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04-7103 (SFD)r Tihf 4 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . 074;-:0-0-0-071-0-3; Date ' 11/16/04 . Property Address . . . . . 80788 VIA PUERTA AZUL APN: 762-240-003-17 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning .. . . MEDIUM DENSITY RES Application valuation . . . . 98984 Owner ------------------------ PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 PORTLAND OR 97224 Contractor DAVIS/REED CONSTRUCTION.INC 169 SAXONY ROAD, STE #105 ENCINITAS CA 92024 (760) 634-2350 WCC: STATE FUND WC: WC298892003 06/12/05 CSLB: 81.3480 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 FIRST FLOOR SQ FTG 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 aV 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: - ?103 D te, ' 1101. 0 Applicant: chitect or Engineer: lW Applicant's Mailing Address: Architect or Enginee s Address: 1_,Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pen Ity of perjury that I am licensed under provisions of Chap er ith Section 7000) of Division 3 of the Business and Professionals g.ode, and my Licens i n full force and effect. �lL License Class 1 License No. /-Date I L [ 4A Contractor I hereby affirm under penalty of perjury that 1 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maint in 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;dw for w- ich t ' permit is issued. 1^ I have l m tain 9 ers'com ensation insurance, as required by Section3700 of the Labor Code, oorr the performanceo ework for which this permit is u dcers' oin uWce-caMer and policy number e er Number _ e_ a yI the p rforman a of ethe p rforman a of a work for which this permit is' d shall note loy any person in any manner so as to become subject to the workers' compensation laws of CaliforVili, and agreei i, if I should a ject to the fogh ith comply with those ovisions. wo erscompensation provisions of Section 3700 of the Labor Code, I shall Date_,Z WARNING: FAfLURETO SECURE WOFJAL RS' COMPENSATION COVERAGE IS UN L, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TOTHEFCGT 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 A APPLICANT ACKN GEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for rmit subject to the conditions an estrictions set forth on this application. 1. Each person upon whose behalf this application is made, each pe at whose request and for whose benefit ork is performed under or pursuant to any permit issued as a result of this application, the owner, and the applica , each agrees to, and shall, defend, indemnify ppd hold harmless the City of La Quinta, its officers, agents and employees for any actor omission relate to the work being performed under or following issdance of this permit. 2. Any permit issued as a result of this application becomes n I and void if work is not commenced within 180 days t`rom date of issuance of such permit, or cessation of work for 180 days will subject permit to cance ation. 1 certify that I have read this appy ation and state that the above info tion is correct. I �e o c6m y a ounty ordinances and state laws relating to building construction, and hereby aut e representatives of this county to enter e -mention or i ection purposes. ignature (Applicant or Agent): Page 2 Application Number . . . . 04-00007103 Date 11/16/04 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 -----------------------------7---------------------------------------------- .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 '17. 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 . . . . . 04-00007103 Date 11/16/04 ----------------------------------------------------------------------=----- 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 Permit Fee Total 949.01 Plan Check Total 121.89 Other Fee Total 2425.21 Grand Total 3496.11 Paid Credited Due ---------- ---------- ---------- .00 .00 949.01 .00 .00 121.89 .00 .00 2425.'21 .00 .00 3496.11 INSULATION CERTIFIGATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 80-788 VIA PUERTA AZUL, LOT 17, RELEASE 8, PHASE 2, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-11 WALLS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-19 GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: P - 1 TITLE: ACCOUNT REPRESENTIVE DATE: P; i�•'f.:PJ.�I:r_/siI/..,%/%.%'A/6%O.'rI/.L/•B/%YS'I/d/!!/:1:!1/.C/6/d/.!/!/6'/.!////%%///!/•6/.i/%/�J%J.'E/�!'%::•�i:l.--.liw.:.+/,!.'t:'.'/�`/, r'/r ;:%f/.�'�/:.-J/'.'Rl.ii. / ::R:'Ci ::/i /lei. /.l ie.!,•.'./e.'s. .:'.'i..±.'.-. !- . 11/17/2005 10:06 7607771457 DAVISREED CONST iS CITY'OF LA QUINTA BUILDING &SAFETY DEPARTMENT, q J m 1 777-7012 INSPECTION REQUEST LINE 777-7153 Owner PUERTA .AZUL PARTNERS DAVIS REED CONSTRUCTION Contractor PermWNumber 04-7203 POST ON •J©B.)IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-788 VIA PUURTA AZUL SFD — LOT 17, PLAN 3A. PERAUT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVIEWAY APPROACH TYPE OF INSPECTION DAA INSp \v, FOOTINGS / STEEL _ CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF (�•'^Y TO WRAP ` 1 SING COMBINAnON OUGH ELECTRIC ROUGH PLUMBING COVER NO WORK UNTIL A OV SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH s GAS TEST - SEPTIC ABANDONMENT TING$1 D BEAM PRE-GUNITE / SETBACKS U/G PLUMBING PAGE 02/03 ool o�-�—�.�.-� Certificate of Occupancy oFBuilding Y p & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 80-788 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7103 Occupancy Group: R-3 Type of Construction: V-N Land Use Zone: R-M Owner of Building: PUERTA AZUL PARTNERS, LLC Address: 8905 SW NIMBUS AVE. STE. 400 City, ST, ZIP: BEAVERTON, OR 97008 By: GARY HARTMAN Date: NOVEMBER 14, 2005 Building Official POST IN A CONSPICUOUS PLACE