06-3624 (CRES)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
•4 ��
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/16/06
Application Number: 0-6--00003624 __J Owner:
Property Address: 44950 VISTA DUNES LN LA QUINTA REDEVELOPMENT AGENCY
APN: 604-032-022- - 48495 CALLE TAMPICO
Application description: CARPORT - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 12236
Applicant: Architect or Engineer: Contractor:
DAVIS/REED CONSTRUCTION INC
r� 12250 EL CAMINO REAL, STE #32445
SAN DIEGO, CA 92130 t+ ""y
' nn,
(760)634-2350 i.0 v6 200
VV Lic. No.: 813480
CITY i3F IL4 QUINTAFl,�IA{yDE DEPT.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of per that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the usi ss and Professionals Code, and my License is in full force and effect.
License Clatss.,L Bice a No.: 813480
Date: � ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury the, I am exempt from the Contractor's State License Law for the
following reason ISec. 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 _ 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.).
(_) 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.).
(_ 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:
LQPERnIIT
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, i*RKERS'
me subje t to the workers' compensation provisions of Section
$KO�0 of the abfo wit7 with those provisions.
ate:pplicanC '
WARNING: FAILURE TO SECURCOMPENSATION 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. 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 :(ding construction, and hereby authorize representatives
of
01is c Cn 6t_,_S,
upon the above-mentioned ope y ori sp�Cti n poses.
gnature(Applicant or Agent):
kILAR?�0
' Application Number . . . . . 06-00003624
' ------ Structure Information DETACHED cxuzeoRr "z" TYPE zz-m
-----
Other atrvot info . . . . . cooE oozrzmw � ' 01BMp04EosEw
FLOOD u0No ` NO
GARAGE S0FTG
____________-____^_________-_____________________-____�_____
92000
' Permit . . . . . . . ELECTRICAL-CARPO�T/GARAGE
. 'Additional deoo
Permit.Fee . . . . 33.40 eIao Check Fee . .
2.09
' Issue Date . . . . Valuation . . . .
o
Expiration Date . . 4/1.4/07 �
' Qty Unit Charge Per
Extension
' BASE FEE �
15.00
. 920`00 .ozoo ELEC GARAGE OR NON-RESIDENTIAL
' ----------------- ----------------- ---__----------_---_---
18.40
----- -
permit . . . . . .
Additional deao . .'DETACHED CARPORT 11J11-(4 SP.)
'
Permit Fee . . . . 144.00 ' Plan Check Fee . ^.
23.40
' zoaoe Date . . .. Valuation' . . `. .
12236
Expiration Date . . 4/14/07
^ Ot�� Unit Charge Per -
Extension
` BASE FEE
45.00 '
. 11.00 9.0000 TooD BLDG 2'001-25'000
99.00 '
-_------_--__---------------------_------_---------_-_------_---_--
sp cial Notes and Comments
. oEraCooD CARPORT "J"<4 oPAcEo>920 GF'o-z '
.
.OCCUPANCY, TYPE II -N CONSTR.2001
.
. cac'zoo« cEc.+REDoCoo FEE PERMIT*
-_-__-------------_-_-_------_---_-_-----__-----_--_-_-----_----
' Otber Fees . . . . . . . . . STRONG MOTION (SMI) - RES
1.22 '
Fee summary Charged Paid Credited
--------_- -_----
Due .
----------_-_-- ----_-,- ----_--_--_
Permit Fee Total 177.40 .Oo .00
177.40 `
Plan Check Total 25.49 .oO .00
Other Fee Total 1.22 .00 .00'
1.22.
Grand Total 204.11 .00 .00
204.11
LQPERMIT