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06-3589 (SFD) Apt 224 4v P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING_ PERMIT �L�_g50 Date:. 10/16/06 Application Number: 06-00003589 ; Owner: Property Address: '."--"-,VISTA DUNES LN LA QUINTA REDEVELOPMENT AGENCY APN: 604-032-022- - - 48495 CALLE TAMPICO Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: •71074 Contractor: Applicant: Xrchitect or Engineer: DAVIS/REED CONSTRUCTjION INC 12250 EL-CAMINO RAE_AD, STEJ!#325.; SAN DIEGO,, CA 92 130 rvz V 2606 (760) 634-2350 C) o-- It1 , Lic. No.: 813480 CWtiTA FIWAF9DE DEPT ------------—-----—----—-------—------------------------—----------------—---————-----—-- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjur that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ' Section 7000) of Division 3 of the sin s and P ofessionals Code, and my License is in full force and effect.. _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided License CI s: B 'cert a No.: 813480 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: tractor: 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier TRAVELERS INDEM Policy Number C2KUB4747C539 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if Id become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ��00Lab Coe, sh I fortith o Awith thoseprovisions. 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 df not more than five hundred dollars ($500).: ate:nt:. (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and loo the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The I—_ WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND. and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. ,If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner-builder will have the burden of proving that he-or she did not buildor ' improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner ofconditions and restrictions set forth on this application. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request'and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ I' I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY- permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application,and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to it 'ng co stru ion, d. her y authorize representatives of this cony nter upon the above-mentioned pro erty f in p c io p r S. Lender's Name: 9A_ 1 SA arf tore (Applicant or Agent): Lender's Address: � ate: �_ - LQPERA1IT LQPERMIT Application -Number 06=00003589 ------ 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 4/14/07 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 46.00 Plan Check Fee 2.88 Issue Date . . . Valuation . . . . 0 Expiration Date 4/14/07 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 3.47 Issue Date . . . Valuation 0 Expiration Date 4/14/07 Qty Unit Charge Per _ Extension BASE FEE 15.00 '1159.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .40.57 Permit . . . . . . PLUMBING . LQPEiN7IT Application Number 06-00003589 Permit . . PLUMBING Additional desc . Permit Fee . . . 115.50 Plan Check Fee'. 7.22 Issue Date . . . . Valuation 0 Expiration Date 4/14/07 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 c' 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 4/14/07 Qty Unit Charge Per. Extension BASE FEE 15.00 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 19.5.0 Plan Check Fee 1.22 Issue Date Valuation 71074 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 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 LQPEiN7IT Application Number . . . . . 06-00003589 ------- - 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 Total 5362.09 .00 _00 5362.09 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