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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