06-3639 (SATT) Apt 23P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BUILDING PERMIT
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t06,66603639 Owner:
^^«—VISTA DUNES LN L} -P%-, a3 LA QUINTA REDEVELOPMENT AGENCY
604-032-022- - - 48495 CALL'E TAMPICO
DWELLING - SINGLE FAMILY ATTACHED LA QUINTA, CA 92253
LOW DENSITY RESIDENTIAL
281890 5 r•%
Contractor:
D 1
rchitect or Engineer: DAVIS/REED CONSTRUCTIONINC
12250 EL. CAMINO1BRE4L, ',4TEL~#e32f52666
SAN DIEGO CA 92130
G1 l (760)634-2350 N CITY OF.LAQUINTA
Y LiC. NO.: 813480 eiiiiiA���.�eas,r
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 "s an Professionals Code, and my License is in full force and effect.
License Class: B 1 Lice a No.: 813480
ate:tractor:
OWNER -BUILDER DECLARATION
j 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, 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
improvementsare 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 contractorls) 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:
Date: 10/16/06
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 man Xasecome subject to the workers' compensation laws of California,
and agree that, if sa subject t the orkers' compensation provisions of Section
�0of the Labo Cith c ly ah those Provisions.
plicant•
WARNING: FAILURE TO SECURE WOMPENSATION 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.
r
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. I-
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 he ove information is correct. t agree to comply with all
city and county ordinances and state laws relating to ildin nstruction, and hereby authorize representatives
oft ' county nter upon the above-mentioned prop y f r sp es.
Date:ature (Applicant or Agent):
LQPERMIT ~'.'
Application Number 06-00003639
--- Structure Information 4-UNIT BUILDING - CLUSTER'TYPE A -----
Other struct info . . . . CODE EDITION 61BMP04E05EN
# BEDROOMS 6.00
FLOOD ZONE NO
GARAGE SQ FTG 2010.00
PATIO SQ FTG 9.02.00
" TOT ELIGIBLE NO
NUMBER OF UNITS 4.00
1ST FLOOR SQUARE FOOTAGE 4042.00
2ND FLOOR SQUARE FOOTAGE. .00
Permit . . BUILDING PERMIT
Additional desc 4-UNIT BLDG. CLUSTER TYPE A
Permit Fee . . . . 1276.50. Plan Check Fee 207.43
Issue Date• . . . . Valuation . . . 281890
Expiration„Date . 4/14/07
Qty Unit Charge Per Extension
BASE FEE 639.50
182.00 3.5000 THOU BLDG 100,001-500,000 637.00
Permit MECHANICAL
Additional desc .
Permit Fee . . . . 126.00 Plan Check Fee 7.88
Issue Date . . . . Valuation 0
Expiration Date 4/14/07
Qty Unit Charge Per ..Extension
s 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 39.00
Permit . . . ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 176.46 Plan Check Fee 11.03
Issue Date Valuation 0
Expiration Date 4/14/07
Qty Unit Charge Per Extension.
BASE FEE 15.00
4042.00 ..0300 ELEC NEW RES - MULTI FAMILY 121.26
2010.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 40.20
LQPERMIT
Application Number . . 06-0.0003639
Permit . . . . . PLUMBING
Additional desc .
Permit Fee 381.00 Plan Check Fee
23.81
Issue Date . . . . Valuation
0
Expiration Date 4/14/07
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 .75C0 EA PLB GAS PIPE >=5
6.00
4.00 15.0000 EA PLB GAS METER
60.00
Permit GRADING PERMIT
Additional desc .
i 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
r _
Permit SOLAR PERMIT
Additional desc
Permit Fee 22.50 Plan Check Fee
1..41
Issue Date . . . . Valuation . . . .
274599
Expiration'Date 4/14/07
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.4042 SF
LIV.CLUSTER TYPE A. BUILDING TYPE.A/AW.
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
LQPEnITT -
.
Application Number . . . 06-00003639
--------------------------.--------------------------------------------------
Special Notes and Comments
AND SITE LIGHTING** *REDUCED PC FEES*
----------------------------------L-----------------------------------------
Other Fees . . . . . . . ACCESSIBILITY PLAN REVIEW 20.74
ART IN PUBLIC PLACES -RES 204.72.
DIF COMMUNITY CENTERS -RES 224.00
DIF CIVIC CENTER - RES 1300.00
ENERGY REVIEW FEE 20.74
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
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -- -------
Permit Fee Total 1997.46 .00 .00 1997.46
Plan Check Total 251.56 .00 ..00 251.56
Other Fee Total 13769.65 .00 .00 13769.65
Grand Total 16018.67 .00 .00' 16018.67
LQPERMIT
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