04-7090 (SFD)Tdf 4�Q�w
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING PERMIT
Application Number . .
Property.Address . . .
APN:
Application description
Property Zoning . . . .
Application valuation .
BUILDING & SAFETY DEPARTMENT
(760),777-7012
FAX (760) 777-7011
INSPECTION REQUESTS (760) 777-7153
. . . � - 0-0-0-070-9 0-� Date 11/16/04
. . . 80800 VIA PUERTA AZUL
762 -240 -003 -15 -300962 -
DWELLING - SINGLE FAMILY DETACHED
MEDIUM DENSITY RES
. . . 99599
PUERTA AZUL PARTNERS
17700 SW UPPER BOONES FERRY RD
SUITE 100
PORTLAND OR 97224
Contractor
DAVIS/REED CONSTRUCTION.INC
1,69 SAXONY ROAD, STE #105
ENCINITAS CA 92024
(760) 634-2350
Qty Unit Charge Per
1.00 9.0000 EA
1.00 9.0000 EA
BASE FEE
MECH FURNACE <=100K
MECH B/C <=3HP/100K BTU
Extension
15.00
9.00
9.00
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
255.00
PATIO SQ FTG
451.00
NUMBER OF UNITS
1.00
FIRST FLOOR SQ FTG
1549.00
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT
Additional desc
Permit Fee
639.50 Plan Check Fee
103.92
Issue Date . . . .
Valuation . . . .
99599
Qty Unit Charge
Per
Extension
BASE .FEE
414.50
50.00 4.5000
THOU BLDG 50,001-100,000
225.00
----------------------------------------------------------------------------
Permit . . . . . .
MECHANICAL
Additional desc
Permit Fee . . . .
85.00 Plan Check Fee
5.31
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge Per
1.00 9.0000 EA
1.00 9.0000 EA
BASE FEE
MECH FURNACE <=100K
MECH B/C <=3HP/100K BTU
Extension
15.00
9.00
9.00
P.O. Box 1504 "
VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 4 4aINSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: 70 qQ ate:
Applicant: Architect or Engineer: A#�
Applicant's Mailing Address: Architect or Engineer' Addres :
of
c. No.. �L%J
BUILDING PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penatnf perjury that I am licensed under provisions of Cha 9 (co m ting withion 7000) of Division 3 of the Business and Professionals
Code, and m Lice a is .ill force and effect.
�Cicense Clas iT cense Noy / �)
OWNER -BUILDER DECLARATION
I here/y a 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 under penalty o perjury o e of the following declarations:
I have a d will m tain a i ica of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the rformance
of th work for 'hich i pert it is issued.
I h e nd ill m fntai rkers' compensation,in ce, as required by Section 3 of Labor Code, for the performance of the work for i this permit is
u d. rk r c mpensation i carrier and policy number are.
arrier umber
_ I rfi t at, inke perfofma th ork for which t ' permit is issued, I s all n emp oy any pers� o subject to the workers'
compensation laws of Califomi nd agree that ' should become subject t e workers' compensatio pro���' i sof Section 3700 of the Labor Code, I shall
fibrthwjfFi comply with those Dr sions. / -e-
WAR G: YAILURE TO SECURE W0914 -P -RS' COMPENSATIOWCOVERAGE IS UNLA D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL/FINESCIVIL/FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST -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 INJ ( I
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application 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 Ae�bettf0'peffdRn under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null
void if work is not commen-Ced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to ca ation.
I certify thZlharead this application and state that the ab information i ect. I a ee to comply th all city and county ordinances and state laws relating to building
constructere y auth rjze representatives of this unty to enter bo mentioned p erty for inspection purposes.
nature (Applicant or A nt
Application Number . . . . . 04-00007090
Page 2
Date 11/16/04
Qty Unit Charge
Per
Extension
7.00 6.5000
EA MECH VENT FAN
45.50
1.00 6.5000
EA MECH EXHAUST HOOD
6.50
----------------------------------------------------------------------------
Permit . . . . . . ELEC-NEW
RESIDENTIAL
Additional desc
Permit Fee . . . .
74.32 Plan Check Fee
4.65
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1549.00 .0350
ELEC NEW RES-- 1 OR 2 FAMILY
54.22
255.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
5.10
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING
Additional desc
Permit Fee . . . .
151.50 Plan Check Fee
9.28
Issue Date . . . .
Valuation . . . .
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
14.00 6.0000
EA PLB FIXTURE
84.00
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 15. PLAN 2A,
1549 SF. PERMIT
DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA
OR DRIVEWAY APPROACH.
75a PLAN CHECK FEE
REDUCTION APPLIED FOR
MULTIPLE ISSUANCE
OF SAME PLAN TYPE.
-------------------7----------------------7---------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
.00
Page 3
Application Number . . . . . 04-00007090 Date 11/16/04
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00
DIF CIVIC CENTER - RES 366.00
ENERGY REVIEW FEE 10.39
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 9.95
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged
Permit Fee Total 965.32
Plan Check Total 123.16
Other Fee Total 2425.34
Grand Total 3513.82
Paid Credited Due
---------- ---------- ----------
.00 .00 965.32
.00 .00 123.16
.00 .00 2425.34
.00 .00 3513.82
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
80-800 VIA PUERTA AZUL, LOT 15, 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: i TITLE: ACCOUNT REPRESENTIVE DATE:
..n.>.rim...:/..:...♦iL.'�.....:/f.J...fi.lii:/..`�/%i::r/..:s/.I/.�'6.•;l/a'.`F.�F `w•l: v.✓i-l.: �i;A/:/t/':. ..,.. i ...i ..... ..
11/17/2005 10:06 7607771457
NOV 2
DAVISREED CONST
CITY OF LA QUINTp►
f36ILDING & SAFETY DEPARTMENT
'o 777-7012
�' 1NSP6CTION REQUEST LINE
777-7153
PUERTA AZUf. PARTNERS
Owner
Contractor DAVIS REED CONSTRUCTION
Permit Number 04-7094
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRiWSS89-800 VIA PUERTA AZUL
SFD — LOT IS, PLAN 2A. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCK WALLS OR
DRIVEWAY APPROACH
TYPE OF INSPECiTON I DATE I INSP.
SLAB
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNFrE /SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER (ALARMS BARRIERS)
PAGE
W03
i
-, Certificate of Occupancyo
4
C� OFT9� Building & 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: 80-800 VIA PUERTA AZUL
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7090
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