07-0727 (SFD)J
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: ' 07-00000727
Property Address: 57542 BARRISTO CIR
APN: 762-240-015-27 -32225 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 169381
Applicant:
Vol
T-v4t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
G5 ENTERPRISES, INC
6347 DI VITA WAY
DETACHED CARLSBAD, CA 92009
rchitect or Engineer:
3,owm, SCt+ynt j
3 Sr -1 I `1
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License lass: B License No.: 854569
ate:5 ���01 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 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).:
(_ 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.).
(_ 1 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:
LQPER111IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/06/07
tMAY
p 1 2007
CITY OF LA 95INTA
Contractor:
SKYE CONSTRUCTION, INC.
2240 ENCINITAS BLVD, STE D-485
ENCINITAS, CA 92024
(760)594-2282
Lic. No.: 854569
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.
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
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 1848754
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,
and agree that, if 1 should become ubject to the workers' compensation provisions of Section
�< 3700 of the bar Code, I shall or with comply with those provisions.
afS te: J /I 0 {7pplicant: �—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building constr tion, and hereby authorize representatives
of this nt% to enter upon the above-mentioned property for inQSrpec on purposes.
ate: l /0 gnature (Applicant or Agent):
Application Number . . . . . 07-00000727
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
884.50
Plan Check Fee
143.73
Issue Date
. . . .
Valuation
169381
Expiration
Date
10/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
70.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
245.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
98.50
Plan Check Fee
6.16
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
10/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA MECH.FURNACE
<=100K
18.00
2.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
33.00
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
. . . .
121.46
Plan Check Fee
7.59
Issue Date
. . . .Valuation
. . . .
0
Expiration
Date . .
10/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2709.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
94.82
582.00
-------------------------------------------------------=--------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.64
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
155.25
Plan Check Fee
9.70
Issue Date
. . . .
Valuation . . . .
0
.Expiration
Date
10/03/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
14.00
6•.0000
EA PLB
FIXTURE
84.00
1.00
15.0000
EA PLB
BUILDING SEWER
15.00
LQPERMIT
8
Application Number . . . . . 07-00000727
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
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 Plan Check Fee
.00
Issue Date. Valuation
0
Expiration Date 10/03/07
Qty Unit Charge, Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 27, ,PLAN 2AR, 270.9 SF. PERMIT
DOES NOT INCLUDE POOL, SPA,.BLOCK WALLS
OR DRIVEWAY APPROACH.75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE
ISSUANCE OF SAME PLAN TYPE. 2001 CBC,
CMC,
CPC, 2004 CEC, 2005 ENERGY CODES
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
20.00
DIF COMMUNITY CENTERS -RES.
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
14.37
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN•CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
16.93
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 1274.71 .00 .00
1274.71
Plan Check Total 167.18 .00 .00
167.18
Other Fee Total 4526.30 .00 .00
4526.30
Grand Total 5968.19 .00 .00
5968.19
LQPERMIT