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04-8263 (SFD)x P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: Application Number: 04-00008263 Owner: Property Address: 81510 CARBONERAS CORAL OPTION I APN: 764-200-006-31 -316811- 79285 RANCHO LA QUINTA DR Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 309222 Contractor: D 1111*� a INS Applicant: Architect or Engineer: SPARKS CONSTRUCTION, INC 4fu G�1�}�C� P . O . BOX 1716 QWNt 9�% LA QUINTA, CA 92247 CST(Of (760)771-1941 fINAN� Lic. No.: 674074 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 Cod License is in full force and effect. License Class: ,B ^ Licqgree No.: P74074 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 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 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: L'ender's Address: LQPERMIT 6/03/05 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, an agree that, if I should become subject to the workers' compensation provisions of Section �r00 of the Labor Code, I shall rM70i6 comply with those provisions. D ', ate rr' Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAG 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 c ct. I ag a to comply with all city and county ordinances and state laws relating to buildi ruction; a ereby auth ize representatives ofthis co y to ter upon the above-mentioned prope for ins p ction poses. Dat61� O gnature (Applicant or Agent): t Application Number . . . . 04-00008263 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 Structure Information Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 ► Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info.. . . . . CODE EDITION 2001 CDC # BEDROOMS 4.00 FIRE SPRINKLERS NO GARAGE SQ FTG 752.00 PATIO SQ FTG 599.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 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 Application Number . . . . . 04-00008263 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 752.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 15.04 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 200.25 Plan Check Fee 12.52 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/05 Qty Unit Charge Per Extension 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 . . . 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 31, PLAN 3C, 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 Application Number . . . . . 04-00008263 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 30.92 DIF STREET MAINT FAC -RES 15.00 -DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited - Due Permit Fee Total 1845.40 .00 .00 1845.40 Plan Check Total 251.87 .00 .00 251.87 Other Fee Total 2731.31 .00 .00 2731.31 Grand Total 4828.58 .00 .00 4828.58 .N`OV-250-2005 07:33 AM INLANDiINSPECTION. E.R. HS 951 8179043 INLAND INSPECTIONSA CONSULTING 7338 Sycamore Canyon Blvd., Suite 4 * Riverside, CA 92508 (951) 697-1000 R FAX (951) 697-1030 P.04 ULTRASONIC TESTING REPORT WENT: -Earth Systems DATE: 11.22-00 JOB NO.: LOCATION INVOICE NO.: REPORT No;. Reviewed by: PROJECT: Andabala LOT_ # 9.1 � CODE, AWS 01.1 FABRICATOR: PSW - - TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCESS: FCAW SURFACE: As Welded EPUIPMENT: Epoch 118 PROBES: I NORMAL pq ANGLE pc] HIGH ENERGY I NORM ENERGY CALIBRATION: pQ BOUND PATH Q PROJECTED DISTANCE COUPLANT: I) OIL 11 GREASE pq PASTE [ ] GLYCERINS [ ] OTHER: P.04 �WAN-/; r� • «:DEFECT LOCATION - a � s u - �WAN-/; r� 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 //-81-510 CARBON ERAS, tLOT 1 PHASE 1, LA QUINTA, CA CEILINGS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-30 WALLS: TYPE: BATTS MANUFACTURER: Certainteed THICKNESS: R-21 GENERAL CONTRACTOR, SPARKS CONSTRUCTION LICENSE # BY: TITLE: PARAGON SCHMID BUILDING PRODUCTS A MASCO Company LICENSE # 221517 BY: TITLE: ACCOUNT REPRESENTIVE DATE: 7l0�0 50 39dd QINHOS N09aVd Tb8TLb609LT ZP:ET 900Z/LZ/90