06-3593 (SFD) Apt 34y
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
'7,q - g5o Date: 10/16/06
Application Number: 06-00003593% ^ ,I Owner:
Property Address: •44�. VISTA DUNES LN 4 , a4 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:rchitect or Engineer: DAVIS/REED CONSTRUCTION INC
12250 EL CAMINO REAL, STE #325,'j`
SAN DIEGO; CA 92130 f d
(760) 634-2350
(� �b Lic. No.: 813480
_ a
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DELA
CRATION��(�{_ Wr
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations:~�_��.p.T
Section 7000) of Division 3 of theiness and Professio als Code, and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure for workers' compensation�as.proovided
Lic nse Class: B 'cenr
No.: 813480 for by Section 3700 of the Labor Code, for the performance of the work for which this permit -is---
issued.
Date tractor:Aft 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 policynumberare:
I 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 I shpuldbpcome subject to the 0prkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Lab*WORERS'
h ' h c ly th those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by j
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: pplicant:
(_ 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 WARNING: FAILURE TO SECURCOMPENSATION 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 build or
improve for the purpose of sale.).
(_) 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.).
(_) 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: l
Lender's Address: M -
,LQPERMIT
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 t I have read this application and state that t above information is correct. I agree to comply with all
city an county ordinances and state laws relating to uildin consVt1n,, and her by authorize representatives
oft s co ��y enterter upbove-mentioned pro rty f r ' spur S.
Date: D ature(Applicant or Agent):
LQPERAIIT
Application Number .
. . 06-00003593
'
------ 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
i
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
414.5 0
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
Application Number . . . . 06-00003593
Permit . . PLUMBING
Additional desc..
Permit Fee . . . . 115.50 Plan Check Fee
7.2.2
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
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'
s
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
r Permit . . . SOLAR PERMIT
Additional desc .
Permit Fee 19.50 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
------------ -- ----- ----------------
--------------------------------------
S
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*
------ 7 - -------------------------
Other Fees . . . ._ . . ACCESSIBILITY PLAN REVIEW
8.34
DIF COMMUNITY CENTERS -RES
74.00
j
LQPERMIT. "
3
r
Application.Number
. . . . .
06-00003593
--------------------------------
Other Fees . . .
7 ---------------------------------------------
. . . . .
-
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
Grz_nd Total
5362.09,
00 .00
5362.09
LQPERN11T
�.
._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