05-0735 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 my License is in full force and effect.
License Claft A License No. x.$74074
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 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. , 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:
Lender's Address: !fir
LQPERMIT
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
(j( issued.
r` 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 ree that, if I should become subject to the workSp. ' sation provisions of Section
/f 3 0 of the Labor Co_71de, I sl I forthwith comp) ttF hose prov ions.
Pat �r 0 t I Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND
DOLLARS ($100,000) , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROV ED 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 ect. I afire to comply with all
city and county ordinances and state laws relating to building construction hereby aul a representatives
of this cou t nter upon the above-mentioned erty o inspec ' purposes.
JlAgentl:
Date: 6/03/05,
Application Number:
05-00000735
Owner:
Property Address:
81590 CARBONERAS
CORAL OPTION I
APN:
764-200-006-23 -316811-
79295 RANCHO LA QUINTA DR
Application description:
DWELLING - SINGLE FAMILY DETACHED
LA QUINTA, CA 92253
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
439037
e
D
Contractor:
1�1 O $ INS
Applicant:
/rchitect or Engineer:
SPARKS CONSTRUCTION, I
�,
C/%4 AJ 0+C(„
P.O. BOx 1716
LA QUINTA, CA 92247
Q13*40-
OFpEQ?.
Cgi?�
CIT(
(760) 771-1941
FINO►NC
/ ----------------------
I -----------------------------------------------------------------------
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 Code, and my License is in full force and effect.
License Claft A License No. x.$74074
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 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. , 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:
Lender's Address: !fir
LQPERMIT
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
(j( issued.
r` 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 ree that, if I should become subject to the workSp. ' sation provisions of Section
/f 3 0 of the Labor Co_71de, I sl I forthwith comp) ttF hose prov ions.
Pat �r 0 t I Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AN SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND
DOLLARS ($100,000) , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROV ED 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 ect. I afire to comply with all
city and county ordinances and state laws relating to building construction hereby aul a representatives
of this cou t nter upon the above-mentioned erty o inspec ' purposes.
JlAgentl:
Application Number . . . . . 05-00000735
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 CBC
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
791.00
PATIO SQ FTG
928.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
5089.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1829.50 Plan Check Fee
297.30
Issue Date . . . .
Valuation . . .
. 439037
Expiration Date
6/03/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
340.00 3.5000
-------------7--------------------------------------------------------------
THOU BLDG 100,001-500,000
1190.00
Permit .'. .
MECHANICAL
Additional desc .
Permit Fee . . . .
139.00 Plan Check Fee
8.69
Issue Date . . . .
Valuation . . .
. 0
.Expiration Date
6/03/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
4.00 9.0000
EA MECH B/C <=3HP/100K BTU
36.00
7.00 6.5000
EA MECH VENT FAN
45.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
208.94 Plan Check Fee
13.06
Issue Date
Valuation . . .
. 0
Expiration Date
6/03/05
Qty Unit Charge-
Per
Extension
BASE FEE
15.00
5089.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
178.12
LQPERMIT
Application Number .
. . 05-00000735
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
791.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
15.82
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
1214.50 Plan Check Fee
13.41
.Issue Date
Valuation . . . .
0
Expiration Date
6/03/05
Qty Unit Charge
Per
Extension
BASE FEE
15.00
22.00 6.0000
EA PLB FIXTURE
132.00
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
14.00 .7500
EA PLB GAS PIPE >=5
10.50
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 23, PLAN 6BR, 5089 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
597.59
DIF COMMUNITY CENTERS-RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
29.73
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
, ..4L
Application Number . . . . . 05-00000735
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
STRONG MOTION (SMI) - RES
43.90
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary
Charged
Paid Credited
Due
-----------------
Permit Fee Total
----------
2406.94
---------------------=--------
.0.0 .00
2406.94
Plan Check Total
332.46
.00 .00
332.46
Other Fee Total
3076.22
.00 .00
3076.22
Grand Total
5815.62
.00 .00
5815.62
LQPERMIT
Bin #�
�.Building
cl City of La Quinta
a Safety Division
,j P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 'Ol5'
p,��s
Owner's Name:
A. P. Number:
Address: �O / 7/
Legal Description: 'rrLt(�/ .S/!� $/ / Z 3
City, ST, Zip: g5�r- F z 2
Contractor: . r O !9f S c.&9 �,�v o � �„y� j�
Telephone: '-/ ter'
Address: ,! / ?l
Project Description:
City, ST, Zip: Z 2 jr7>
Ly /Pct/ ev 70 & USe,.
