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04-7631 (SFD)BUILDING & SAFETY DEPARTMENT ' . •P.O'.. Box 1504; (7,60).777-7012 OF $-49. CALL �MPICO' FAX (760) 777-7011 TA, IFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 .IAN 061005 BUILDING PERMITLAQuj14TA Appl catio� 'A 04-00.007631 Date 12/13/04 Prop ress •, 57-41'0 VIA VISTA APN: 762-240-003-70. -300962- Application description.. '.'DWELLING =.SINGLE FAMILY DETACHED Property Zoning ,. MEDIUM DENSITY RES Application valuation 85886' Owner - Contractor - y ... ------------------------ PUERTA AZUL PARTNERS } r ' -- -4-Y--=------ .. ..•.: = DAVI'S/REED CONSTRUCTION INC 17700•,SW'UPPER'BOONE& FERRY RD..16.9.1SAXONY ROAD, STE #105. SUITE 100' „" '. ENCINITAS CA 92024 "PORTLAND',. OR 97224"" (760) 6347235.0 WCC:1. STATE FUND. WC:' WC298892004 06/12/05 ,. CSLB: 813480 10/31/06 CCC: B -=--'--==-='-----=---------- Structure''Information -------------------------- Construction Type TYPE V - NON RATED Occupancy Type DWELLG/.LODGING/LONG <=10' Flood Zone' NON -AO FLOOD,ZONE �:. Other struct info ; .'N.. " CODE EDITION 2001 CBC # BEDROOMS.. 2.00 FIRE SPRINKLERS NO fi GARAGE 'SQ FTG 244.00 r _� M1- �.t 4PATI0 SQ FTG. �. 163.00 - `. NUMBER OF:.UNITS '1.00 - '1ST"FLOOR-SQUARE FOOTAGE 1380.00 --------------------- Permit . . .°. --------'>.--`-- 7 -------- -------------------- BUILDING'PERMITy -», '• �r-�' Additional desc Permit Fee .576.50 Plan Check Fee 93.68 Issue. Date .. Valuation . . 85886 Expiration Date 6/13/05 Qty. Unit Charge. Per Extension r BASE FEE.>t'. ;q 414.5.0 36.00 4..5000 ----------------=--------=--=--'-------------=-----------=-------------------- THOU BLDG 50,001-100.,000'. 162.0'0 Permit MECHANICAL Additional'desc Permit Fee 1_ 78.50 Plan Check Fee .. .4.91 Issue Date - Valuation 0 ..Expiration Date -6./13/.051 Qty Unit' Charge Per Extension } .. ' "`-BA$E:'1,F.EE l "� ...15.00 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: d y Vp3 Applicant: Applicant's Mailing Address: r •t VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: l S D chitect or Engineer: Architect or Engineer'sAddress: ic. No.: �" Z 3 2 2 t3UILUINU PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION hereby affirm under pen y of egury that I am licensed under provisions of C pter 9 ( g �prith Section 7000) of Division 3 of the Business and Professionals Code, and my License i full rce and effect. /3 U icense Class q,-&6e`nse No. `1 Dai�� v � �ontractor_�� OWNER -BUILDER 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 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 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 of the work for which this permit is issued. I have andintain workers' compensation insurance, as required by Section 3700 of the Labor Code for the erforrnance of the work for which this permit is issyed. (Vty workers' compensation ' rance carrier and policy number a� �rtier � ytr— —policy Number _Ice y tha , in the performance of the work for which thi shall not employ an person m any manner so as tg �c,Ome subject to the workers' compensation laws of California, and agree t uld become he workers' compensation provisions of Section 3700 of the Labor Code, I shall p forthwith comply with those provisions. WARNING: FAILURE TO SECURE WOOER§'fOMPENSATION COVERAGE IS UNLAWFUL, AND SRALL 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 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 eorkiFtEcommencedwithin emnify and hold harmless the City of La Quinta, its officers, agents and employees for any actor omission related to the wo under or following ce of this permit. 2. Any permit issued as a result of this application becomes nulla if 160 days from to of issuance of such permit, or cessation of work for 180 days will subject permit to can ion. I certify that I have read this application and state that the abov formation i ct. I agree t afl city and county ordin ces and state laws relating to building construction, and hereby authorize of this cou ter a above- operty, for inspection pu –16ate i5 gnature (Applicant or Agent): Page 2 Application Number 04-00007631 Date 12/13/04 Qty Unit-Charge Per Extension 1.00 9. 000;0'. EA` MECH FURNACE <=100K 9.00 1:00 9'.0000.EA MECH''B/C,<=3HP/100K BTU 9.00 .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 Expiration .Date :6/13/05 Qty Unit Cha"rge_'.Per.. Extension BASE.FEE •' 15:00 138'0.00 .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 Expiration'Date 6/13/05 Qty Unite Charge..%Per Extension .-BASE, . FEE 15.00 1'2. 00 6,.0000 '.EA `"" : PLB'FIXTURE' ' 72.00 1.00 15.0000-EA PLB BUILDING SEWER 1.5.00 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 EA , . PLB GAS PIPE ,. 1- 4 OUTLETS 1-. 00 15':'0000' EA F . PLB GAS : METER, _ 15.00 -----------------------=---=-=-==-=--------=----"---------------------------- - Permit . GRADING PERMIT. Additional desc Permit Fee 15.0.0 Plan Check'Fee 00 Issue Date Valuation 0 Expiration Date' 6/13/05 Qty Unit Charge-, Per Extension BASE.FEE, 15.00 Speci.al..Notes and Comments SFD. - LOT 70.. PLAN 1RA-, 1380 SF. PERMIT DOES NOT INCLUDE BLOCK WALLS,..POOL,.SPA .. � 1. � �. .� `� •,. ... • .. -' .. •,1 F ', ,, •. Page 3 Application Number., 04-00007631- Date 12/13/04 -------------- Special Notes, and ,_f Comments" _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, _ _ _._ _ _ _ _ _ _•_ _ _ OR DRIVEWAY APPROACH.' ,75 o PLAN .CHECK` FEE REDUCTION :APPLIED FOR, MULTIPLE ISSUANCE OF SAME PLAN TYPE. ` Other Fees -., {�. - -- ART -IN PUBLIC PLACES -RES' _ ----.00`---- °-.DIF`COMMUNITY CENTERS -RES '97.00 i rr 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 i 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 -- ------------ -'-- - - -- ------- Permi,t- Fee Total • ,877..6800: 00 877.68. . Plan Check Total.. °"111.57 .00''` .00 111.57 Other Fee • Total' • " y 2422.95> :' . 00 ` ` . 00 2422.95 ' Grand Total3412`:20. `. :00 OOr: 3412.20 ? _ ' Wil" � y 4 •) .- CERTIFICATE OF FIELD VERIFICATION &-DIAGNOSTIC TESTING.(Pap 17of.1), - : CF -4R Project Address I Puerta Azul:]: Builder /Installer ; .57410 Via Vista/ La Quinti / CA / 92253' " Puerta Azul Partners, c/o,Pacific Security Capital ' Builder./ Installer Contact Telephone Plan Number / Per'mit Number Mike Kwaske 7607027215.'• 1 P-? 3,1 �. HERS'Rater, Telephone Sample Group Number . 1 Dave Bricker = CjHjEjEjRjS® ID'#CCN99380828 7607743676 19 ' Com Bance Method (Presc ' tive ) Climate Zone 15 Certifying Signature Date Sample House Number U Firm HERS Provider . -Energy Driden Soluf�ons CIHIEIEIRIS® - Address : City/State/Zip 48-755 still Water Street ' Indio LCA'/92201..