06-3595 (SFD) Apt 40"
.'.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
BUILDING PERMIT
Application Number: '_06=00003595 Owner:
Property Address: 44-95- VISTA DUNES LN Aj06 .4C> LA QUINTA REDEVELOPMENT AGENCY
APN: 604-032-022- - '18495 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
SAN DIEGO, CA 92130
(760)634-2350 D
Lic. No.: 813480,
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 ' ess and Professionals Code, and my License is in full force and effect.
Licens lass: B License No.: 813480
aie:�., tractor:
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 countythat 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 civil penalty of not more than five hundred dollars (85001.:
1 _ 11, 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, 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 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: fj
LQPERA1IT
Date: 10/16/06
IX u
'Cl Q 1? 2063
----------------------------- G1- ..7, -
WORKER'S COMPENSATION DECLARATION 'x. -TN N'lli,'v
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insurefor workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
1 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 I o d become subject to the workers' compensation provisions.of Section
3700 of the LaborVodha f h it co ly with those provisions.
ate: - !1 pplicant:
WARN NGFAI�ECURES' 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 Ouinta, its officers, agents and employees for any act or omission related to the work boing -
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
city and county ordinances and state laws relating to b"ill con truction, a d hereby authorize representatives
of this //c /ty to enter upon th bove-mentioned prop y fo ns a io u se;
te: (0 t/ nature (Applicant or Agent):
LQPERNIIT
Application Number .
. . . . 06-00003595
------ 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 50,001-106,000.
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
Extension
.Per
BASE FEE
15.00
1.00 9.0000
EA. MECH FURNACE<=10'OK
9.00
1.00 '9.0000
EAMECH 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 . . . . . 06-00003595
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
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 15.00.00 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 . . . . 19.50 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
----------------------------------'-----------------------------------
Special NotesandComments
SFD 1159 SF LIV. CLUSTER TYPE "C"
PARTIAL OF BLDG "BW"..R-3 OCC. TYPE V-N
CONSTR.2001 CBC,CMC,CPC, 2004 CEC, 200.5
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
LQPERA11T
LQPERMIT
Application Number
. . .
06-00003595
----------------------------------------------------------------------------
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
53'62.09
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