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04-7078 (SFD)T-af 4 4 a" BUILDING & SAFETY DEPARTMENT .P.O. Box 1504 (760),777-7012 78-495 CALLE TAMPICO - FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number . . . . .004-00007078 Date 11/16/04 Property Address . . . . . . 8 -0830 -VIA PUERTA AZUL APN: 62-240-003-10 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning .. . . MEDIUM DENSITY RES Application valuation . . . . 87296 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: 81.3480, 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 CBC # BEDROOMS 2.00 FIRE SPRINKLERS NO GARAGE SQ FTG 244.00 PATIO SQ FTG 269.00 NUMBER OF UNITS 1.00 FIRST FLOOR SQ FTG 1380.00 ---------------------------------------------------------------------------- Permit . ... . . . BUILDING PERMIT Additional desc Permit Fee 585.50 Plan Check Fee 380.58 Issue Date . . . . Valuation . . . . 87296 Qty Unit Charge Per Extension BASE FEE 414.50 38.00 4.5000 THOU BLDG 50,001-100,000 171.00 ---------------------------------------------------------------------------- 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 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 P.O. Box 1504 VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Architect Applicant's Mailing Address: Architect ic. No.: or Engineer: or Engineer's BUILDING PERMIT DECLARATIONS �' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is II force and effect. �CicensetClass �ce No. Date / ` contractor OWNER -BUILDER DECLARATION 1 he y affirm under penalty of perjury that 1 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 rive 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 1 am exempt under Sec. , B.& 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 intain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of th orkf whi permit is issued. g 1 have nd wi aint n workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance 0-6 of the for which this permit is ed v 0 com a tion insurance carrier-and-polis*number are: Z— �rier /Folic arti>f e e ify that, in the perfornfance of ork for which this pe ssued, I sh I nQt employ any personnany manner so as to become subject to the workers' co pensati • n laws of Calif a, and agre at, if I sh eco ubject to the . orkers' compensation provisions of Section 3700 of the Labor Code, I shall f th _ply with t e provisions. mete Ant WAR G F LUR TO SECURE VV6 KERS' C PENSATION COVERAGE IS UNLA L A_ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI FINE PTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST -OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE TION 706 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 A 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-foTWho nefit 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, mdemnify,and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission relatedt he work being performed under or following iss'"nce of this permit. 2. Any permit issued as a result of this application becomes nu I -and void if work is no m d within 180 days frb date of issuance of such permit, or cessation of wo for 180 days will subject permit to ca9pallation. I certify that I he a read t s application and state that the above iriiformat' is rrect. comply w, city and county rdinances and state laws relating to building construction, d hM representatives of this cou y to r the tion rty for inspection pu ses. t ateture (Applicant or Agent): 0 Page 2 Application Number . . . . . 04-00007078 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 17.05 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 34.88 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.10. PLAN -1B, 1380 S.F. 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 . . . . . 04-00007078 Date 11/16/04 ---------------------------------------------------------'------------------- Other Fees . . . . . . . ENERGY REVIEW FEE 38.06 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 8.72 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 886.68 .00 .00 886.68• Plan Check Total 452.14 .00 .00 452.14 Other Fee Total 2451.78 .00 .00 2451.78 Grand Total 3790.60 .00 .00 3790.60 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 80-830 VIA PUERTA AZUL, LOT 10, 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: �t� TITLE: ACCOUNT REP.RESENTIVE DATE: OS 0 • CITY OF LA QUINITA BUILDING & SAFETY DEPARTMENT •OPT 777-7012 INSPECTION REQUEST UNE 777-7153 Owner PUERTA.AZUL PARTNERS Coy tractor DAVIS REED CONSTRUCTION Permit Number-.•ja"7078 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 80-830 VIA PUERTA AZUL SFD - LOT 10, PLAN IB. PERNIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH WE a Z0/Z0 39Vd iSN00 Q33dSIAVG LSPTLLL09L ES:ST 5002/LT/0T ,- Certificate of Occupancy000 0 o nom.^,m 4 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: 80-830 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7078 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 -mob' Date: OCTOBER 12, 2005 Building Official POST IN A CONSPICUOUS PLACE