06-3634 (SATT) Apt 17r*
41*
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant:
Architect or Engineer:
C',
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjur that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the si ss and Professionals Code and my License is in full force and effect.
Lice lass: ��e o.: 813480
Date: ontractor:
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 intendedoroffered 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 L' ense Law.).
(_ 1 1 am exempt under Sec. .&P. . tor this reason
CgNSTRUCTION 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:
LQPERAIIT
VOICE (760) 777-7012
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Date: 10/12/06
Owner:
LA QUINTA REDEVELOPMENT AGENCY
48495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor: D t
DAVIS/REED CONSTRUCTION INC �r�
12250 EL CAMINO REAL, STE#325 a u
SAN DIEGO, CA 92130CI4T;yrOFV! AQUIK-1-
(760) 634-2350
Lic. No.: 813480 -
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
Jissued.
4- 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 s Id become subject t the orkers' compensation provisions of Section -
Y J10 of the La Co , 1 hall rt vlr; c ly ith those provisions.
WARNING: FAILURE TO SECURE W RKERS' 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. 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 c unty ordinances and s to laws relating to ut in g construction, an hereby authorize representatives
of thi o nt t ter upon above-mentioned pr ert f ins ec
ate:, nature (Applicant or Agent): V
Application Number:
06.-00003634 —
Property Address:
4499S VISTA DUNES LN -4Ale—. /7
APN:
604-032-022- - -
Application description:
DWELLING - SINGLE FAMILY ATTACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
274599
Applicant:
Architect or Engineer:
C',
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjur that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the si ss and Professionals Code and my License is in full force and effect.
Lice lass: ��e o.: 813480
Date: ontractor:
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 intendedoroffered 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 L' ense Law.).
(_ 1 1 am exempt under Sec. .&P. . tor this reason
CgNSTRUCTION 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:
LQPERAIIT
VOICE (760) 777-7012
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Date: 10/12/06
Owner:
LA QUINTA REDEVELOPMENT AGENCY
48495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor: D t
DAVIS/REED CONSTRUCTION INC �r�
12250 EL CAMINO REAL, STE#325 a u
SAN DIEGO, CA 92130CI4T;yrOFV! AQUIK-1-
(760) 634-2350
Lic. No.: 813480 -
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
Jissued.
4- 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 s Id become subject t the orkers' compensation provisions of Section -
Y J10 of the La Co , 1 hall rt vlr; c ly ith those provisions.
WARNING: FAILURE TO SECURE W RKERS' 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. 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 c unty ordinances and s to laws relating to ut in g construction, an hereby authorize representatives
of thi o nt t ter upon above-mentioned pr ert f ins ec
ate:, nature (Applicant or Agent): V
Application Number .
. . . 06-00003634
------ Structure Information
4-UNIT BUILDING - CLUSTER TYPE B
-----
Other struct info . .
. . . CODE EDITION 01BMP04E05EN
# BEDROOMS
-6.00
FLOOD ZONE NO
GARAGE SQ FTG
1592.00
PATIO SQ FTG
1040.00
TOT ELIGIBLE NO
NUMBER OF UNITS
4.00
1ST FLOOR SQUARE FOOTAGE
3990.00
2ND FLOOR SQUARE FOOTAGE
.00
Permit
BUILDING PERMIT
v
Additional desc
4-UNIT BLDG. CLUSTER TYPE B
Permit Fee
1252..00 Plan Check Fee
203.45
Issue Date . . . ..
Valuation . . . .
27'<599
Expiration Date
4/10/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
175.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,0.01-500,000
612.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee`-
.126.00 Plan Check Fee
7.88
Issue Date . .
Valuation . . . .
0
Expiration Date
4/10/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00'
4.00 9.0000
EA MECH FURNACE <=100K
36.00
4.00 9.0000
EA MECH,B/C <=3HP/100K BTU
36.00
6.00 6.5000
EA MECH VENT FAN
-------------------------------
39.0'0
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
•166.54 Plan Check Fee
10.41
Issue Date . . . .
Valuation
0
Expiration Date
4/10/07
Qty -.Unit Charge
Per
Extension
`
BASE FEE
15.00
3990.00 .0300
ELEC NEW RES - MULTI FAMILY
119.70
1592.00 •.0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
31.84
LQPERA11T
LQPERAIIT
r
Application Number . . . . . 06-00003634
Permit' . . . PLUMBING
Additional desc .
Permit Fee . . . . 381.00 Plan Check Fee
23.81
Issue Date Valuation.
0
Expiration Date 4/10/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
26.00 6.0000 EA PLB FIXTURE
156.00 '
4.00 15.0000 EA PLB BUILDING SEWER
60.00
4.00" •7.,5000 EA PLB WATER HEATER/VENT
30..00
4.00 3.0000 EA PLB WATER INST/ALT/REP
12.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
4.00 7.5000 EA PLB OTHER BACKFLOW <=2 INCH
30.00
1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS
3.00
8.00 .7500 EA PLB GAS PIPE >=5
6.00
_
4.00 15.0000 EA PLB GAS METER
-----------------------------------------------------------------------------
60.00
Permit . . . GRADING PERMIT
Additional desc.
Permit Fee . . . . 15.00 - Plan Check Fee
.00
Issue Date . . . Valuation . .
0
Expiration Date . 4/10/07
Qty Unit Charge Per
Extension
BASE FEE
----------------------------------------------------------------------------
15.00
Permit . . . SOLAR PERMIT
- Additional desc .
Permit Fee . . 22.50 Plan Check Fee
1.41
Issue Date Valuation . . . .
274599
Expiration Date'. 4/10/07 "
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 7.5000 EA SOLAR COLLECTOR 1,001-2000
7.50
Special Notes and Comments
4 -UNIT SATT BUILDING.3990 SF
LIV.CLUSTER TYPE B.BUILDING TYPE B/BW. ;
R-1 OCCUPANCY.TYPE V -N CONSTRUCTION.,13-D
FIRE SPRINKLER SYTEM. 2001 CBC,CMC,CPC,
2004 CEC, 2005 ENERGY CODES "PERMIT
DOES NOT INCLUDE BLOCK WALLS, FENCES,
SWIMMING POOLS, BBQ -S, TRASH ENCLOSURES
LQPERAIIT
r
Aication Number
06-00003634
--------------------------
:cial Notes and Comments
-----------------------------,-
'.
------j-----
SITE LIGHTING** *REDUCED
PC FEES*
-
--------------------------------------------------------------------
ier Fees . . . .
`ACCESSIBILITY PLAN REVIEW
20.34
ART IN PUBLIC PLACES -RES
186.49 ,
DIF COMMUNITY CENTERS -,RES
224.00
DIF CIVIC CENTER - RES
1300.00
ENERGY REVIEW FEE
20.34
DIF FIRE PROTECTION -RES
180.00
DIF LIBRARIES - RES
1064.00
DIF PARK MAINT FAC - RES
64.00
DIF PARKS/REC - RES
2676.00
STRONG MOTION (SMI) -'RES'
27.45
DIF STREET MAINT FAC -RES
268.00
DIF TRANSPORTATION - RES
7720.00
summary. Charged
Paid Credited-
f
Due
�.
._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