05-1037 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4& Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
6/03/05
Application Number: 05-00001037
Owner:
Property Address: 81460 CARBONERAS
CORAL OPTION I
APN: 764-200-006-36 -316811-
79295 RANCHO LA QUINTA DR
Application description: DWELLING - SINGLE FAMILY DETACHED
LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 266535
Contractor: D OJ
.Applicant:/architect or Engineer:
SPARKS CONSTRUCTION, I
P6_rACA(,fX C,0161- %--
P.O. BOX 1716
C 9e 7I,-
LA QUINTA, CA 92247�QVIp►TA
(760)771-1941 CINNANCE pEPT.
Lic. No.: 674074 F
-------------------------------------------------------------------------------------------------
' LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Profession Code, and my ' full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
LicenskClass,, B Lice No - 4074
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
/ DatO ntractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number'are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 00003482004
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to t ' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the.Business and Professions Code) or
3 0 of the Labor Code, I shall forthw' mply with t se provisions.
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).:
at��i 47 Applicant:
(_ ) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA UL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAG S AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES:
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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_ I 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: r'[
LQPERMIT
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 i agree to comply with all
city and county o finances and state laws relating to building constructio nd hereby at horize representatives
of thihiss-co ty t enter upon the above-mentioned property for inspe n purposes.
pg;.* T C ature (Applicant or Agent):
Application Number . . . . . 05-00001037
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Per
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
•Extension
Other struct info .
. . CODE EDITION
2001 CBC
BASE
4 BEDROOMS
3.00
2.00
FIRE SPRINKLERS
NO
MECH
GARAGE SQ FTG
783.00
2.00
PATIO SQ FTG
521.00
MECH
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3023.00
Permit . . .
BUILDING PERMIT
26.00
Additional desc .
6.5000
EA
Permit Fee . . . .
1224.00 Plan Check Fee
795.60
Issue Date
Valuation . .
. . 266535
Expiration Date
6/03/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
167.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
584.50
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee
83.50 Plan Check Fee
20.88
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 . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date .
Qty Unit Charge
3023.00 .0350
783.00 .0200
LQPERMIT
ELEC-NEW RESIDENTIAL
136.47 Plan Check Fee .
Valuation . . .
6/03/05
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
ELEC GARAGE OR NON-RESIDENTIAL
34.12
0
Extension
15.00
105.81
15.66
Application Number . . . . 05-00001037
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . .
166.50 Plan Check Fee
41.63
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 36, PLAN 2MC, 3023 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
166:33
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
79.56
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
26.65
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid. Credited
---------------------------------------------------------
Due
LQPERDIIT
Application Number . . . . . 05-00001037
Permit Fee Total 1625.47 .00 .00 1625.47
Plan Check Total 892.23 .00 .00 892.23
Other Fee Total 2677.54 .00 .00 2677.54
Grand Total 5195.24 .00 00 5195.24
LQPEFdWIT
Certificate of Occupancy
4
C OFTBuilding & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
BUILDING ADDRESS: 81-460 CARBONERAS
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-1037
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: CORAL OPTION 1, LLC Address: P.O. BOX 1716
City, ST, ZIP: LA QUINTA, CA 92253
By: DAVID GATICA
Date: NOVEMBER 20, 2006
Building Official
POST IN A CONSPICUOUS PLACE
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