07-1171 (SFD)11111111 11111 iii 11111 1111
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
04 Tiht 4 4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00001171
Property Address: 81636 ANDALUSIA
APN: 764-200-999-50 -316813-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 255334
Applicant: Architect or Engineer:
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am lice d under provisions of Chapter 9 Icommencing with
Section 700 1 of ;vision 3 of the Business an rofessio Is Code y License is in full force and effect.
License`C/I s: is a No.: 7407
DattQ " ntractor:
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 Codel 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 _ 1 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.).
(_) 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. , B.&P.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
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA
LA QUINTA, CA 92253
DR
Contractor:
SPARKS CONSTRUCTION, INC
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 674074
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/18/07
------------------
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.
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 STATE FUND Policy Number 0000348-2006
_ 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,
On agree that, if I should beco ubject the workers' compensation provisions of Section
0o of the abor Code, I all forthwith c mply with those provisions.
X__
pplicant:
WARNING: FAILURE TO SECURE W KERS' COMPENSATION COVERA E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATIO , 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 a inform 'on is correct. I agree to comply with all
5Wstated state laws relating to ding construct;. and hereby authorize representatives
aabove-mentione roperty for inspection urposes.
(Applicant Agen .
1
LQPERMIT
Application Number . . . . . 07-00001171
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone
NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
# BEDROOMS
3.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
805.00
PATIO SQ FTG
424.00
NUMBER OF UNITS
1.00
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IST FLOOR SQUARE FOOTAGE
2895.00
Permit
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
1185.50 Plan Check Fee
192.65
Issue Date . . . .
Valuation . .
. . 255334
Expiration Date
10/15/07
Qty Unit Charge
Per
Extension
BASE FEE
639.50
156.00 3.5000
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THOU BLDG 100,001-500,000
546.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
101.50 Plan Check Fee
6.35
Issue Date
Valuation
0
Expiration Date..
10/15/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 9.0000
EA MECH FURNACE <=100K
27.00
3.00 9.0000
EA MECH B/C <=3HP/100K BTU
27.00
4.00 6.5000
EA MECH VENT FAN
26.00
1.00, 6.5000
------------------------------------------------------
EA MECH EXHAUST HOOD
=---------------------
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
132.43 Plan Check Fee
21.52
Issue Date . . . .
Valuation . .
. . 0
Expiration Date
10/15/07
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
2895.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY 101.33
Application Number . . . . 07-00001171
Permit . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge-
Per
Extension
805.00 .0200
------------------------------7---------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
16.10
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
173.25 Plan Check Fee
10.83
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
10/15/07
Qty Unit Charge
.Per
Extension
BASE FEE
15.00
17.00 6.•0000
EA PLB FIXTURE
102.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
9.00 .7500
EA PLB GAS PIPE >=5
6.75
1.00 15.0000
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EA PLB GAS METER
15.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/15/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
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Special Notes and Comments
SFD - LOT 50, PLAN 1A,
2895 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK DUE TO MULTIPLE ISSUANCE OF
SAME PLAN TYPE. 2001 CBC, CMC, CPC,
2004 CEC, 2005 ENERGY
CODES
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Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
138.33
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
19.27
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
LQPERMTT
Application Number
07-00001171
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Other Fees . . . . . .. . . . DIF PARKS/REC - RES 892.00
STRONG MOTION (SMI) - RES 25.53
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1930.00
Fee summary Charged
Permit Fee Total 1607.68
Plan Check Total 231.35
Other Fee Total 4658.13
Grand Total 6497.16
LQPERMIT
Paid Credited Due
.00 .00 1607.68
.00 .00 231.35
.00 .00 4658.13
.00 .00 6497.16