05-0767 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4 4 4"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
05-00000767
Property Address:
81470 CARBONERAS
APN:
764-200-006-35 -316811-
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
255334
Applicant: /rchitect or Engineer:
/ P,(c.f.ft ruAW8h�,-
cg/?S
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 'cense is in full force and effect.
License CI "cense "A 4
/ateQ t7 O onvactor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 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).:
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, 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.).
(_ 1 I am exempt under Sec. , BAP.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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/03/05
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
D �
Contractor: UN O p 2005
SPARKS CONSTRUCTION, INC JUN O
P.O. BOX 1716
LA QUINTA, CA 92247 CITY OF LA QUINTA
(760) 771-1941 FINANCE DEPT.
Lic. No.: 674074
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
3/,00 of the bor Cod I shall forthwith co fy7C1 h those provisions.
aiTt�%6 'n Q%`Applicant: _
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 above information is correct. I agree to comply with all
city and county ordinances and state laws relating to build" g !0'1 ROe 'on, and hereby authorize representatives
of this co ty t nter upo he above-mentioned propert for inspection rpo
fla-'O Signature (Applicant or Agent):
Application Number . . . . . 05-00000767
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 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 805.00
PATIO SQ FTG 424.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 2895.00
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 1185.50 Plan Check Fee 192.65
Issue Date . . . . Valuation . . . . 255334
.Expiration Date . . 6/03/05
Qty Unit Charge Per Extension
BASE FEE 639.50
156.00 3.5000 THOU BLDG 100,001-500,000 546.00
---------------------------------------------------------------------------=
Permit . . . MECHANICAL
Additional desc . .
Permit Fee . . . . 101.50
Issue Date . . . .
Expiration Date . . 6/03/05
Plan Check Fee . . 6.35
Valuation . . . . 0
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 .
. .
ELEC-NEW RESIDENTIAL
Additional desc
. .
Permit Fee
132.43
Plan Check Fee
21.52
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
. .
6/03/05
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
2895.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
101.33
LQPERMIT
Application Number .
. . . . 05-00000767
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
805.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
16.10
Permit . . . PLUMBING
Additional desc
Permit Fee . . . .
173.25 Plan Check Fee
10.83
Issue Date . . . .
Valuation . . . .
0
Expiration Date . .
6/03/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
17.00 6.0000
EA PLB FIXTURE
102.00
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
9.00 .7500
EA PLB GAS PIPE >=5
6.75
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 35, PLAN 1A,
2895 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK DUE TO MULTIPLE ISSUANCE OF
SAME PLAN TYPE
-----------------------------------------
Other Fees . . . . .
-------------------------
. . . . ART IN PUBLIC PLACES-RES
138.33
DIF COMMUNITY CENTERS-RES
97.00
DIF CIVIC CENTER - RES
_366.00
ENERGY REVIEW FEE
19.27
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
LQPERAIIT
Application Number . . . . . 05-00000767
----------------------------------------------------------------------------
Other Fees . . . . . . . ... STRONG MOTION (SMI) - RES 25.53
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1607.68 .00 .00 1607.68
Plan Check Total 231.35 .00 .00 231.35
Other Fee Total 2588.13 .00 .00 .2588.13
Grand Total 4427.16 .00 .00 4427.16
LQPERMIT