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04-6172 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty/ °f e(PQ" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 04-00006172 Property Address: 81540 CARBONERAS APN: 764-200-006-28 -316811- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 309222 Applicant: //architect or Engineer: QFC , C /K J --------------------------------------------------- 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 CgAAe.Qnd my License is in full force and effect. License Cla B cense N : 674074 /Dat ntractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Lic 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 1, 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.). (_ )' 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—) I am exempt under Sec. , BAP.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: n' Lender's Address: UCo LQPERMIT VOICE (760) 777-70.12 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 p D Contractor: SPARKS CONSTRUCTI NC,\AN O P.O. BOX 1716 LA QUINTA, CA 9224 0�1AnWp�+<A (760) 771-1941 C,F1µpNCE�E 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. 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 ers ompen sation provisions of Section �of the Labor Code, I forthwith c Y with th a provisions. �tr� plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERHISUNFUL,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 i motion orrect. I agree to comply with all city and county o inances and state laws relating to but c struction, and ereby authorize representatives of this cou t enter upon the above-mentioned pr rty inspection purpos s. at�+� 0 gnature (Applicant or Agent . Application Number . . . . . 04-00006172 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 1ST FLOOR SQUARE FOOTAGE 3546.00 ---------------------------------------------------------------------------- Permit . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT 1374.50 Plan Check Fee . . 893.43 Valuation . . . . 309222 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 25.38 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 . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 154.15 Plan Check Fee 38.54 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 3546.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY .124.11 LQPERMIT Application Number . . . . . 04-00006172 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 50.06 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 28, PLAN 3A, 3546 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH ---------------------------------------------------------------------7------ Other Fees ART IN PUBLIC PLACES -RES 273.05 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 89.34 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 STRONG MOTION (SMI) - RES 30.92 DIF STREET MAINT FAC -RES 15.00 LQPERMIT Application Number . . . . . 04-00006172 ----------------------------------------------------------------------------- Other Fees . . . . . . . DIF TRANSPORTATION - RES 1098.00 Fee .summary Charged Paid ---------- Credited -------------------- Due ----------------- Permit Fee Total ---------- 1845.40 .00 .00 1845.40 , Plan Check Total 1007.41 800.00 .00 207.41 Other Fee Total 2798.31 .00 .00 2798.31 Grand Total 5651.12 800.00 .00 4851.12 LQPERMIT h �k2005 07:32 AM INLANDiINSPECTION.E.R.HS 951 8179043 INLAND INSPECTIONS & CONSULTING 7338 Sycamore Canyon. Blvd., Suite 4 * Riverside, CA 92508 (951) 6971000 " FAX (951) 6971030 ULTRASONIC TESTING CLIENT: Zm t Syalams uh I C. JOB NO.: INVOICE NO.: REPORT NO, t Reviewed by: PROJECT: Andalusia Lori► 281 COPE: AWS 01.1 FABRICATOR.: POW — TECHNICIAN: Wade Clark ASNT LEVEL: II WELDING PROCE88: FLAW SURFACE: At Welded EPUIPMI;NT: Epoch II B PROBES: I NORMAL [X] ANGLE' PQ HIGH ENERGY [] NORM ENERGY CALIBRATION: pQ SOUND PATH p PROJECTED DISTANCE COUPLANT: [] OIL[] GREABE pQ PASTE [] GLYCERINE () OTHER: P.03 SIGNATURE: a t • DECIDAL READING i © : ©wm��wwm■wwwwwww��■ ww w�ww�www�■wwww�■w��wwww � wwwwww�wwwwww��■w�w�wwww � wi�w �r�iww�iw�iw�w�iw�w�■w�w�w ww wwwwww�■rww�■■www�wwwww �w wrwwrww��www�w��ww ww wwiwwwwww■wwwww■www��ww ww w�www■ww�wwiw�w■�■�w��ww� �w �wwwwwwwwwww■wwwwwwwrw ww wwNw�w�w■�wwwww■w�www��ww�ww o ■wwww�■�w■w■■ww■�ww�ww�wrwww� ww wwww■w■■��w�■ww�ws�www■■�w �■ w■ww�wwwwwwwww■wwwwrwwww� ww w�■www�l���w�w�■wwwwlww■ SIGNATURE: a 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 C1-540 CARBONERAS, LOT 28, PHASE 1, LA QUINTA, CA CEILINGS: TYPE: BATTS MANUFACTURER: Owens Corning THICKNESS: R-38. 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: d Z0 39dd QIWHOS NO9aVd TV8TtV609LT Zb:ET 900Z/LZ/90