05-2395 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
A Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
05-00002395 -
79390 BRIARWOOD-
772-020-007- - -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
393368
T4ht 4 4 Q"'*
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LA QUINTA ORCHARDS PARTNERS
C/O LA QUINTA ORCHARD PARTNERS
DETACHED P O BOX 1716
LA QUINTA, CA 92253
Architect or Engineer:
Lic. No.: OOR SQUARE FOOT
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 Professionals Code, and my License is in full force and effect.
License Cl a s: B License N 674074
Date Contractor:
O NER•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 _ 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 _ 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 contractods) 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:
LQPERMIT
Contractor:
SPARKS CONSTRUCTION, I
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 674074
Date: 9/16/05
-----
SEP -'L2 71005
CITY aF LA QUINTA
WORKER'S COMPENSATION DECLARATION
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.
_ 1 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 00003482004
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 I should become subject to the workers' compensation provisions of Section
3 0 of the Labor I shall forthwith com �Ihose provisions.
Date• Applica
WARNING: AILURE TO SECURE WORKERS' COMPENSATION CnUPTO
NLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENAGES 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 or ' ances and state laws relat building construction, a uthorize representatives
of this co y nter upon the above -m oned pro r m urposes.
DalVSignature (Applicant or Ag
rw
k .
LQPERMIT
Application Number . . . . . 05-00002395
Permit
Charge
BUILDING PERMIT
Additional
desc .
BASE
FEE
Permit Fee
. . . .
1668.50
Plan Check Fee
1084.53
Issue Date
Additional desc
.
Valuation . . . .
393368
Expiration
Date
3/15/06
139.00
Plan Check Fee
Qty. Unit Charge
Per
. .
Extension
Valuation . . .
. 0
BASE
FEE
639.50
294.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
1029.00
Permit
Extension
ELEC-NEW RESIDENTIAL
Additional
desc . .
15.00
4.00
9.0000
Permit Fee
FURNACE <=100K
210.57
Plan Check Fee
52.64
Issue Date
. . . .
36.00
Valuation . . . .
0
Expiration
Date
3/15/06
1.00
----------------------------------------------------------------------------
6.5000
Qty Unit Charge
Per
6.50
Extension
BASE
FEE
15.00
4454.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
155.89
1234.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
24.68
1.00
----------------------------------------------------------------------------
15.0000
EA ELEC
TEMPORARY POWER POLE
15.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Issue Date . . . .
Expiration Date 3/15/06
Plan Check Fee
Valuation. . .
00
0
Qty Unit
Charge
Per
Extension
----------------------------------------------------------------------------
BASE
FEE
15.00
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
. .
139.00
Plan Check Fee
34.75
Issue Date . .
. .
Valuation . . .
. 0
Expiration Date
3/15/06
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
4.00
9.0000
EA MECH
FURNACE <=100K
36.00
4.00
9.0000
EA MECH
B/C <=3HP/100K BTU
36.00
7.00
6.5000
EA MECH
VENT FAN
45.50
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
,
Application Number
. . . . 05-00002395
Permit
. . .
PLUMBING
Additional desc
.
r� Permit Fee
276.75 Plan Check Fee
69.19
Issue Date
Valuation . . . .
0
Expiration Date
3/15/06
Qty. Unit
Charge
Per
Extension
BASE FEE
15.00
22.00
6.0000
EA PLB FIXTURE
132.00
1.00
15.0000
EA PLB BUILDING SEWER
15.00
12.00
6.0000
EA PLB ROOF DRAIN
72.00
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
11.00
.7500
EA PLB GAS PIPE >=5
8.25
1.00
15.0000
EA PLB GAS METER
15.00
----------------------------
Special Notes
---------------------------------------
and Comments
---------
4454 sq. ft.
sfd this
permit does not
include pool
& spa block
walls or
driveway approach.June
27, 2005 2:55:56
PM jjohnson
----------------------------------------------------------------------------
Other Fees .
. . . .
. . . . ART IN PUBLIC PLACES -RES
483.42
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
108.45
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
39.33
-
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
LQPERMIT
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged Paid
2309.82 .00
1241.11 250.00
3036.20 .00
6587.13 250.00
Credited Due
.00 2309.82
.00 991.11
.00 3036.20
00 6337.13
1
bhkl- T4ht 4 4
"
P.O. BOX 1504
Building 7LTAMPIO
Address 7Q �p0�/Z-fA-aWOD LA QUINTA, CALIFORNIA
92253
Weaning f
Address _ o 1916 / /�
City[ 62 ,IIh� Zip `7 v�`o�J3 Tel. % fl
CJS ,,��o�� . '7/
i6
City Lit ul h `,,- Zip cl,,,,s"3 1
Tel. 12,71 /1
8 Classif. Lich #
Arch., Engr.,
Designer
.16o -oasv
City IZip IState I
�i^ 1 _, __ /. // Gy /7 '1 i A Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to 'Its Issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe 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, euisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
I'1 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
171 1 am exempt under Sec. B. 6 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
Cl Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of ing 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of a0plicant —Date—
Mailing
ateMailing Address
City, State, Zip
C9-5-- 237,9 --
APPLICATION ONLY
BUILDING: TYPE"CO GRP.
A.P. Numb %-7Z —o 2,9 (Do -7
Legal Description :CJ /--/ o< (V Jra�/7- moo/
Project Description (_414 Sh-r rn
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Sq.F S
Size
No. No. Dw.
Stories Units
Ne w^ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AM NT
Plan Chk. Dep.
�O
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
w
OttINTA
e LE �fEPT. sJ
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
Comments
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patiostwalkways, residential additions under 5
00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho
mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $2.24 X 4,454 S.F. or $9,976.96 have been paid for the property listed above and that
building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued.
Fees Paid By CC/California Bank & Trust - Judy Halpain Check No. 24604940
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempte on ilvrey Payment Recd 50.00 r
Over/Under_
$9,976.96 .
Signature
NOTICE: Pu nt to Government Code Section 66020(d)(1), th' II serve to notify you that the 90 -day approval period in which you may protest the fees o
r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which
those amounts are paid to the District(s) or to another public entity authorized to collect them on the Districtrs) behalf, whichever is.earlier.
NOTICE: This Document NOT VALID if Duplicated
Original -Building Department/Applicant Copy - Applicant/Receipt Copy - Accounting
_____.___
INSPECTIONS
JCM Inspections
39725 Garand-Lane Suite F
Palm Desert, CA 92211.
Phone: 7607345-5554 ; Fax: 760-772-3895
INSPECTIONS
WELDING INSPECTION REPORTP,,,;- 05 �p 3'=1
Project Name:
Project No: Date:
Project Address:
City:
Li D 1:3
Title 24 E]Shop
Client: Sulb�Contractor:
General Contractor:
Architect: Structural'Engineer:
Description of Work Inspected:
Un
Unresolve
None
See Below
Process
Welder
Cert on
File
Electrode
Detail(s)
Location/Comments
Yes
No
Yype
Size
6.1
I hereby cerOfy that I have inspected all of the above work, unless otherwise noted, and to the best of my ability I have found this work to comply with the approved
plans, specifications -applicable building laws. Final report issued at project completion.
Inspector: Jack C Milli ICC Certificafign 16-85
AT, Ir
Coht acto s Repore entative:
7a, 7
Copy 1 JuMmspoctivns cvpyu Project Superintendent Copy 3.- Governing Agency poV __1_m__�_