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04-8275 (SFD)P.O. BOX 1504 4 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777=7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/03/05 Application Number: 04-00008275 Owner: Property Address: 81440 CARBONERAS CORAL OPTION I APN: 764-200-006-38 -316811- 79285 RANCHO LA QUINTA Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 D d Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 271655 Contractor: JUN 0 8 2005 Applicant: Architect or Engineer: SPARKS CONSTRUCTION, C �/ P.O. BOX 1716 Cm'NANCEDOF(,AQUJNt LA QUINTA, CA 92247 FJE A 3 (760)771-1941 Lic. No.: 674074 -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provis' of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals C A , and License is in full force and effect. Licens cIas : B cense No., 674074 'tey 0 !/" ntractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Licen a 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 70001 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.). 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 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 1 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 ISec. 3097, Civ. C.I. Lender's Name: Lender's Address: W LQPERIIIIT ------------------ WORKER'S COMPENSATION DECLARATION 1 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 wort ensation provisions of Section 3 0 of the Labor Code, hal forthwith co ith those p visions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWF L, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP ro ONE HUN RED 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 i rmatio correct. I agree to comply with all city and county ordinances and state laws relating to building c struction, an ereb nze rep ntatives of this co ty yPenter upon the above-mentioned prope n action purpos B 16Sjgrrdture (Applicant or Age Application Number . . . . . 04-00008275 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . FLOOD ZONE AO Other struct info . . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 788.00 PATIO.SQ FTG 686.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 3058.00 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1241.50 Plan Check -Fee 201.75 Issue Date . . . . Valuation . . . 271655 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 639.50 172.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 602.00 Permit . . . MECHANICAL Additional desc . . Permit Fee , . . . 83.50 Plan Check Fee 5.22 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.00 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 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 . . . . 137.79 Plan Check Fee 8.70 Issue Date . . . . Valuation. 0 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 3058.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 107.03 LQPEn11T Application Number . . . . . 04-00008275 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 788.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 15.76 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 166.50 Plan Check Fee 10.41 Issue Date . . . . Valuation . . . . 0 .Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 16.00 6.0000 EA PLB FIXTURE 96.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 8.00 .7500 EA PLB GAS PIPE >=5 6.00 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 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 38, PLAN 2A, 3058 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 188.67 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 80.70 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 LQPERMIT Application Number . . . . . 04-00008275 ------------------------------------------------------------ Other Fees . . . . .. . . ---- STRONG MOTION (SMI) - RES ------------ 27.54 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 1644.29 .00 .00 1644.29 Plan Check Total 226.08 .00 .00 226.08 Other Fee Total 2701.91 .00 .00 2701.91 Grand Total 4572.28 .00 .00 4572.28 LQPERAI[T 06/21/2006 13:52 17603471841 PARGON SCHMID PAGE 24 INSULATION_ CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at L 81-440 CARBONERAS, LOT 38, PHASE 1, SPARKS LA QUINTA, CA CEILINGS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38 WALLS: TYPE: BATTS MANUFACTURER: Certainted THICKNESS: R-21 GENERAL CONTRACTOR: SPARKS CONSTRUCTION LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: 14110& Nov 16 05 08:26a RF STRUCTURAL&SANTAMARIA 760 836 0856 \7VL:IV11;1.j \ 15 , 4Gu CIU SPARKS CONSTRUCTION P%')ST Ci11','; (."L-:. 1130X i i ib I.A QI11NTA, CA. 92247 .kI.u.. Vit, C IAP SI,,IJSSll'P\ Y� .. n a 1, f A !� r, I � � /\• A TYl .T '� + \ \ ►��.. P.17 F -STRUCTURAL COiNCULTANTS, UNC. . I'I JONIi (760) 816. 1000 VAX (700) 816-08511 t; 1i°1}� r� �y!��(�rtir!),�:`;21:�'!'