07-0696 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
ADDlicant:
07-00000696
57517 BARRISTO CIR
762-240-015-1 -32225 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
147834
T4ht °f 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
G5 ENTERPRISES, INC.
6347 DI VITA WAY
DETACCARLSBAD, CA 92009
rchitect or Engineer:
So+tr( \i
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D°
MAY 01200701 Contractor:
SKYE CONSTRUCTION, INC.
2240 ENCINITAS BLVD, STE D-485
CITY OF LA QUINTA ENCINITAS, CA -92024
FINANCE DEPT. (760)594-2282
Lic. No.: 854569
LICENSED CONTRACTOR'S DECLARATION
I 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 P fessiana's Code, and my License is in full force and effect.
License Class: B LicenseNo.: 854569
ate: 5111 tntractor:
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.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 1$5001.:
(_) 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.).
(_ 1 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: JAN
LQPERMIT
Date: 4/06/07
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.
_Y_ 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
1 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 beco a subject to the workers' compensation laws of California,
and agree that, if I should become su 'act to the workers' compensation provisions of Section
3700 of the Labor Code, I shall rth 'th comply with those provisions.
f7ate.
-_ plicant:
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 coons ction, and hereby authorize representatives
of this countyto enter u the above-mentioned propertyfor i spe ion purposes.
Date: I (�Signature (Applicant or Agent):
Application Number . . . . . 07-00000696
Permit
. . .
BUILDING PERMIT
Additional
desc . .
Permit Fee
. . . .
807.50'
Plan Check Fee
524.88
Issue Date
. . . .
Valuation . . . .
147834
Expiration
Date..
9/22/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
48.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
168.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
98.50
Plan Check Fee
24.63
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
9/22/07
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
---------------------------------------------------7------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
108.49
Plan Check Fee
27.12
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
9/22/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2351.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
82.29
560.00
------------------
.0200
---------------------------------------------------------
ELEC
GARAGE OR NON-RESIDENTIAL
11.20.
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 152.25
Issue Date . . . .
Expiration Date . . 9/22/07
Plan Check Fee .
Valuation
Qty Unit Charge Per
BASE FEE
15.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMIT
38.06
0
Extension
15.00
90.00
15.00
Application Number . . . . . 07-00000696
Permit . . . . . . PLUMBING
Qty
Unit Charge
Per
Extension
Extension
1.00
7.5000
EA
PLB
WATER HEATER/VENT
7.50
1.00
3.0000
EA
PLB
WATER INST/ALT/REP
3.00
9.00
.7500
EA
PLB
GAS PIPE >=5
6.75
1.00
--------------------------------------------------------------------------=-
15.0000
EA
PLB
GAS METER
15.00
Permit . .
Additional desc
Permit Fee
Issue Date
Expiration Date_.
GRADING PERMIT
15.00
9/22/07
Plan Check Fee
Valuation . .
00
0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 1, PLAN 1A,
2351 SF.
PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
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
52.49
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
14.78
DIF STREET MAINT FAC -RES
67.00
DIF'TRANSPORTATION - RES
1930..00
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
1181.74
------------------------------
.00 .00
.1181.74
Plan Check Total
614.69
.00 .00
614.69
Other Fee Total
4562.27
.00 .00
4562.27
Grand Total
6358.70
.00 .00
6358.70
LQPERMIT