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06-3642 (SATT) Apt 55I N1,P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Pr6perty Address: APN: Application description Property Zoning: Application valuation: BUILDING &SAFETY DEPARTMENT BUILDING PERMIT r06=00003642-- *4fs8 _VISTA DUNES LN 604-032-022- - DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY RESIDENTIAL 281890 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LA QUINTA REDEVELOPMENT AGENCY 48495 CALLE TAMPICO LA QUINTA, CA 92253 Dater 10/16/06 Contractor: Applicant: rchitect or Engineer: DAVIS/REED CONSTRUCTION INC 12250 EL CAMINO REAL, STE #325 �F6 SAN DIEGO, CA 92130 C\10"(760)634-2350 Lic. No.. 813480 A ZOO t Cl op ------------------------------- ---—----------—------ =---------------------— =--------— =/i,,,A-—d-`�wl�il�y� LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION �� ��p'r A I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the BuMs ess and Professionals Code, and my License is in full force and. effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided• License Class: nseNo.: 813480 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. e: tractor:�,�A&e 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier TRAVELERS • INDEM Policy Number C2KUB4747C539 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, � alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the _ person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, i s uld be me subject to the workers' compensation provisions of Section License Law.(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or . 00 of the r Co , I sh I f�ri wi ply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): ate: pplicant (_) 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 WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an 6wner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .4, 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.). APPLICANT ACKNOWLEDGEMENT ( _.) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, eachperson at whose request and for pursuantto the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under, Sec. , B.&P.C. for this reason 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 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 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 tate laws relating to i 'n construction, and hereby authorize representatives oft ' co nt to enter upon eabove-mentioned pro rt f ins cti ur les oo Date: , �gnature (Applicant or Agent): V F/ -i . 4 Application Number . . . 06-00003642 ------ Structure Information 4 -UNIT BUILDING - CLUSTER TYPE A. ----- Other struct info . . . CODE EDITION 01BMP04E05EN # 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 . . . . 1276.5.0 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 Application Number . . 06-00003642 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. 6.00 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 4/14/07 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.I3-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 LQPERMIT Application Number . . . . . 06-00003642 ------------"---------------------- Special Notes and Comments ------------------------------------------ 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 7120.00 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 �. ._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