06-3597 (SFD) Apt 42P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
06-00003597
Property Address:
4
APN:
604-032-022- -
-
Application description:
DWELLING - SINGLE
FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
71074
//��
4aa$-VISTA DUNES IN r"t �+E.• � •.Z.
Applicant: ` Architect or Engineer:
---——------------ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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 Mand and rofessionals Code, and my License is in full force and effect.
License Cl s: B LicenseNo.: 813480
ate: ractor:
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).:
(_) 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 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 town 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
Date: 10/16/06
Owner:
LA QUINTA REDEVELOPMENT AGENCY
48495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
DAVIS/REED CONSTRUCTION INC
12250 EL CAMINO REAL, STE #32 [5D
r
SAN DI -.GO,' CA 92130
(760)634-2350
Lic. No.: 813480 �I�I 3r•
.:; L0
p M •1? � (>
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 Iould become subject to the workers' compensation provisions of Section
3700 of the Labor Cid,
d I sh 1 fort wi c ply with those provisions.
ate: , �/ pplicant:
WARNING: FA URE TO SECURE W RK ERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 h?nnmP_S 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 in99q construction, and hereby authorize representatives
Dateof thi / u ty t enter upon the bove-menti oned pro rt ft]r in est p s(�eVs.
0 at ire (Applicant or Agentl: II I vv
Application Number .
. . . . 06-00003597
'
' ------ Structure zoformatioo
SFo BUILDING
-----
Other otruot info . .
`
. . . cooE EDITION
01Bmr
# BEDROOMS
3.00'
FIRE SPRINKLERS
YES
GARAGE SO FTG
.00
PATIO o0 Fro
��9.uo
NUMBER OF UNITS
� 1.00
^
/ 1ST FLOOR SQUARE noorxuso
. 1159.00
'
---------_--------------_-------------------------------~---------------_---
2ND FLOOR S{�zeRo Fo0rxuso
.00 '
'
Permit . ` . . . .
BUILDING PERMIT
Additional deoc . .
Permit Fee . . . .
513.50 Plan Check Fee
.- . 83.45
Issue Date . . . .
-. �. .
. . 71074
Expiration Date . .
'Valuation
4/14/07 _
. Qty Unit Charge.
Per
Extension. ,
.
BASE FEE
414.50 '
. 22.00 4.5000
---------------___-__------------__------_-_-----___--^-----------
T000 BLDG 50'001-100'000 '
99.00 �
Permit . . . . . . MECHANICAL
Additional deoc . .
Permit Fee . . . .
46.00 Plan Check Fee
. . 2.88
Issue Date . . . .
�vaIuatioo . .
. . o
Expiration Date .,.
4/14/07 ' ~
Qty Unit Charge
Per
Extension
`
BASE FEE '
15.00
1.00 . 9'0000
EA. »xECH FURNACE x~100K`
9.00
1.00 *.0000
Eu MECH a/C'<~3Hg/100o BTU
` 9.00
2.00 _ 6.5000
--------------------------
EA MEcH VENT nxm«
------- ,-----------------------------------------
13.00
'
/ '
- Permit . ` . . . . ELEC-NEW RESIDENTIAL
.
` Additional deoo
Permit Fee . . . .
5-5.57 Plan Check Fee
. . 3.47
_
Issue Date . . . .
' Valuation ` `
. . O `
Expiration Date`.
' Qty Unit Charge
Per '
�Extension '
'
BASE FEE
15.00
' 1159.00 .0350
'`---------------------------------------------_----------------------------_-
ELEC NEW RES ' z OR 3 FAMILY 40.57
eezmdt . . . . . .
` -
PLUMBING /
LQPERN11r
Application Number 06-00003597
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 15.0000 EA PLB GAS METER
15.00
Permit GRADING"PERMIT
Additional desc .
Permit Fee . . . 15.00' P1an,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 4
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 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
. . . . .
06-00003597
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
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