05-1933 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T414t 4 4Qut«rw
BUILDING & SAFETY DEPARTMENT
BUILD] G PERMIT
Application Number
05-00001933
Property Address:
79300_ BROOKVILLE
APN:
772-040-017- - -
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
322817
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LA QUINTA ORCHARDS PARTNERS
C/O LA QUINTA ORCHARD PARTNERS
P O BOX 1716
LA QUINTA, CA 92253
�J Contractor:
Applicant: Architect or Engineer: Cn SPARKS CONSTRUCTION, INC
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: OOR SQUARE FOOT O Lic. No.: 674074
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 Cla B cen No.: 6 4
Dater Contractor:
C— OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's St to 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).:
(_) 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.).
( ) 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.).
Lender's Name: �-
Lender's Address:
LQPERMIT
Date: 9/16/05
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 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
3700 of the Labor C o0011
hall fart mply with those provisions.
-DaOl/_4406,11 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO ERAGE 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 ab information is correct. I agree to comply with all
city and county dinances and state laws relating to b ' con�ction, a thorize representatives
of this co my enter upon the above-mentionedpry r insrposes.
Da Signature (Applicant or Agent):
Application Number .
. . . . 05-00001933
r,
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
1420.00
Plan Check Fee
923.00
Issue Date . . . .
Valuation . . . .
322817
Expiration Date
3/15/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
223.00 3.5000
----------------------------------------------------------------------------
THOU BLDG
100,001-500,000
780.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
225.55
Plan Check Fee
56.39
Issue Date . .
Valuation . . . .
0
Expiration Date'.
3/15/06
Qty Unit Charge'
Per
Extension
BASE
FEE
15.00
5018.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
175.63
996.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
19.92
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC
TEMPORARY POWER POLE
15.00
Permit . . .
GRADING PERMIT
Additional desc . .
Permit Fee
15.00
Plan Check Fee
.00
Issue Date
Valuation . . . .
0
Expiration Date
3/15/06
Qty Unit Charge
Per
Extension
-------------------------------------------------------------------=---------
BASE
FEE.
15.00
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
152.00
Plan Check Fee
38.00
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
9.00 6.5000
EA MECH
VENT FAN
58.50
1.00 6.5000
--------------------------------=-------------------------------------------
EA MECH
EXHAUST HOOD
6.50
LQPERMff
Application Number
. . . . 05-00001933
Permit . . . PLUMBING
Additional desc .
>> Permit Fee . . . . 308.25 Plan Check Fee
77.06
* Issue Date . . . . Valuation . . .
. 0
Expiration Date 3/15/06
Qty Unit Chargee Per
Extension
BASE FEE
15.00
21.00 6.0000 EA PLB FIXTURE
126.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
17.00 6'.0000 EA PLB ROOF DRAIN
102.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
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
SFD-5018 SQ.FT: LIVING, 1223 SQ.FT.
PATIO, 996 SQ.FT. GARAGE. R-3 OCC. TYPE
VN CONSTRUCTION, 2001 CODES. **PERMIT
DOES NOT INCLUDE BLOCK WALLS, POOL OR .
SPA. DRIVEWAY APPROACH REQUIRES
SEPARATE PERMIT FROM THE PUBLIC WORKS
DEPARTMENT**"
----------------------------------------------------------------------------
Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES
307.04
DIF COMMUNITY.CENTERS=RES
97.00
DIF CIVIC CENTER - RES
3.66.00
ENERGY REVIEW FEE
92.30
DIF FIRE PROTECTION -RES
97.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC -RES
5:00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
32.28
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited
Due
---------------------------------------------------------
Permit Fee Total ,2120.80 .00 .00
2120.80
Plan Check Total 1094.45 250.00 .00
844.45
Other Fee Total 2836.62 .00 .00
2836.62
Grand Total 6051.87 250.00 .00
5801.87
LQPERMIT
NNW IV'
BOX 1504/
Building 78-495 CALLE TAMPICO APPLICATION ONLY
Address LA QUINTA, CALIFORNIA 92253 O
Mailing BUILDING: TYPE'CONST. OCC. GRP.
Address p . %/,6 A.P. Number ' 7 2 Ol
City Zip Tel. S.aLOf 3 9
6a ur$77`u 1.2,:;7,S-3 Legal Description /Jl �J `f
Contra�r &IPA6 &146tA CJZ�W, / ProjecAC-�tt Djescription ��r S f C �n� G11L �
City Q Zip yTel.
u l ham` aa.s-3 '21/-iq 341
State Lic. City
& Classif. Q Lic. # � g 6
Arch., Engr. �, /y��
Designer !i / �'n e
Address Tel.
