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07-1175 (SFD)111111111111 8111111111 IE P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: co 31Tjht 4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 07-00001175 81679 ANDALUSIA 764-200-999-61 -316813- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 255334 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 1 of Division 3 of the Business and Prof ' als C�No.- at ense is in full force and effect. License Cla s: Lice74 e�ntrat.r L'I-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 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.). (_ 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.I. Lender's Name: Lender's Address: LQPERMIT Owner: CORAL OPTION 79295 RANCHO LA QUINTA, CA I LA 92 Contractor: SPARKS CONSTRUCT 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 1 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, ang agree that, if I should become sub' a workers' compensation provisions of Section w00_2tthe Labor Code, I shall f with comp with those provisiatplicant: WARNING: FAILURE TO SECURE WOR OMPENSATION COVERAGE IS UNLA ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROV DED 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 Ouinta, 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 abo tion is correct. I agree to comply with all city and cou y or finances and state laws relating t0 bui g construction, nd hereby authorize representatives of this co 'y to n r upon thea ve-mentioned pr erty for inspection pu oses. t Si ure (Applicant or Agen -1 Application Number . . . . . 07-00001175 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 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 39.50156.00 3.5000 THOU BLDG 100,001-500,000 546.00 ------------------------------- --------------------------------------------- Permi Additional desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . MECHANICAL 101.50 .- 10/15/07 Plan Check Fee Valuation . . 6.35 0 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=10.OK 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 Additional-desc Permit Fee . . . . Issue Date . Expiration.Date . . Qty Unit Charge 2895.00 .0350 LQPERMIT ELEC-NEW RESIDENTIAL 132.43 Plan Check Fee Valuation 10/15/07 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 21.52 0 Extension 15.00 101.33 Application Number . . . . . 07-00001175 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 805.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.10 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . . Permit Fee . . . . 173.25 Issue Date Expiration Date 10/15/07 Plan Check Fee . . 10.83 Valuation . . . . 0 Qty Unit Charge Per BASE FEE Extension ---------------- ------------------------------------------------------------ Special Notes and Comments 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 EA PLB GAS METER 15.00 Permit . . . GRADING PERMIT Additional desc . . Permit Fee . . . . 15.00 Issue Date . Expiration Date . . 10/15/07 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------- ------------------------------------------------------------ Special Notes and Comments SFD - LOT 61, 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 CE C, 2005 ENERGY CODES ---------------------------------------------------------7------------------ 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 LQPERMIT Application Number . . . . . 07-00001175 ---------------------- ------------------------------------------------------ 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 ---------- Paid Credited ------------------------------ Due Permit Fee Total 1607.68 .00 .00 1607.68 Plan Check Total 231.35 .00 .00 231.35 Other Fee Total .4658.13 .00 .00 4658.13 Grand Total 6497.16 .00 .00 6497.16 LQPERMIT