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04-7079 (SFD)T4hf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760),777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . 04-0-0-0-97079) 'Date 11/16/04 Property Address . . . . . 80824 VIA PUERTA AZUL APN:. 762-240-003-11/ -300962- Application description . . . DWELLING - S/PNGLE FAMILY DETACHED Property Zoning . . MEDIUM DENSITY RES Application valuation . . . . 99599 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 (7 60) 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 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 415.68 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 --------------------------7------------------------------------------------- Permit MECHANICAL Additional desc . . . Permit Fee . . . . 85.010 Plan Check Fee 21.25 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 TAMPICO TFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 44INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: ?0 7 9 Date: l I - 1 -0Z Applicant: rch�oineer:. ` Applicant's Mailing Address: --Architect or Engineer's Address: No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter q (commencing with Section 7000) of Division 3 of the Business and Professionals C de, and my Licen in full force and effect. ( /License Class � �nse No. (� ""— / Date 1 1_. t V'C4tractor OWNER43UILDER 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 1, 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 of perl'ury one of the following declarations: —1 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 requuefty Section 3700 of the La ode, for the performance of the work for which this permit is issu d. MyV rkers' cQQmpensatio��usurance carrier ap -p re umt e� a Carrier 5 �. h-tss� C7� /Policy Number `-' .2 ��11A I certify that, in the performance of the work fo�wlSich t�'�pernit is iss shall n mploy person in any manner so as to become subject to the workers' compensation laws of California, and ague that„iYi ou barn subject a wo s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ /Date ' 14 WARNING: FAILURE TO SECURE WOR KE MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, I REST, 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 related to the work b ' Formed under or ollowing �uance of this permit. 2. Any permit issued as a result of this application becomes null and vol s not commenced in 180 days'(rom 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 infomta n is ec agree to c ply with y and geunty ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter ��re-men ' ed prop for inspe on purposes. Dateignature (Applicant or Agent): Page 2 Application Number . . . . . 04-00007079 Date 11/16/04 Qty Unit Charge Per Extension 7.00 6.5000 EA MECH VENT FAN 45.50 1.00 ----------------------------------7----------------------------------------- 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc . . Permit Fee . . . . 74.32 Plan Check Fee 18.58 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 37.13 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 11. PLAN 2B, 1549 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------- Other Fees --------------- ART IN PUBLIC PLACES -RES 1.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 Page 3 Application Number . . . . . 04-00007079 Date 11/16/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . ENERGY REVIEW FEE 41.57 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 Paid Credited Due Permit Fee Total ---------- 965.32 -------------------- .00 ---------- .00 965.32 Plan Check Total 492.64 .00 .00. 492.64 Other Fee Total 2456.52 .00 .00 2456.52 Grand Total 3914.48 .00 .00 3914.48 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 80-82"4 VIA PUERTA AZUL, LOT 11, RELEASE 8, PHASE 2, LA QUINTA, CA CEILINGS: TYPE: BLOW MAUNFACTURER: Owens Corning THICKNESS: R-11 WALLS: TYPE: BATTS MANUFACTURER: Ceitainteed THICKNESS: R-19 GENERAL CONTRACTOR: DAVIS—REED CONSTRUCTION LICENSE # BY. TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 TITLE: ACCOUNT REPRESENTIVE DATE: BY: qJ? P .:1•/�n�/f'•':'%ICY///F/O.S/f/5%:/.f/l/P.;Fi.S/%/%/'6/./'///C/u%%:iI/l./.s�/:P/.i+//Y/:/vi iYF/i/:./F/..//.E'iA/{.:.ri...:///✓/eY/•4%1`::e'.'V/:V..4.f/.�Ci/.,/.i+::r>::•a'✓•%.:;mss/1::�'r/:1.A%i/•F:�r./�/ri R:r.:.:'�.�F!� • 0 4ti a s CITY OF LA QUANTA ,� BUILPING & SAFETY DEPARTMENT ov 777-7012 u Owner INSPECTION REQUEST LINE : 777-7153 PUERTA.AZUL PARTNERS Contractor• DAVIS REED- CONSTRUCTION Permit Number 04=7079._ POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-824 VIA PUERTA AZUL SFA — LOT 11, PLAN 2B, PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL. / SPA 1 WATER FEATURE INSPECTIONS PRE•GUNITE / SETUCKS U/G PLUMBING U/G GAS U/G ELECTRICAL PRE -PLASTER / BARRIERS FINAL INSPECTIONS TEMP USE OF PERMANENT POWM ELECTRICAL PLUMBING IV- 14ANICAL F C WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT 141 FINAL / JOB COMPLETED L Z0/Z0 3DVd 1SNOD Q33�ISIAVQ LSVTLLL09L ES:ST 9002/LZ/0Z Lail ��- Certificate of Occupancy.* 0 OF 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: 80-824 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7079 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: OCTOBER 12, 2005 Building Official POST IN A CONSPICUOUS PLACE