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04-7096 (SFD)P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA.92253 Application Number . . Property Address . . . APN: Application description Property Zoning Application valuation Owner �F�a�rw BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 . . 04-0000709 \ Date 11/16/04 80794 VIA PUERTA AZUL 762-240-003-16 -300962- DWELLING - SINGLE FAMILY DETACHED . . . MEDIUM DENSITY RES . . . 112634 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: 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 1.00 FIRE SPRINKLERS NO GARAGE SQ FTG 250.00 PATIO SQ FTG 617.00 NUMBER OF UNITS 1.00. FIRST FLOOR SQ FTG 1740.00 -----------------------------------------------=---------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit'Fee . . 685.00 Plan Check Fee 111.31 Issue Date Valuation . . . . 112634 Qty Unit Charge Per Extension BASE FEE 639.50 13.00 3.500.0 THOU BLDG 100,001-500,000 45.50 ---------------------------------------------7------------------------------ 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 • /i w 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: 04 • - 94-o Date: • 0 Applicant: chitect or Engineer: W W/ Applicant's Mailing Address:—Architect or Engineer' • Address. ic. No.:� BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penal t of perjury that I am licensed under provisions of Chapter 9 (co m end bpih Section 7000) of Division 3 of the Business and Professionals ode, and my Li ens is n f I force and effect. U License Class Lice,ns/No. /'Date OWNER -BUILDER DECLARATION I hereby affi 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.). 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 undernatty f p jury one of the following declarations: I have a d will ain ' a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of th work r ich this permit is issued. I have nd i ai tain workers' pensation insurance, as required by Section 3700 of Labor Code, for the performance of the Mir whi this permit is ss ed wo ers' �¢n ion ' nce carrier and policy number are: rv1 Carrier �V/ olicy Number /�/7t�7 L(�lJ -71G, i e performan a of ti �his permit is issued, I shall not employ�n person 1n a man rso as to becoct to the workers' m49 pens ion laws of Cali a, and agre hshould become subject to the worke compensation provisions of Section 3700 of the Labor Code, I shall orthwit mply with th a provisions. /J /Dat pplicant `-- W NTNG: AILU TO SECURE WORKE C PENSATION COVERAG�NLA�WFAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IL FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO 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 as f the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, eac onersat whose request an hose and work is performed under or pursuant to any permit issued as a result of this application, the owne5and icant, each agrees to, and shall, defen 'ndemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or elated to the work being performed under or f Dowing issuance of this permit. 2. Any permit issued as a result of this applicatios null and void ' ork is not commenced withinY180 days from date of issuance of such permit, or cessation of wo for 180 days will subject percellation.I certify that I hav read th' ap lication and state that thermatio corre agree to comply I city and county ordinances and state laws relating to building construction, a hereb aut rize�representatives of thisen ' po ove-me tion operty for inspection purposes. Date ig�S nature (Applicant or Agen Page 2 Application Number . . . . . 04-00007096 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 80.90 Plan Check Fee 5.06 Issue Date . . . . Valuation . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1740.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 60.90 250.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 5.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee 146.25 Plan Check Fee 9.14 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 5.00 .7500 EA PLB GAS PIPE 5=5 3.75 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 16. PLAN 4A, 1740 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 . . . . . 04-00007096 Date 11/16/04 -------------------------------------------- -------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 11.13 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 11.26 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Permit Fee Total 1005.65 Plan Check Total 130.42 Other Fee Total 2427.39 Grand Total 3563.46 Paid Credited Due ---------- -----=---- ---------- .00 .00 1005.65 .00 .00 130.42 .00 .00 2427.39 .00 .00 3563.46 • J!✓"'/':Fi!/i>I1/!i:°/J/f/i%//i/.//I/////J//il/f/////N.%I%Jl/.!%/J>/J/f.!'f.5/iJi ,>' - -°• ""' INSULATION CERTIFICATE 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 80-794 VIA PUERTA AZUL, LOT 16, 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 gY: 1��2��u,�G �-TITLE: ACCOUNT REPRESENTIVE DATE: .... tee. /. >/ /, r...: l'.:: f.'+!!/d.' °/i.. ./ , r.'F/w/Fiv!.f: A..•'.'!/' r:.s. ._..r,. t. ..