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04-7089 (SFD)BUILDING & SAFETY DEPARTMEIJT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 Application Number . . Property Address . . . APN: Application description Property Zoning . . . . Application valuation . BUILDING PERMIT . . . E0_4-00007089 Date 11/23./04 . . . 80871 VIA PUERTA AZUL 762-240-003-83 -300962- . . . DWELLING - SINGLE FAMILY DETACHED . . . MEDIUM DENSITY RES . . . 85886 Owner,---� Contractor �� PUERTA AZULIt�iVERS ` ��" DAVIS/REED CONSTRUCTION INC .F 17700 SW UPP',ff-R4 BOONES--FERRY RD 169 SAXONY ROAD, STE #105 SUITE 100 `a T^' ENCINITAS CA 92024 PORTLAND �'' '`�,GRI 9722,_4.. (760) 634-2350 WCC: STATE FUND ;- WC: WC298892004 06/1'2/05 CSLB: 813480 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 163.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1380.00 -=-------------------------------------------------------------------------- Permit . . . . . . BUILDING 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 50,00'1-100,000 162.00 ------------------------------------------------------------`---------------- Permit . . . . . MECHANICAL Additional desc Permit Fee . . . . 78.50 Plan Check Fee 4.91 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE' FEE 1S.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 ���� 78-495 CALLE TAMPICO VOICE (760) 777-7012 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4vol INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: d �' 70 8 y' Date: /o� •/'D Applicant: hitect or Engineer: 6 Applicant's Mailing Address:rchitect or Engineer's Address: . Vr --1 .Lic. No., BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally- perjury that I am licensed under provisions of Chapter 9 (commern ing with Section 7000) of Division 3 of the Business and Professionals Co , and my License is in f Il orce and effect. ^ 1 icense Class cense No. v ate t7 ontractor i OWNER -BUILDER DECLARATION I hereby affirm and r 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 Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty f perju a of the following declarations: I have aridwill aintain certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of th work f r whit this permit is issued. I have nd will ainta' workers' c pensa n insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ss o pe on ' urance carrier anted Pili rare: arner olicy Number / (%�� /(c e/tff tat, in the performan of the work for is this permit is issued, I shall not employ �Wanganirn sous come subject to the workers' c99mpensation laws of California, and agree t I s�6uld become subj1ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall J6rth4th corpply with those DrovisionsJ % ate �ETO pplicant WARNIN : F ILU SECURE WOR COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI ES UP TO ONE HUNDRED T OUSAND 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 a request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and pp icant, each agrees to, ndshall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or, sion related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this applica ' n becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessati of work for 180 days will subject p r�,nf. it t I certify that I hav read this application and state that the rr ee to mply with all city and county ordinances and state laws relating to building construction, a hby�gthorize rep talives of this.me or inspection purposes. // Signature (Applicant or Agent): Page 2 Application Number . . . . . 04-00007089 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 83. PLAN 1AR, 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 . . . . . 04-00007089 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 ---------- Paid Credited Due Permit Fee Total 877.68 ------------------------------ .00 .00 877.68 Plan Check Total 111.57 .00 .00 111.57 Other Fee Total 2422.95 .00 .00 2422.95. Grand Total 3412.20 .00 .00 3412.20