!ti r(••ly tt�.'1! .1: (��'`. Tl it: Jvi�suf+1,i�SIA A T ti:t]t\I�L IYi(iUNT A'N ► ►QAC• ► � ►(i3►-► LOT It 38, PLAN 2A S 1-140 CARBON"i"'RAS LA QUINTA, CA. 92253 F 01, 1 , O'Vv- t. � P TO w ii1AK ► ► IRG)1 t t JOB NO.: 4253 M"'A i CHAP . t••,-• E1- a . . AT LE v. rn.. Tlf... T,1r r,' Ti[ iiS ►.r. ► ► r:.►� t+i�VcS[••a 1 I LN 1 vv c:. r ►r'� Y C. � ii$[:.►� v i:;i� ► r i c'. � ► ►�t�C. i i,Rrki. REQUIRUIMEWS THAT ARF VISIBLE DURING�C•ONSTRUCTION AT'I'IIE TIME 01 OUR SITE' VISi•I'. )AT BIE'LIEVE 'i'i itVi i'i ii., AS -BUILT ' 0NSTRU(`X N %"'"" ii': b"EME „F1 Ui,R V iSi i iS IN GENI.,,RAI, CONFORMANCE, WITI I OUR STRUCTURAL PLANS AND RELEVANT COR'RESPONllI;NC' 'ISS, L1 I3l' C)kii� Oi t ICL. vvu OBS r,VEl Ti ii: 'riuii,iiiNii ii+ i'i S ►=►tt1i�►1;D �.JNv� i0 i� 1 ION I v INSTALLATION OF DRYWALL ANIS STUCCO. WF OB7SFRVED TI IE VISUAL AN7D+ .i E ♦. r•• n , ♦r �r ♦*^ AY• •n \'XC.LUSiONS ARE'LTEVIS SUCH AS, Ai•+.r.S.SiuLi: S�1�i;("i'�;RJ+i.. it�;C� �,ii�tlti►►•.i�i � S. (r.. f'00TING SIZF AND RVINI:ORCEMFiNT, TOP PLATE SPLICES, IZUOP SI IEATI 1ING, r+N d"ANY STRAPS rA BUGIvT 'i'i ii, :00 F 5i-ii•;ATiitNG. j. OF ES Sjon, > GJF, y1aD M• F Vry •.. I No. 579,58 / �m \''&-P. 06-30-0ZA"�[) •7 Y. ! A T Y'. A 13 t JCM Inspections 39725 Garand Lane Suite F Palm Desert, CA 92211 INSPECTIONS Phone: 760-345-5554 - Fax: 760-772-3895 elm JEM INSPECTIONS EPDXY INSPECTION REPORT Date: q_ �r _ n Project Name: Project Project No: �xA\k ) 1A\ MGA I'hr Project Address: Y ;tii ' City: �y 11 ,e ` - Client: Sub -Contractor: General Contractor: Architect: Structural Engineer: Q, Anchor Bolts O Rebar J Epoxy Type: t Y-,-\ 0 <l n '-)E:'�- u Epoxy Shelf Life: 1), Ane C) I Hole Cleaning Method(s): g(rx \>1 n� �� r.t�('i rnnnYoCc� �� ; lnf uch 5 r PiP ref\/ ,i IBC Title 24 Other: Unresolved Items: r None See Below Description of Work Inspected: C�\f t—*�_14c, r-ae_, 0,-,r r,,4 sln i-4 PL _,\ ),rJrv4 k i (::�-4,f r z,-'-4 e PeJ J` I1(�1AA ��`C/`�,< <nr,�-FC_n I_)�✓f\•P /✓��rl �i.trr_, �vr\c 'nom ni.ni((vij' t\,r\�t� tC�rzj��rl n /—�itv 6 r�\, rA (-G(l ((JJ0i t.. )0�np PLt,�IrA-� �l�f t arm �G0\1 t nc-. �_ xrc�r lxi, �ci��t�T Q Poen Ptd--) rT -_i I C)1 nI�✓h��" Y' �l hnlo<' � /is �ca,rc�r-(,nr-r,A Q�n��C �, i'r��O ll' l oky �P� �r, r V>, c y r Y� t r,4-� 1 % �.� �">�u Work complies with written approval from Structural Engineer and ICC Evaluation Report # I hereby certify that I have inspected all of the above work,'unless otherwise noted, and to the best of 4 ability I have found this work to comply with the approved plans, specifications _applicable building laws. Final report issued at project completion. �. Inspector: Michael Rodriguez ICC Certification No: 800312 ntractors Re,pre Beni tive: /�C � A Q Copy 1 JCM Inspections Copy 2 Project Superintendent Copy 3 Governing Agency Page of n1fl, Earth Systems W Southwest, 79-811 B Country Club Drive Indio, CA 92203 (760) 345-1588 (800) 924-7015 DAILY REPORT OF INSPECTION OF STRUCTURAL CONCRETE SB/R-S CO. GOV. F] UBC TITLE 21/24 OTHER Building Permit No.: ,. ; k 10-540 DSA Application No.: Date of Inspection: 9/17/2010 ProjectName: M/M Lebedovich Residence Garage to Guest Room Remodel @ Andalusia Job No.: 09305-14 Project Address: 81440 Carboneras, La Quinta, Calif. Architect: Pekarek-Crandall, Inc. General Contractor: Sparks Const. Structural Engineer: Raymond Frangie Structural Consultants Sub Contractor: Desert Commercial Concrete TYPE OF INSPECTION: [-] Reinforcing X Placement [:] Other ❑X Other Sampling Description Of Work Inspected: (Ref.: Garage Apron Sketch 6) 1. Reviewed the approved construction drawings for construction and inspection criteria. Note: City of La Quinta has signed and approved the job card for footing and slab compliance. 2. Verified the mix design (Superior - D837P) with Mark Houghton via telephone prior to placement. 3. Observed and inspected the concrete placement at the new guest room slab and footings. 4. Cast one set of four concrete samples from same. Unresolved Items: Descriptive Location of Samples: Slump: 41/4" Concrete Temp: 78 Time In Mixer: Supplier: Superior Admixture: Water Added: 0 Air Temp: 84{ _ e,Specified Strength: not avail. Mix Design: D837P Truck #: 209 Air Contest, %: Unit Sample Time: 7:50a # of Samples: 4 Field I.D. Marking: I hereby certify that I have inspected all of the above reported work unless otherwise noted, and to the best of my ability have found this work to comply with the approved, plans, specifications, & applicable building laws. Final report issued at project completion. Copy 1 ESSW Lab Copy 2 Project Superintendent Copy 3 Governing Agency Inspector's Name/No. David W. Kretz - ICC #1089577 Inspector's Signature David W. Kretz a�yoyePmbmwdw.o.v " """'""�"""""'m All inspections based on a minimum of 4 hours; over 4 hours will bean 8 hour minimum. In addition, any inspection extending past 12 PM will be an 8 hour minimum. Contractor's Representative