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04-8268 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 04-00008268 81465 CARBONERAS 764-200-006-42 -316811- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 309222 Tay/ 4 4 a" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CORAL OPTION I 79285 RANCHO LA QUINTA DR DETACHED LA QUINTA, CA 92253 /Architect or Engineer: /%W.A-- <,(MAI 14,4<(— c .7,17 sr 1,4'tc_c9,1?sr- 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 Profession e, and my License is in full force and effect. License Cl s: B Licen No.: 674074 �D C ractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's ate License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or coun y 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 1 _ 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, P.O. BOX 1716 LA QUINTA, CA 92247 (760)771-1941 Lic. No.: 674074 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/05 ✓(/� O 8 y0F ?oOJr l NAV 4Ar�..- 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 a wor rs' compensation provisions of Section 3 0 of the Labor Code, all f hw' comply with [hose provisions. Qaee®6 'O Ai ant: WARNING: FAILURE TO SECURE WORKERS' MP TION COVERAGE IS UNLAWF L, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES S 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 1 have read this application and state that the abov rmation orrect. I agree to comply with all city and county or 'nances and state laws relating to buil ' construction, and h reby authorize representatives .of this co y to nter upon the above-mentioned prop inspection purpos —Da ,ci ignature (Applicant or Age Application Number . . . . . 04-00008268 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . NON -AO FLOOD ZONE Other. struct info -.- . CODE EDITION - - 2001 CBC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 752.00 PATIO SQ FTG 599.00 NUMBER OF UNITS 1.00 --------------------------------------------------------------------7------- 1ST FLOOR SQUARE FOOTAGE 3546.00 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 1374.50 Plan Check Fee 223.36 Issue Date . . . . Valuation . . . . 309222 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 639.50 210.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 735.00 Permit . . . MECHANICAL Additional desc . Permit Fee 101.50 Plan Check Fee 6.35 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 3.00 9.0000 EA MECH FURNACE <=100K 27.00 .3.00 9.0000 EA MECH B/C <=3HP/100K BTU 27.00 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 3546.00; .0350 LQPERMIT ELEC-NEW RESIDENTIAL 154.15 Plan Check Fee . Valuation . . . . 6/03/05 Per BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 9.64 0 Extension 15.00 124.11 0 Application Number . . . . . 04-00008268 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension Extension 752.00 --------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL. ------------------------- 15.04 Permit . .'. PLUMBING SPA, BLOCK WALLS Additional desc . . PLAN CHECK FEE DUE TO MULTIPLE ISSUANCE Permit Fee OF SAME PLAN TYPE 200.25 Plan Check Fee 12.52 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/05 ENERGY REVIEW FEE Qty Unit Charge Per DIF FIRE PROTECTION -RES Extension i BASE FEE 15.00 20.00 6.0000 EA PLB FIXTURE 120.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . GRADING PERMIT 15.00 6/03/05 Plan Check Fee . Valuation 00 0 Qty Unit Charge Per Extension BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 42, PLAN 3CR, 3546 SF. 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 273.05 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 22.34 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 LQPERMIT 04-00008268 ------------------------------------------ STRONG MOTION (SMI) - RES 30.92 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Paid - Credited - • - Due .00 .00 1845.40 .00 .00 251.87 .00 .00 2731.31. .00 .00 4828.58