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06-3578 (SATT) Apt 79P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT c_ �6 7_iii0.3:578— � p Owner: .84-4e6-S7ISTA DUNES LN Q / LA QUINTA REDEVELOPMENT 604-032-022- - 48495 CALLE TAMPICO DWELLING - SINGLE FAMILY ATTACHED LA QUINTA, CA 92253 LOW DENSITY RESIDENTIAL 131403 Applicant:rchitect or Engineer: o C t�tC 7 ----------------------------------------------- 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 Bu ' e s and Professioh Is Code, and my License is in full force and effect. Lice e C ss ens No.: 813480 Date: ntractor: III 4—A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: 1 _ I 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 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.). 1 _ 1 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.). (_ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 AGENCY Contractor: DAVIS/REED CONSTRUCTION INI 12250 EL CAMINO REAL, STE SAN DIEGO, CA 92130 (760)634-2350 Lic. No.: 813480 Date: 10/16/06 --------------- - - - WORKER'S 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 and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier TRAVELERS INDEM Policy Number C2KUB4747C539 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if uld become subject o the workers' compensation provisions of Section r 3700 of the Lay r Coke, hsh4Il forVayvith npyy with those provisions. WARNING: FAILURE TO SECURE WQRKERS' COMPENSATION '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. 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, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I ave read this application nd state tha a above information is correct. I agree to comply with all city and c my ordinances and sta aws relating t bui in construction, ireby authorize representatives ofthi o t [ er upon t ove-mentioned pr pe f r ins ionp ate: � ature (Applicant or Agent): LQPERM(T Application Number . . . . . 06-00003578 ------ Structure Information 2 UNIT BLDG ----- 'Other struct info . . ... . CODE EDITION 01BMP04E05EN ## BEDROOMS 3.00 FLOOD ZONE NO GARAGE SQ FTG 796.00 PATIO SQ FTG 520.00 TOT ELIGIBLE NO NUMBER OF UNITS 2.00 1ST FLOOR SQUARE FOOTAGE 1995.00 2ND•FLOOR SQUARE FOOTAGE .00 Permit . . BUILDING PERMIT Additional desc 2 UNIT BUILDING Permit Fee . . . . 751.50 Plan Check Fee 122.12 Issue Date . . . . Valuation . . . 131403 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE 639.50 32.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 112.00 Permit . . . MECHANICAL Additional desc . Permit Fee 70.50 Plan Check Fee 4.41 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE 15.00 . 2.00 9.0000 EA MECH FURNACE <,=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 3.00 6.5000 ---------------------------------------------------------------------------- EA MECH VENT FAN 19.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 100.75 Plan Check Fee 6.30 Issue Date Valuation . . . . 0 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE 15.00 1995.00- .0350 ELEC NEW RES - 1 OR 2 FAMILY 69.83 796.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.92 LQPERM(T Application Number . . 06-00003578 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 202.50 Plan Check Fee 12.66 Issue Date Valuation . . . . 0 Expiration Date 4/14/07 Qty Unit Charge Per Extension - BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 3.00 15.0000 EA PLB BUILDING SEWER 45.00 2.00 7.5000 EA PLB WATER HEATER/VENT 15.00 2.00 3.0000 EA PLB WATER INST/ALT/REP 6.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00- 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 2.00 .7500 EA PLB GAS PIPE >=5 1.50 2.00 15.0000 EA PLB GAS METER ---------------------------------------------------------------------------- 30.0^_ Permit . . . GRADING PERMIT ` Additional desc Permit Fee• . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/14/07 Qty Unit Charge Per Extension BASE FEE ----------------------------------------------------------------------------- 15.00 Permit SOLAR PERMIT Additional desc . Permit Fee . . . . 19.50 Plan Check Fee1.22 Issue Date Valuation . . . 131403 Expiration Date 4/14/.07 Qty .Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 ---------------------- --------- Special Special Notes and Comments - -- 2 UNIT BUILDING 1995 SF LIV.CLUSTER TYPE "B",PARTIAL BLDG TYPE "B" R-3 OCC TYPE V -N CONSTR. 2001 CBC, CMC,CPC, 2004 CEC,2005 ENERGY CODES.**PERMIT DOES NOT INCLUDE BLOCK WALLS, FENCES, SWIMMING POOLS, BBQ'S,TRASH ENCLOSURES AND SITE LIGHTING** *REDUCED PC FEE PERMIT* LQPERDIIT e Application Number 06-00003578 ---------------------------------------------------------------------------- Other Fees . . . . . .. . . . ACCESSIBILITY PLAN REVIEW 12.21 DIF COMMUNITY CENTERS -RES 112.00 DIF CIVIC CENTER - RES 650.00 ENERGY REVIEW FEE 12.21 DIF FIRE PROTECTION -RES 90.00 DIF LIBRARIES - RES 532.00 DIF PARK MAINT FAC - RES 32.00 DIF PARKS/REC - RES 1338.00 STRONG MOTION (SMI) - RES 13.14 DIF. STREET MAINT FAC -RES 134.00 DIF TRANSPORTATION - RES 3860.00 Fee summary Charged Paid Credited Due Permit Fee Total 1159.75 .00 .00 1159.75 Plan Check Total 146.71 .00 .00 146.71 Other Fee Total 6785.56 .00 .00 6785.56 Grand Total 8092.02 .00 .00 8092.02 LQPERMIT �. ._101 44 0 G7 m 3 •Q ) Q V CD D uj Ili _ LEEO V W Q U IS Go z o0 o a - o w °> O _ ;O y..r 0 Cl) O c 4b O U) Q CU CO w OO to.= Z 7 � •u., Q o O y CL V p p to L.to U LU LU U Z mail CD C, o � _ ~ a.a t'y'� Ica y to w o C.)Z z Mn J V) ++ Q W z y p CoD W ❑ O ,y Z 120 J Q Ln AIN��1�i111 � lira ,�� C, = V �� O = co o yCIO 0 L j _ co Lj7 c>i co .. CIO cu o �o �►� ci a Z) o 0 i i