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
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------------------------------- ---—----------—------ =---------------------— =--------—
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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/
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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
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