Telephone: —777t r 9 yam/
51-
OC�1 �G tet/ 'se—+c/ Te�.� . .51t 1-4-74 ^Z, U51-
State Lie. #: 01400MEM9K.
State
Lic. #:
�f �� f��q Y t Uff
Arch., Engr., Designer: /42r1MEK
/G,
41,0�r�
Address:
City, ST, Zip: 3�'l J""w *
6 L eG A-0 .17 J-7 3 < A4 (! P 2v o4, -!o C-4
Telephone: f e/g �' T Z-3
Construction Type: Occupancy:
State Lie. #: / 7 t--
Project type (circle one): New Add'n Alter epair Demo
Name of Contact Person: /0p .-♦/ 4-,-(c'5
Sq. Ft.:
# Stories: %
# Units:
Telephone # of Contact Person: 7 7/ / 9 Sr
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING _
PERMIT FEES
L
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections Q77
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mecham
Grading plan
tad Review, ready r correctio s/issue
Elec ical C
Subcontactor List
Called Contact Person P� Nryl 2-4
Pla bing P65 R A1 06 Z2
Grant Deed
Plans picked up I b
SA-1.
H.O.A. Approval
Plans resubmittedLAj
radingQW�N' �6 y
IN HOUSE:-
3rd Review, ready for correctio s/issue
Developer Impact ee nott,
Planning Approval
Called Contact Person
5 U i
Pub. Wks. Appr
Date of permit issue
O
School Fees
Total Permit Fees
Dlet2�i�p5 �_o� r/c�
2�� sr��'�°,�e
W
Tom O'Keefe
Fire Chief
Proudly serving the
Unincorporated
Areas of Riverside
County and the
Cities of:
4•
Bannin
Beaumont
Calimesa
Canyon Lake
Coachella
Desert Hot Springs
4.
Indian Wells
Indio
e•
Lake Elsinore
d•
La Quinta
4•
Moreno Valley
6
Palm Desert
Perris
4•
Rancho Mirage
4•
San Jacinto
Temecula
Board of Supervisors
Bob Buster,
District 1
John Tavaglione,
District 2
Jim Venable,
District 3
Roy Wilson,
District 4
Marion Ashley,
District 5
July 18, 2006
RIVERSIDE COUNTY FIRE DEPARTMENT
In cooperation with the
California Department of Forestry and Fire Protection
210 West San Jacirdo, Avenue . Perris, Cakfornia Fax
Shasta Fire Protection
3584 La Campana Way
Palm Springs, CA 92262
Re: Fire Sprinkler Plan Review _ -
LAQ-WTI-054 /Andalusia Design Center (Temporary) at 81570 Carboneras, La Quints, CA
The sprinkler plans you submitted for the above referenced project have been reviewed by Riverside
County Fire Department Planning & Engineering personnel and are approved with the following
conditions:
1) Approval of these plans does not include the piping of the underground system. Installing contractor
shall provide separate underground plans for review and approval prior to installation.
2) The following inspections/tests are required to be witnessed by the Fire Department Planning
Division staff:
a) Overhead: All piping must be visible. Ceiling panels must not be in place.
b) Overhead: All piping must be visible and tested for leakage at normal system operating water
pressure. (Verify with field inspector for hydro variance.) Ceiling panels must not be in place.
(NFPA 13, Sec. 10-22.1, Exception No. 4)
c) Final inspection.
The Fire Department job cans, approved plans and conditions letter must be at the job site or NO .
inspection will be performed. Applicantlnstaller shall be responsible to contact the Fire Department to
schedule inspection(s) a minimum of 72 hours prior to the requested inspection date.
All questions regarding the meaning of these conditions should be referred to the Fire Department
Planning & Engineering staff at (760) 863-8886.
Cc: City of La Quinta
Sincerely,
Tracy Hobday
Chief Fire Department Planner
By
Sonia Cooley
Fire Safety Specialist
Post-iP Fax Note 7671
Date a
pages►
To Xloe
From
Co./Dept.
Co.
Phone # *
Phone # —7
O O
Fax # —j 71 -10/0
Fax #
EMERGENCY SERVICES D1VIM-ON • PLANNING SECTTION • IND10 OFFICE
82-675 Highway 111, 2nd R., Indio, CA 92201 9 (760) 863-8886 • Fax (760) 863-7072