05-2394 (SFD)Ile'
P.O. BOX 1504
78-495. CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 .
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
C�
c&ty/ 4 stP Q" -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
05-00002394
79330 BROOKVILLE
772-040-018- - -
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
313440
Architect or Engineer:
--------------------------------------------------
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 Clas : B Li o.: 674074
Date ntractor:
OA�INN -BUILD7Contractor's
N
I hereby affirm under penalty of perjury that I am exempt from State icense Law for the
following reason (Sec. 7031.5, Business and Professions Code:nty at requires a permit to
construct, alter, improve, demolish, or repair any structure, prioals 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 155001.:
(_ 1 1, 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 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.I.
Lender's Name:
Lender's Address: ,.
LQPERMIT
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
Contractor:
SPARKS CONSTRUCTION, INC
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.:•674074
-- - - - - - - - - - - - - - - - - - - - - - - - -
WORKER'S COMPENSAT
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.
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 0000348-2005
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
tDOLLARS
0 of the Labor -o all forthwith comply with those provisions.
scant:
AILURE TO SECURE WO RS' COMPENSATION COVER E IS UNLAWFUL, AND SHALL
EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND
00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Date: 3/02/06
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 construction, and r uthorize r esentatives
at�of this con toe er upon the above-mentioned proper r ection pu ses.
ure (Applicant or Age
Application Number . . . . 05-00002394
Permit
. .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1388.50
Plan Check Fee
902.53
Issue Date
. . . .
Valuation . . . .
313440
Expiration
Date . .
8/29/06
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
214.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
749.00
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc .
Permit Fee
. . . .
217.48
Plan Check Fee
54.37
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
8/29/06
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
4777.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
167.20
1014.00
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
20.28
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
8/29/06
-Qty
Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE
FEE
15.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
'.
150.50
Plan Check Fee
37.63
Issue Date
. .
Valuation . . . .
0
Expiration
Date
8/29/06.
Qty
Unit Charge
Per
Extension
BASE
FEE
15.00
5.00
9.0000
EA MECH
FURNACE <=100K
.45.00
5.00
9.0000
EA MECH
B/C <=3HP/100K BTU
45.00
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
LQPER,,7IT
it
LQPERAIIT
Application Number 05-00002394
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
253.50 Plan Check Fee
63.38
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
8/29/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
20.00 6.0000
EA PLB FIXTURE
120.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
10.00 6.0000
EA PLB ROOF DRAIN
60.00
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
12.00 .7500
EA PLB GAS PIPE >=5
9.00
1.00 15.0000
EA PLB GAS METER
15.00
-------------7--------------------------------------------------------------
Special Notes and Comments
4777 sq. ft. sfd this
permit does not
include pool & spa block
walls or
driveway approach.March
2,-2006 9:03:41
AM jjohnson
----------------------------------------------------------------------------
Other Fees . . . . .
. . . ART IN PUBLIC PLACES -RES
565.44
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
90.25
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
HOURLY PLAN CHECK
210.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22'.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
42.61
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION --RES
1666.00
Fee summary Charged
---------------------------
Paid Credited
----------
Due
Permit Fee Total
--------------------
202.4.98 .00 .00
2024.98
Plan Check Total
1057.91 250.00 .00
807.91
Other Fee Total
4604.30 .00 .00
4604.30
Grand Total
7687.19 250.00 .00
7437.19
I '
Building •�
Address
OwneV ,
to,
Mailing
Address
4
P.O.'BOX 1504
78-495 CALLE TAMPICO
10 LA QUINTA, CALIFORNIA 92253
RE/N
_ - Z44N u,;
Contracto p
06- Z3gy
APPLICATION ONLY
BUILDING: TYP-E'CONST. OCC. GRP.
A.P. Number
yhh Tel. r7 G21 �CO.S �-lJf 1p
Legal Description _T%� /—
Project Description (%ll.i7 r" �/— 7J �
City Zip %o2a�3 Tel.
State Lic. City
8 Classif. �%�O Lic. #Arch
Designer Engr., yv a tq /,rte
Desi ner ' ( /
Addie 52el�(O� Qa.�
city/ ZipD State
Lic. #
LICENSED CONTRACtOR'S DECLARATION
I hereby affirm that I am licensed under provlsions 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 rile 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).
17 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, Bulsness 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 tl a Contractor's License Law.)
1-1 I am exempt under Sec. B. & 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. 3900, Labor Code.)
Policy No. Company
F1 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thq 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 190 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 applicant Date
Mailing Address
City, State, Zip
WHITE = FINANCE YELLOW = APPUCANT PINK = BUILDING DIVISION
Sq. Ft.No.
Size 1
No. Dw.
Stories Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
r
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway E
Infrastruct
v
11, N 17 7005
crn0F LA QUINTA I
FIE fANCE DEPT
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 = APPUCANT PINK = BUILDING DIVISION
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District
47950 Dune Palms Road
Date 8/25/06 La Quinta, CA 92253
No. 28864 (760) 771-8515
Owner La Quinta Orchards Partners
Address
City Zip
Tract #
Type Single Family Residence
Lot # No. Street S.F.
Unit 1 79330 Brookville 4777 Unit 6
Unit 2 Unit 7
Unit 3 Unit 8
Unit 4 Unit 9
Unit 5 Unit 10
Comments
4���F>�Scyo
Q BERMUDA DUNES r
rn RANCHO MIRAGE
INDIAN WELLS
PALM DESERT ,y
Vt� LA QUINTA
VQ INDIO S^
O YJ
APN # 772-040-018
Jurisdiction La Quinta
Permit #
Study Area
No. of Units 1
Lot # No. Street S.F.
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways'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 $2.63 X 4,777 S.F. or $12,563.51 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 OC/California Bk & Trust - Judy Halpain Check No. 415782809
Name on the check Telephone
Funding Residential
By Dr. Doris Wilson
Superintendent
Fee collected /exempte Sha n it ey ` Payment Recd ; x:00 ., ;
$12,563.51 yOver/uWer'
Signatur c
NOTICE: Pursuant to Govemmen de S ion 66020(d)(1), this ill erve 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 h 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