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06-3588 (SFD) Apt 12y Applicant: �rchitect.or Engineer: . Lt�6�sG ING & SAFETY DEPARTMENT BUILDING PERMIT 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 9 .ss a d Professi als ode, and my License is'in full force and effect. License Cl ss B _ ice se No.: 813480 Date: 6 ontractor: JUAN 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, 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 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. , B.&P.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: 1" LQPER114IT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/06 Owner: " LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: DAVIS/REED CONSTRUCTION INC 12250 EL CAMINO REAL, STE 4325 SAN DIEGO, CA 92130 (760)634-2350 Lic. No.: 813480 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. P` -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 he workers' compensation laws of California, and agree that, if s Id become subj ct to he orkers' compensation provisions of Section 3700 of the Labo Cod I hall f rt it co ly ith those provisions. a6 te: plicant: WARNING: FAILURE TO SECURE WKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 have read this application and state that the above information is correct. I agree to comply with all aty and bunty ordinances an ate laws relating to b ' g onstruction and reby a thorize representatives of t ' co nt to r up he above-mentioned prop rty o nspe do p po Date: Signature (Applicant or Agent): P.O. BOX 1504 N ru 78-495 CALLE TAMPICO 1- 1 w LA QUINTA, CALIFORNIA 92253 g ._ VB1 O �� - 950. �;'' �" • Application Number: 06'-00003558-. Property Address: VISTA DUNES LN APN: 604-032-022- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 71074 Applicant: �rchitect.or Engineer: . Lt�6�sG ING & SAFETY DEPARTMENT BUILDING PERMIT 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 9 .ss a d Professi als ode, and my License is'in full force and effect. License Cl ss B _ ice se No.: 813480 Date: 6 ontractor: JUAN 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, 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 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. , B.&P.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: 1" LQPER114IT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/06 Owner: " LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 Contractor: DAVIS/REED CONSTRUCTION INC 12250 EL CAMINO REAL, STE 4325 SAN DIEGO, CA 92130 (760)634-2350 Lic. No.: 813480 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. P` -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 he workers' compensation laws of California, and agree that, if s Id become subj ct to he orkers' compensation provisions of Section 3700 of the Labo Cod I hall f rt it co ly ith those provisions. a6 te: plicant: WARNING: FAILURE TO SECURE WKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 have read this application and state that the above information is correct. I agree to comply with all aty and bunty ordinances an ate laws relating to b ' g onstruction and reby a thorize representatives of t ' co nt to r up he above-mentioned prop rty o nspe do p po Date: Signature (Applicant or Agent): r Application Number . . . 0.6-00003588 ------ Structure Information SFD BUILDING ----- Other struct info . . . . CODE EDITION 01BMP # BEDROOMS 3.00 FIRE SPRINKLERS YES GARAGE SQ FTG .00 - PATIO SQ FTG 219.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 1159.00 2ND FLOOR SQUARE FOOTAGE .00 Permit . . . BUILDING PERMIT Additional-desc . Permit Fee . . . . 513.50 Plan Check Fee 83.45 Issue Date Valuation 71074 Expiration Date 4/10/07 Qty Unit Charge Per Extension BASE FEE 414.50 22.00 - 4.5000 THOU BLDG 50,001-100,000 99.00 Permit MECHANICAL Additional desc . Permit Fee . . . . 4'6.00 Plan Check Fee 2.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/10/07 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 2.,.00 6.5000 EA MECH VENT FAN 13.00 Permit . . ELEC-NEW RESIDENTIAL Additional desc ... Permit Fee 55.57 Plan Check Fee-. Issue Date . . . . Valuation . . . 0 Expiration Date 4/10/07 Qty Unit Charge Per, Extension BASE FEE 15.00 1159.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 40.157' ---------------------------------------------------------------------------- Permit . . . PLUMBING LQPERMIT . Application Number . . 06-00003588 Permit . . . PLUMBING Additional desc . Permit Fee . . . 115.50 Plan Check Fee-. 7.22 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 8.00 6.0000 EA PLB FIXTURE 48.00 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 Expiration,Date 4/10/07 Qty Unit Charge Per Extension BASE FEE ---------------------------------------------------------------------------- 15.00 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 19.50 Plan Check Fee 1.22 Issue Date . . . . Valuation . . . . 71074 Expiration.Date 4/10/07 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 Special Notes and Comments SFD 1159 SF LIV. CLUSTER TYPE "C" PARTIAL OF BLDG "BW". 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 FEE PERMIT* Other Fees . . . . . . . . . ACCESSIBILITY PLAN REVIEW 8.34 DIF COMMUNITY CENTERS -RES 74.00 LQPERMIT Application Number . . . . . 06-00003588 ----------------------------------------------------- Other Fees . . . . . . . --------"--------------- DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 8.34 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 7.10 DIF STREET MAINT"FAC-RES 67.00 DIF TRANSPORTATION - RES 1930,.00 Fee summary Charged Paid Credited Due Permit Fee Total 765.07 .00 .00 765.07 Plan Check Total 98.24 .00 .00 98.24 Other Fee Total 4498.78 .00 .00 4498.78 Grand Totals 5362.09 C0 •.00 5362.09 LPPERA1IT �. ._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 .. 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