04-7101 (SFD)13
T-Vf 4 4 Q"
BUILDING & SAFETY DEPARTMENT
P.O. Box 1504 (760).777-7012
78-495 CALLS TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
BUILDING PERMIT
Application Number .
. . . . x-04-00007101 Date
11/23/04
Property Address . .
. . . 80835 VIA PUERTA AZUL
APN:
762-240-003-77 -300962-
Application description
. . . DWELLING -. SINGLE FAMILY DETACHED
Property Zoning . . .
. . . . MEDIUM DENSITY RES
Application valuation
. . . . 112634
Owner
Contractor
------------------------
PUERTA AZUL PARTNERS
------------------------
DAVIS/REED CONSTRUCTION
INC
17700 SW UPPER BOONES
FERRY RD 169 SAXONY ROAD, STE
#105
SUITE 100
ENCINITAS
CA 92024
PORTLAND OR 97224 (760) 634-2350
�'
WCC: STATE FUND
^-p^`
�r WC: WC298892003
06/12/05
•CSLB: 813480
10/31/06
CCC: B
---------------------_ ---,,_-Structure
Information ----=--------------------
Construction Type :r:.°
TYPE V - NON RATED
Occupancy Type,,----. .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . . . . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001
CRC-
# BEDROOMS
1.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
250.00
PATIO SQ FTG
617.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
1740.00
Permit . . . . .
BUILDING PERMIT
Additional desc
Permit Fee . . . .
685.00 Plan Check Fee
111.31
Issue Date . . . .
Valuation . . . .
112634
Qty Unit Charge
Per
Extension
BASE FEE
639.50
13.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
45.50
Permit . . . . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
78.50 Plan Check Pee
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
.f-
P.O.
P.O. Box 1504 '���
78-495 CALLS TAMPICO VOICE (760) 777-7012
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253TW9P4 INSPECTIONS (760) 777-7153
BUILDING & SAFETY DEPARTMENT
Application Number: d - 1 0 1
Applicant: —_Architect
Applicant's Mailing Address:—Architect
Lic. No.:
Date: 12-1.0
or Engi
or Engineer's
t3UILUINU PERMIT DECLARATIONS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (co men 'ng with Section 7000) of Divi ion 3 of the Business and Professionals
C and my License is in I force and effect.
icense'Class �se No.
ate ` Z�7�)K-ontractor
OWNER -BUILDER DECLARATION
I hereb affi 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 ounty 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 Cone: 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)Jicensed 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
Y of the work for which this permit is issued.
I have and w'll aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the'performance of the work for which this permit is
i ed. wo rs' compensation insurance carrier and policy number are:
er /Policy Number ���L7 �p'�
e fy thfit, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as 6 e -come subject to the workers'
ompensation laws of California, and agree that, if I sh come su-bjettto-t o ers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwA coAloly with tho ee anvisinns /7
VVARNIN9f FAILURE TO SECURE WORK COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED TH SAND 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
Lenders 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 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, indemnity and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work bein �ertned Qfider oriel ng issuance of this permit.
2. Any permit issued as a result of this application becomes null and v ' 'irk is not commenced within 180 from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancella
I certify that I have re this application and state that the above i ation is cor a o y witfi all city and county ordinances and state laws relating to building
construction, and reb authme representatives of this co y to enter up a o -men' ed pr r inspection purposes.
ate ` L / �5ignature (Applicant or Ag
Application Number . . . . . 04-00007101
Page. 2
Date 11/23/04
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
. . . .
80.90 Plan Check Fee
5.06
Issue Date
. . . .
Valuation
0
Qty
Unit Charge
Per
Extension
BASE FEE
15.00
1740.00
.0350
ELEC NEW RES - 1 OR 2 FAMILY
60.90
250.00
.0200
ELEC GARAGE OR NON-RESIDENTIAL
5.00
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING
Additional
desc
Permit Fee
146.25 Plan Check Fee
9.14
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
5.00
.7500
EA PLB GAS PIPE >=5
3.75
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
77. PLAN 4BR,
1740 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.
---------------------------------------------------------7------------------
Other Fees
. . . .
. . . . ART IN PUBLIC PLACES -RES
.00
Page 3
Application Number
. . . . .
04-00007101 Date
11/23/04
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
11.13
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
11.26
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
-----------------
Charged
----------
Paid Credited
Due
Permit Fee Total
1005.65
------------------------------
.00. .00
1005.65
Plan Check Total
130.42
..00 .00
130.42
Other Fee Total
2427.39
.00 .00
2427.39
Grand Total
3563.46.
.00 .00'
3563.46
11/14/2005 11:30 7607771457 DAVISREED CONST
E s CITY OF LA QUINTA
CIR Io BUIIpING & SAFETY DEPARTMENT
_o:.::
1 f /� �'"o► 777-7012
4 INSPECTION REQUEST LINE
777-7153
Owner PUERTA ,AZUL PARTNERS, LLC
CTION
Contractor
DAMS REED CONSTRU
Permit Number. 04-7101..
POST ON JOB IN CONSPICUOUS PLACE,
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 80-835 VIA PUERTA AZUL
SFD — LOT 77, PLAN 4RB. PERMIT DOES NOT
INCLUDE POOL, SPA, BLOCKWALLS OR
DRIVEWAY APPROACH
TYRE OF INSPECTION DA E INSP
TFMPORARY POWER
DO NOT POUR CONCRETE UNTIL ABOVE
ROOF NAIL / PRE -ROOF o
OKAY TO WRAP l
COVER NO WORK UNTI
INTERIOR GYP. BD. IDRYWAL�L9
SEPTIC ABANDONM
R
m.nre%mov iticaFrMInNS
t"1 1W
PLUMBING
WORKS DEPARTMENT
LAITY D VELOPMENT
DEPT
JOS COMPLETED
PAGE 02/02
If V �,,� R
f - Certificate of Occupancy
- _-- - - - -
Building& Safety Department
Y
This Certificate is issued pursuant to the requirements of Section 909 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: 80-835 VIA PUERTA AZUL
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7101
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 9. 2005
Building Official
POST IN A CONSPICUOUS PLACE