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04-7083 (SFD)T4hf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 922.53 BUILDING PERMIT Application Number . . . . Property Address . . . . . APN: Application description Property Zoning Application valuation Owner ------------------------ PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 PORTLAND OR 97224 BUILDING & SAFETY DEPARTMENT. (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 0-4, 00007083 Date 11/16/04 80812 VIA PUERTA AZUL 762 -240 -003 -13 -300962 - DWELLING - SINGLE FAMILY DETACHED MEDIUM DENSITY RES 98984 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 -------------------------- St.ructure 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 412.75 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 19.63 •Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.0.0 1.00 9.0000 EA MECH B/C.<=3HP/100'K BTU 9.00 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: 041. 70 8j3 Date: 11- ga .Oy Applicant:chitect r Engineer: 2M� Applicant's Mailing Address: --Architect or Engineer's Address: - tic. No. C-%�33�7�7 BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha ter 9 ( mencing with Section 7000) of Division 3 of the Business and Professionals e, and ss Lice e m full force and effect. i� d t � LA License Class License No. o ,-Date I 1- 6-0LA Tactor 1 )v., OWNER -BUILDER DECLARATION I hereby affirm 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain 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 work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance"of the work for which this permit is 1 _.iss ed. M orkers' compensato Ainsurance carrier and3is u Crter�T�.� Policy Number ip r eye I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thos rovisions A WARNING: FAILURE TO SECURERS' COMI�f ,SAT6N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREXT4qOUSAND 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 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 rel ed4e-the-wm c( -being erforme`under or following issuance of this permit. 2. Any permit issued as a result of this applicatio�Gomes null and void if work is not comment -d within 180 days from 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 information is ect. I agree to complall city and county ordinances and state laws relating to building construction, and hereby authorize repre�t�ves of this county to theSve-mentioned propy for inspection purposes. (Applicant or Page 2 Application Number . . . . . 04-00007083 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 18.75 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 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 5.02 Permit . . . . . . PLUMBING Additional desc . . Permit Fee . . . . 145.50 Plan Check Fee 36.38 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 13. PLAN 3B, 1571 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ----_------------------------------------------------------------------------ Other Fees ... . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC .CENTER - RES 366.00 Page 3 Application Number . . . . . 04-00007083 Date 11/16/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 41.28 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 Paid Credited Due ----------------- Permit Fee Total ---------- 949.01 -------------------- .00 ---------- .00 949.01 Plan Check Total 487.51 .00 ..00 487.51 Other Fee Total 2456.17 .0.0 .00 2456.17 Grand Total 3892.69 .00 .00 3892.69