04-6996 (CONR) ? III�IIIIIIIIIIIIIIIIIIIII 19 �
a
P.O. BOX 1504 L_ _ _ IE� 4 4 QUM& 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: 5/17/05
Application Number: '04-00006996 Owner:
Property Address: -81848 AVENUE 60 CORAL OPTION 1
APN: 764-210-004- - 79295 RANCHO LA QUINTA DR
Application description: NEW COMML - OTHER NON-RESIDENTIAL PO BOX
Property.Zoning: LOW DENSITY RESIDENTIAL LA QUINTA, CA 92253
Application valuation: 91586
Contractor:
Applicant: D Architect or Engineer: SPARKS CONSTRUCTION, INC
d P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
MAY 2 3 1005 Lic. No. : 674074
CnY OF to QUsrut/!
F1 C
OR'S DECLARATION WORKER'S COMPENSATION DECLARATION
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 Business and Professionals geM 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 Cl a s: B Insel:"674074 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.Date: bD t�J Contractor _ 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
WNER• UI ER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt om the Contractor's State Li ense Law for the Carrier STATE FUND Policy Number 00003482004
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,if I should become 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 j,,•, 3 0 of the Labor Co all forthwith compjywMTTqse 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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: - - --Date , �_ Applicant:
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 WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COV WFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DRED 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,DAMAGE 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.
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
1_1 1,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,each person at whose request and for
pursuant to 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. 8.&P.C.for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above informati0 ct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to build' c struc'a ,and here y authorize representatives
of this coup to ter upon the above-mentioned prop y f inspe ion purpose .
Lender's Name: Date.0_�ySignature(Applicant or Agent: -
Lender's Address: '
LQPERA11T '
i.
Application Number . . . . . 04-00006996
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 603 .50 Plan Check Fee 392 .28
Issue Date . . . . Valuation . . . . 91586
Expiration Date 11/13/05
Qty Unit Charge Per Extension
BASE FEE 414 .50
42 .00 4.5000 THOU BLDG 50,001-100,000 189.00
----------------------------------------------------------------------------
Permit ELEC-NEW COMMERCIAL
Additional desc .
Permit Fee 39.82 Plan Check Fee 9.96
Issue Date Valuation . . . . 0
Expiration Date 11/13/05
Qty Unit Charge Per Extension
BASE FEE 15.00'
1241.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 24.82
-------------------------------- ------------------------------------------
Permit . . . GRADING PERMIT
Additional desc .
Permit Fee • 15.00 Plan Check Fee .00
Issue Date . . Valuation' 0
Expiration Date . . 11/13/05
Qty Unit Charge Per Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . . 18.00 Plan Check Fee 4.50
Issue Date . . . . Valuation 0
Expiration Date . . 11/13/05
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 3 .0.000 EA PLB WATER INST/ALT/REP 3 .00
----------------------------------------------------------------------------
Special Notes and Comments
1241 sq. ft. shell building pump
house.May 17, 2005 2 :55:02 PM jjohnson
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES-COM 437.93
DIF CIVIC CENTER - COMM 117.89
DIF FIRE PROTECTION-COMM 39.71
LQPERAIIT
Application Number . . . . . 04-00006996
----------------------------------------------------------------------------
Other Fees . . . . . STRONG MOTION (SMI) - COM 19.23
DIF STREET MAINT FAC-COMM 28.54
DIF TRANSPORTATION - COMM 2139.48
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 676.32 .00 .00 676.32
Plan Check Total 406.74 .00 :00 406.74
Other Fee Total 2782.78 .00 .00 2782 .78
Grand Total 3865.84 .00 .00 3865.84
LQPERVIIT
R IIIIIIIIVIIIIIIVIIIIIII 18
Coachella Valley Unified School DistrictTh;s Box For District use only IE
83-733 Avenue 55, Thermal, CA 92274 DEVELOPER FEES PAID
(760) 398-5909 — Fax (760) 398-1224 AREA. AMOUNT
LEVEL ONE AMOUNT: LEVEL TWO AMOUNT: MITIGATION AMOUNT: COMM/IND.AMOUNT:
• DATE, RF.CFIPT- CHECK H- 1NITIAIA,
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Date: May 19,2005
Owner's Name: Coral Option I LLC Phone No. 771-1941
Project Address: 81-848 Avenue 60 Thermal,CA
Project Description: Pump House
APN: 764-210-004 Tract#: Lot#'s:
Type of Development: Residential XX Commercial Industrial
Total Square Feet of Building Area: 1,241 sq.ft.
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of t e o /developer.
Dated: May 19,2005 Signature:
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE P JECT HAVE EEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov.Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1/87 Requirement
Note:
Number of Sq.Ft. 1,241
Amount per Sq.Ft. $ 0.36
Amount Collected $ 446.76
Building Permit Application Completed: Yes/No
By: Carey M.Carlson,Asst. Supt.,Business Services r
Certificate issued by: Elvira Mattson,Office Technician Signature:
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081,effective January 1,1997,requires that this District provide(1)a written notice to the
project appellant,at the time of payment of school fees,mitigation payment or other exactions("Fees"),of the 90-day period to protest the imposition of these
Fees and(2)the amount of the fees. Therefore,in accordance with section 66020 of the Government code and other applicable law,this Notice shall serve to
advise you that the 90-day protest period in regard to such Fees or the validity thereof,commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally,the amount of the fees imposed is as herein set forth,whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty(30)days from the date of issuance. Extension will be granted only for good cause,as determined by the School District,and up
to three(3)such extensions may be granted. At such time as this Certificate expires,if a building permit has not been issued for the project that is the subject
of this Certificate,the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
fV:e;lnydacs;deti lcesleertiiieate urco npliance ii)rm U01csT0 U:Sti.doc 1/16/03 T
05,'19/005 09:31 FAX 760 771 1841 SPARKS CONSTRUCTION Q002
vasa, �Ua iun t0:04 rM 10001/001
9Fuiw
Building & Safety Department
c
OF 78-495 Calle Tampico
PO Box 1504
La Qu inta, CA 92253
(760)777-7012 voice—(760)777-7011 fax
CERTIFICATION OF BUILDING AREA
STREET ADDRESS OF JOB: 81-848 AVE. 60
APN: 764-210-004
DESCRIPTION OF WORK: PUMP HOUSE
SQUARE FOOTAGE: 1241 SF
OWNER'S NAME: CORAL OPTION I,'LLC.
��OF LA ()UINTA
ILDING&SAFE- y DEPT.
FoPPROVED
/CONSrR ON
Coachella Valley Unified School District
83-733 Avenue 55
P0Box 847
Thermal, CA 92274
(760) 398 5909
s
SCHOOL FACILITY FEES COLLECTION HOURS:
8.00 A.M. -4.00 P.M. Monday- Friday
PLEASE NOTE:
FEES MUST BE PAID IN CHECK OR CASHIERS CHECK. NO CASH.
For questions regarding this letter; please call:
Ed Randall, Counter Technician
(760) 777-7092
i