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04-7084 (SFD)0 T -df 4 4 Q" BUILDING & SAFETY DEPARTMENT P.O. Box. 1504 (760),777-7012 78-495 CALLE TAMPICO 2 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . . CQ -4-000-07-0$41 Date 11/16/04 Property Address . . . . . . ;80806 VIA PUERTA AZUL APN: 762-240-003-14 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 85886 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: WC298892004 06/12/05 CSLB: 813480 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 CBC # BEDROOMS 2.00 FIRE SPRINKLERS NO GARAGE SQ FTG 244.00 PATIO SQ FTG 163.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- FIRST FLOOR SQ FTG 1380.00 Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 576.50 Plan Check Fee 93.68 Issue Date . . . . Valuation . . . . 85886 Qty Unit Charge Per Extension BASE FEE 414:50 36.00 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 162.00 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 �� VOICE (760) 777-7012 78-495 CaLLE TaMPlcoT4hf FAX (760) 777-7011 LA,QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: —Architect or Engineer: 4% (� I .-F!"rchitect or Engineer's Address: ic. No. M BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pen a of perjury that I am licensed under provisions of Chapter 9 (commencing with S i 7000) of Division 3 of t usiness and Professionals de, and m Licen i II force and effect. License Clasicense No. / V OWNER -BUILDER DECLARATION I hereb affiunder penalty of perjury that I am exempt from the Contractors' State License Law for the followin reason (Sec. 7031.5, Business and Professions Code: Any city or count 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 WORKERS' COMPENSATION DECLARATION I hereby affirm unde penal o iperj ry ne of the following declarations: I have d will ai tai certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance o work hic this permit i 'ssued. I ve mt worker ' pensation insurance, as required by Section 3700 t 4 abor Code, for the perfo an gf the work for ich s permit is 0 o a ' n insurance carrir a e -policy num er are: crier icy Nimahar _ I e in he performance of the o for which is permit is issu all not employ an p y y pe n i ny er so as6o become subj t to the workers' co pansatign laws of Calif�ia�agree t I should be a subject to the wo ers' compensation rovisions of Section 3700 oft Labor Code, I shall f hwith r my with th- WAHNl : 1`-AlLflRE TO�SECURE WORKERS' COMPENSATO- GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIINESU TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGEN I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the wo or 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 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 n_o cefiwitfiin T80lfays 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 info eco 1 agr , o comet with all city and county ordinan sand state laws relating to building construct4/,147��gnat7ure(A'pplicant entatives of this county enter o ab ention d p perty for inspection purposes. J e or Agent): Page 2 Application Number . . . . . 04-00007084 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 68.18 Plan Check Fee 4.26 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1380.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 48.30 244.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 4.88 --------------------------------------------------------------- ------------ Permit . . . . PLUMBING Additional desc Permit Fee . . . . 139.50 Plan Check Fee •8.72 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 6.0000 EA PLB FIXTURE 72.00 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 14. PLAN 1A, 1380 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 . . . . . 04-00007084 Date- 11/16/04 --------------------------------------------------------------------- Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 9.37 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 8.58 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- 877.68 ------------------------------ .00 .00 877.68 Plan Check Total 111.57 .00 .00 111.57 Other Fee Total 2422.95 .00 .00 2422.95 Grand Total 3412.20 .00 .00 3412.20 _ � 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 80'806 VIA PUE -- LOT 14,RELEASE 8.PHASE 2,LAQU|NTA.CA CEILINGS - THICKNESS: �RTYPE: BLOW��1 > K4AUNFACTURER:OwenoComing � MANUFACTURER: Cartenheed THICKNESS: R-ig GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE� � ' � TITLE: � � UCTS A�ASCOCompany LICENSE #221517- PARAGONS{�HK4|OBU\LD|NGPROD � `. TITLE: ACCOUNT REPRESENTNE DATE , 0