G-/ 10 ��o- bass
City ,/ Zip State
/hGf J*62 / D 1 Lia #
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 Contractors License Law for the following
reason: (Sec. 7031.5.Business and Professions Code: Any city or county which requires a
permit to construct, after, 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 that. he 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, Buisness 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
orimprovement 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.)
1'1 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 contractors) licensed pursuant to the Contractor's License Law.)
17 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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
n Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(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 thg 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: It, 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 1 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 sof this city to enter the above.
mentioned property for inspection purposes.
Signature of aOplicant Date
Mailing Address
City, State, Zip
Sq. Ft. i;'01 No.
Size Sto
No. Dw.
11n1Nc.
New �1- Add D Alter O Repair O Demolition O
Aimited Valuation,,
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
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
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road < BERMUDA DUNES O
V' RANCHO MIRAGE Cj
Date 9/19/05 La Quinta, CA 92253 � INDIAN WELLS
PALMDESE
No. 27661 (760) 771-8515 `yv� LA QU NTA
�OINDIO
Owner Sparks Construction, Inc.
APN # 772-040-017
Address P O'Box 1716
Jurisdiction La Quinta
City La Quinta Zip 92247
Permit #
Tract #
Study Area
Type Single Family Residence
No. of Units 1
Lot # No. Street
S.F.
Lot # No. Street S.F.
Unit 1 79300 Brookville
5018 Unit 6
Unit 2
Unit 7
Unit 3
Unit 8
Unit 4
Unit 9
Unit 5
Unit 10
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 5,018 S.F. or $11,240.32 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. 24604933
Name on the check Telephone
F=ding Residential
By Dr. Doris Wilson
Superintendent ~'{
V rJJ
Fee collected /exemptedby haron McGilvrey Payment Recd ^$0.00 t- 4
.$11 240.32 ' Over/U'hder
Signature
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will 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 District('s) behalf, whichever is earlier.
NOTICE: This Document NOT VALID if Duplicated
Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy -Accounting
JCM Inspections
t)(Ml lie 39725 Garand Lane Suite F
Palm DesertCA 92211 I_ a
INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 INSPECTIONS
WELDING INSPECTION REPORT R,r' _
Project Name: -`fir 1t Project No: Date:
6Aon C_ka �' �elneNb 1
Project Address: co� r Cr• city:
I (`
.. _ �(J lea \ ' VXGQ `� .
CAWS IB Title 24
� ❑Shop
-�J D 1.1 ,Field
❑ D 1.3
❑ D 1.4 Other
Client: R Sub -Contractor: n�
Q
General Contractor: Arc rtect: Structural Engineer:
c\Cur\[On,Sf1G 1'1
Description of Work Inspected: ` Q n � ce p,
Weather:
CAO u L( 0\k re- 0
Items:
None
❑ See Below
1Unresolve
i R>r UMn�-�c�V1t'lec't0'05
c — r"n rt.e. I- a'rN
env e wP�S �"ti�? ��• bn c� r+� 1p �, C s
O (� CornalS�l�a(1
1�h. W4�bJa�C _�,.le 'C�0`\n`ocC\rry �tiv\\\JPU\-
4\„ A` trrV.ctc.:� n o[, bob ()LAS
' �k^t �� an n•o��o� �� � ���, .S r`� s�'.�rn� t �� o c s w � i, � �\`� E� .
t A'b
c.\1�
��.c �c�s�l`�� 4 �� �• c,� 4 c'VCA (•1A1C3CN O QO n'>n NsbC V n t e [ 01�z'C1o�
(Ss��c
00`Q.�
Process
Welder
Cert on.
File
Electrode
Detail(s)F1
Location/Comments
Yes
No
Type
I Size
c.RV.i
a_
t:% >,La C 4C 0
✓
•��
,off,
�:-� S�o� �
(�
�J��«
0,n ,.•�
o0Ca inr� rboV� S
S
'
�o QnsSv �\'CI aSc�nlc�e'tn� `cdc �`tn�
Nk
v
I hereby certify 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. Millin ICC Certifi�t on No: 0842216-85
Contractor's Representative: A//
AITAW
Copy 1 JCM Inspections Copy 2 Project Superintendent Copy Governing Avncy Page i of
'Q.