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04-7088 (SFD)TOW 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 ... 0-4---0-0-0-0-7-0-8-8 ---- ,__ Date 11/23/04 Property Address . . . . . . 080847 VIA PUERTA AZUL APN: 762-240-003-79 -300962- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . MEDIUM DENSITY RES Application valuation . . . . 85886 .�35'0t PUERTA AZUL PARTNERS 17700 SW UPPER BOONES FERRY RD SUITE 100 PORTLAND _-eR 9 7 2 24 Contractor DAVIS/REED CONSTRUCTION INC 169 SAXONY ROAD, STE #105 ENCINITAS CA 92024 (760) 634-2350 WCC: S TATE FUND WC: WC298892004 06/12/05 CSLB: 813480 10/31/06 CCC: B ----------------------- 1`__- -,7_,,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 163.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1380.00 ---------------------------------------------------------------------------- PermitBUILDING 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 TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04— '10 y 1� Date: l Z Applicant: ---Architect or Engineer: Applicant's Mailing Address: ___Architect or Engineer's Address. ic. No.: _ �� /� ^52% BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of CD5er wg�men ng action 7000) of Division 3 of the Business and Professionals Co , and my Lice se is ' force and effect. LL�y� cense Class cense No. / /Date ontractor S � / r OWNER -BUILDER DECLARATION I hereb affi under penalty of perju t I am exempt rom 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.). (, 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 Owner 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 A, of the�yaPkfd►which this permit is issued. K I hof and will maintain workers' compens tion insura lequ] d by Section 0/(oof the Labor Code, for the ; ortm ante of the work for which this permit is 1SMy workers' compensati u Garner and policy num �rier ` icy Number I certify that, in the performan I 6f the work for ch t ' p is issued, I shall not employ any person in any manner so as to become subject to the workers' o pensation laws of C i omia, and a at, ' s d beco subject to Ithe workers' compensation provisions of Section 3700 of the Labor Code, I shall fo with comply with thos ate //Cpplicant WAR N FA LURE TO SECUREW KERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL/FINES UP TO ONE HUNDRED THOUSAND 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 APPLICANT AC <NOWLEDGEMENT 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 Ouinta, its officers, agents and employees for any act or omission related to then oder or following issuance of this permit. 2. Any permit issued as a result of this application becomes nucomes nu _0 id is not commen wit not commen within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to ca ation. I certify that I have rea this application and state that the abo mfortnation is Oct. I a to omply with II city and county ordinances and state laws relating to building construction, and he by ut riize representatives of this c my to enter u n t ab o me ned property f r inspection purposes. DateS� ignature (Applicant or Agent): Page 2 Application Number 04-00007088 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 . . . . 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 79. PLAN 1BR, 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 . . . . . 04-00007088 Date 11/23/04 ---------------------------------------------------------------------------- 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 Permit Fee Total 877.68 Plan Check Total 111.57 Other Fee Total 2422.95 Grand Total 3412.20 Paid Credited Due ---------- ---------- ---------- .00 .00 877.68 .00 .00 111.57 .00 .00 2422.95 .00 .00 3412.20 A�� • Certificateof Occupancyo 4 C� OF Building& SafetyDe artment p 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: 80-847 VIA PUERTA AZUL Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-7088 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 ^dry Date: NOVEMBER 9, 2005 Building Official POST IN A CONSPICUOUS PLACE 11/11/2005 15:51 7607771457 DAVISREED CONST i I I `% 1 D CITY..? LAMINTA BUILDING .g�; AFEiY Dl:PARTM ENT 0�4 ON` 777-7012 INSPECTION.REQUEST LINE 777-7153 PUERTA AZUL PARTNERS, LLC Owner DAVIS REED CONSTRUCTION Contractor Permit Number. 04"7088 POST ON .JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES 80.847 VIA PUERTA AZUL JOB ADDRESS SFD --LOT 79, PLAN IRB. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH TYPE OF INSPECTION DATE INSP. GROUNDING DO NOT POUR CONCRETE UNTIL ABOVE ROOF NAIL / PRE -ROOF 15 ' o OKAY TO WRAP 0S' F IING (COMBINATION) SIGNED INTERIOR GYP. SEPTIC ABANDONMENT SEPTIC FOOTINGS / STEEL I I PAGE 02/02 11/11/2005 15:51 7607771457 DAVISREED CONST D.A visREED 57-325 Madison Street La Puinta, CA 92253 760-777-1440 .'ax: 760-777-,1457 FAXI TR.�ars.�r7�.aL ?O: Xay ,From.: .dark Alexander Date: November 1i, 2005 _Tax No: 76o-777-7011 Pages: 2, including this sheet RP: Please issue Certificate of occupancy PAGE .01/02