Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
06-3605 (SFD) Apt 60
P.O.,,BOX 1504 78=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,iht . 4 4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: V Architect or Engineer: CAB" -------------------------------------------------- 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 Iless al Professionals Code, and my License is in full force and effect. Licenselas B icens No.: 813480 Date: tractor: 14 Ay 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 ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/16/06 Owner: > LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 1 Contractor: DAVIS/REED CONSTRUCTION INC09114 o 17 200� L 12250 EL CAMINO REAL, STE #325 SAN DIEGO, CA 92130 C7$V©P.A�tdJrG�C�gA (760)634-2350 X11 —__zG Lia. No.: 813480 PI° ������ ------------------ 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 ma r so as to become subject to the workers' compensation laws of California, and agree that i I ��ht the workers' compensation provisions of Section 3700 of th ab r mply with those provisions. ol6ate: Applicant: WARNING: FAILURE TO SECURE ORKERS' 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 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. Airy peimi[ issued as a result of this opplication becomes null and void if wnrk 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 t above information is correct. I agree to comply with all city a county ordinances and to laws relating to ild constructi an herebauthorize representatives of s co n y to enter upon "_mentioned pro • ert ins 0�w Date: na[ure (Applicant or Agent): 144-1954 _ Application Number: 06-00003605 Property Address: _moo- VISTA DUNES LN11 APN: 604-032-022- O Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 71074 Applicant: V Architect or Engineer: CAB" -------------------------------------------------- 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 Iless al Professionals Code, and my License is in full force and effect. Licenselas B icens No.: 813480 Date: tractor: 14 Ay 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 ($500).: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I—) I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/16/06 Owner: > LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 1 Contractor: DAVIS/REED CONSTRUCTION INC09114 o 17 200� L 12250 EL CAMINO REAL, STE #325 SAN DIEGO, CA 92130 C7$V©P.A�tdJrG�C�gA (760)634-2350 X11 —__zG Lia. No.: 813480 PI° ������ ------------------ 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 ma r so as to become subject to the workers' compensation laws of California, and agree that i I ��ht the workers' compensation provisions of Section 3700 of th ab r mply with those provisions. ol6ate: Applicant: WARNING: FAILURE TO SECURE ORKERS' 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 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. Airy peimi[ issued as a result of this opplication becomes null and void if wnrk 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 t above information is correct. I agree to comply with all city a county ordinances and to laws relating to ild constructi an herebauthorize representatives of s co n y to enter upon "_mentioned pro • ert ins 0�w Date: na[ure (Applicant or Agent): Application Number . . . . . 06-00003605 ------ 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 LQPERMIT - Application Number . . . . 06-00003605 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 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 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 LQPERAIIT Application Number . . . . . 06-00003605 --------------------------------------- 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 Grand Total 5362.09 .00 .00 E362.09 LQPERAIIT �. ._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