07-2054 (SFD)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 7r0100_020.59I
Property Address: 80680 VIA PORTOFINO
APN: 777-150-009- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 515719
Applicant: Architect or Engineer:
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 Code, and my License is in full force and effect.
License Class: B License No.: 842333
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).:
1 _ 1 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 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.).
1 1 I, as o.rrnar of tha pWaport,; ,,,,, —1 --illy u9101 IIL.enaeu wnudt:Luis Lu t:unsuuct u1e pfOjeCT ISeC.
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.). Q
(_) I am exempt under Sec. , B.&P.C; ( fir thj* reason
Date: wner:
CONS UCTION 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: 0 i N
Lender's Address: fIr
LQPERn11T
Owner:
JIM KRIENS
3504 196TH AVE. CT
SUMNER, WA 98390
Contractor:
SANCHEZ CONSTRUCTI
68075 VIA DOMINGO
DESERT HOT SPRINGS
(760)660-3512
Lic. No.: 842333
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
r
Date: 7/07/08
WORKER'S 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 and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier X MPT Policy Number EXEMPT
I certify that, in the performance of the work for which this per is issued, I shall not employ any
person in any manner so as to beco subject to the work ' compensation laws of California,
and agree that, if I should becom ubject to the workers' mpensation provisions of Section
3700 of the Lob& Co , she] orthwith co I i e provisions.
licant:
WARNING: FAILURE TO SECURE W�RlNSATION COVE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001- IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPUH IAN I Applicafwn 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, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above inf ation is corre I agree to comply with all
city aWenupon
to laws relating to buildi uctio, and her authorize representatives
of thisove-mentioned pro y for ' pection pur
;Ate: plicant or Agent):
Application Number . . . . . 07-00002054
Permit
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
2087.50
Plan Check Fee
1356.88
Issue Date
. . . .
Valuation . . . .
515719
Expiration
Date . .
7/08/08
Qty Unit Charge
Per
Extension
BASE
FEE
2039.50
16.00
----------------------------------------------------------------------------
3.0000
THOU BLDG
500,001-1,000,000
48.00
Permit.
. .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . .
262.68
Plan Check Fee
61.92
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
7/08/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
6100.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
213.50
959.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
19.18
1.00
----------------------------------------------------------------------------
15.0000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit.
. . GRADING PERMIT
Additional
desc . .
Permit Fee
. . . .
15.00
Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
7/08/08
Qty Unit Charge.
Per
Extension
----------------------------------------------------------------------------
BASE
FEE
15.00
Permit.
. . MECHANICAL
Additional
desc . .
Permit Fee
. . . .
188.50
Plan Check Fee
47.13
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
7/08/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
5.00
9.0000
EA MECH
FURNACE <=100K
45.00
1.00
4.5000
EA MECH
VENT INST/ DUCT ALT
4.50
4.00
9.0000
EA MECH
B/C <=3HP/100K BTU
36.00
1.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
16.50
10.00
6.5000
EA MECH
VENT FAN
65.00
LQPERA1IT
�i o.:.. - - ' 1.
Application Number .
. . . . 07-00002054
Permit . . . . . .
MECHANICAL
Qty Unit Charge
Per
Extension
1.00. 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
PLUMBING
Additional desc . .
Permit Fee . . . .
263.25 Plan Check Fee
65.81
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
7/08/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
29.00 6.0000
EA PLB FIXTURE
174.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
3.00 7.5000
EA PLB WATER HEATER/VENT
22.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.,00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
13.00 .7500
EA PLB GAS PIPE >=5
9.75
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
6,100SF DWELLING/V-NR/RES-3/CLASS
A -FR
THIS PERMIT DOES NOT
INCLUDE BLOCKWALLS,
POOL AND SPA, OR DRIVEWAY APPROACH. 2001
CBC, CPC, CMC, 2004 CEC,
2005 ENERGY.
January 10, 2008 12:34:27
PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
789.29
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
135.69
DIF FIRE PROTECTION -RES
140.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
51.57
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total
2816.93 .00 .00
2816.93
Plan Check Total
1531.74 750.00 .00
781.74
Other Fee Total
5451.55 .00 .00
5451.55
Grand Total
9800.22 750.00 .00
9050.22
LQYERA11T