,Qerformance the work for which this permit is .is ers'compensa nee carrier and policy num � e} olicy Number I cefffy that,in the ormance of the work for which this p is issued,I sh of employ any person in any manner so as to become subject to the workers' compensatio aws of California,and agree that,if I become subject to the rkers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith plyZ(bp �rovisions. Bate scant WARNING: FAILURE TO SECURE WOR RS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALB,l�CT AN EMPLOYER-TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100.000),IN ADDITION TO THE COST OF COMPEN$A7 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.3 Civ.C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safet fora permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this applicati ,each person a Fhe request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, ner,and the applicant,each agrees to, d shall,defend,indemnify and hold harmless the City of La Quinta,its officers,agents and employees any act or omission related to the work being perfo d under or following issuance of this permit. 2. Any permit issued as a res Y this application becomes null and v � ' work is t com need within 180 days from date of issuance of such pernit,of cessation of work for 18 days will subject permit to cancellati I certify that I have read this applic on and state that the above info n is correct. I agr ly with all city and county ordinances and state laws relating to building Zconstr,uon,and he�reb'y'aa re entioned property for inspection purposes. Date �_"!/ Signature(Applica Page 2 Application Number . . . . . 04-00007623' 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 . . . . 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 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 . OQ Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15 . 00 - - - ----------7-------- ---------------------------------------------7------ - - Special Notes and Comments SFD - LOT 39 . PLAN 1RA, 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. - -- ---------------------------------------`---------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES-RES . 00 Page 3 Application Number . . . . . 04-00007623 Date 12/08/04 - - - --- -------------------------------------------------------------------- -- 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