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04-8274 (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: Ti'!t 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 04-00008274 81.480 CARBONERAS 764-200-006-34 -316811- DWELLING - SINGLE FAMILY DETACHED LOW DENSITY RESIDENTIAL 271655 �chitect or Engineer: 14"A4W- C~0q�- c.7j7k- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professionals Cod License is in full force and effect. Licensee Class: EV L'se No.: 6J74074 'o ontractor: V / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Lice se 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 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 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 contractor(s) 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: K LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/05 Owner: CORAL OPTION I 79285 RANCHO LA QUINTA DR LA QUINTA, CA 92253 Contractor: D SPARKS CONSTRUCTION, INC P.O. BOX 1716 JUN 0 8 2005 LA QUINTA, CA 92247 (760)771-1941 Lic. No.: 674074 CITY OF LAQUINT4 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. 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 th workers' compensation provisions of Section YbO —of the Labor Code I shall forthwit mply ith those provisions. ate • O { plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL- PENALTIES AND CIVIL FINES UP TO ONE H DRED 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 work1s 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 above inf ai is correct. I a e to comply with all city and county ordinances and state laws relating to building co ruction, a d h uthorize 1presentatives of this co ty to mer upo he above-mentioned propert nspection pu ses. 6 �ignature (Applicant or Ag Application Number . . . . . 04-00008274 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 806.98 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 --------------------------------------------7------------------------------- 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 LQPERMIT Application Number 04-00008274 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 BASE FEE Extension ---------------=------------------------------------------------------------ Special Notes and Comments 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 . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . GRADING PERMIT 15.00 6/03/05 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------=------------------------------------------------------------ Special Notes and Comments SFD - LOT 34, -PLAN 2A, 3058 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. --------------------------------------------------------7------------------- '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 STRONG MOTION (SMI) - RES 27.54 DIF STREET MAINT FAC -RES 15.00 LQPERMIT Application Number 04-00008274 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . DIF TRANSPORTATION - RES 1098.00 Fee summary Charged ---------- Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total 1644.29 .00 .00 1644.29 Plan Check Total 831.31 .00 .00 831.31 Other Fee •Total 2701.91 .00 .00 2701.91 Grand Total 5177.51 .00 .00 5177.51 LQPERMIT 06/21/2006 13:52 17603471841 PARGON SCHMID PAGE 20 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 81-480 CARBONERAS, LOT 34, PHASE 1, SPARKS LA QUINTA, CA CEILINGS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-38 WALL$: TYPE: BATTS MANUFACTURER: Certainted THICKNESS: R-21 GENERAL CONTRACTOR: SPARKS CONSTRUCTION LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BYTITLE: ACCOUNT REPRESENTIVE DATE: l% Z/�a-