06-3641 (SATT) Apt 43V
4 XP
P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/16/06
Application Number: T0.617 0=0.03641-- Owner:
Property Address: 4*5fr9 VISTA DUNES LN/4p& • AL,3 LA QUINTA REDEVELOPMENT AGENCY
APN: 604-032-022- - - 48495 CALLE TAMPICO
Application description: DWELLING - SINGLE FAMILY ATTACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 281890
Contractor:
Applicant: chitect or Engineer: DAVIS/REED CONSTRUCTION INC
12250 EL CAMINO REAL, STE #325
S ' SAN DIEGO, -A-92130
(760)634
LC� Lic. No.:2350 813480 N u 20OU
CITY OF LA QUINTA
FINANCE DEPT.
-------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perju that I am licensed under provisions of Chapter 9 (commencing with -
Section 7000) of Division 3 of the usin s and Professionals qode, and my License is in full force and effect.
Licensee/ CI s: B lice se No.: 813480
te:I/ r:
OWNER -BUILDER DECLARATION
I hereby affirm un I'Penaittryaof 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 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 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
WORKER'S COMPENSATION DECLARATION
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 s uld become subjIct to the workers' compensation provisions of Section
//__ 3700 ofthe Labo Co"sh wco ply with those provisions.
Date: ll pplicant: WARNING: AILURE TO SECURE MPENSATION 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 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 tha ' have read this application and state that above information is correct. I agree to comply with all
city and unty ordinances and state laws relating to ild g con ruction, an hereby authorize representatives
of co /nty enter upon a above-mentioned prop rty or sp c io urp
ate: K G 'nature (Applicant or Agent):
.-SA®'
Application Number . . . 06-00003641
------ Structure Information 4 -UNIT BUILDING'- CLUSTER TYPE A
-----
Other struct info . .
. . . CODE EDITION O1BMP04E05EN
# BEDROOMS
6.00
FLOOD ZONE NO
GARAGE SQ FTG
2010.00
PATIO SQ FTG
902.00
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
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
�r
Application Number . . . . . 06-00003641
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 .7500 EA PLB GAS PIPE >=5
6.0?
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 4/14/07
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 4/14/07
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
LQPERMIT
t5�°
Application Number
. . . . .
06-00003641
-----------------------------------------------------------------------
Special Notes and Comments
7
AND SITE LIGHTING**
*REDUCED
PC FEES*
----------------------------------------------------------------------------
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
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