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05-2131 (SFD)4 P.O. BOX 1504 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:�05-00002131.'2 Property Address: 79055 RANCHO LA QUINTA DR APN:. 649-370-002- - - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 291815/ Applicant: ,. � rchitect or Engineer: Lic. No.: --------------- ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury than) am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a yrofes' ode, and a is in full force and effect. License�Cjla�ss• B Li nse Na 6740 gelate: retractor: / 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 ($5001.: I, as owner of the property,.or my employees with wages as their sole compensation, will do the work, and thestructureis 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, amexclusively 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.). - - (_ I 1 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: 1 Lender's Address: LQPERMIT Owner: TD DESERT DEV LTD PARTNERSHI 79285 RANCHO LA QUINTA DR LA QUINTA, CA 92253 Contractor: SPARKS CONSTRUCTION, INC P.O. BOX 1716 LA QUINTA, CA 92247 (760)771-1941 Lic- No.: 674074 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 7.77-7153 Date: 6/06/05 AUG 2 S 2005 CITy�F� Fa flPCR QUlltlpq 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 37 0 of the abor Code, I sha rthwith com ith those provisions. - 7 � at G Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U LAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 aresult 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 foi 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 in_formati0 t:' I agree to with all city and county ordinances and state laws relating to building c ructi , and hereb aut a represen tives of this cou y to nter upon a above-mentioned property f ins p n purposes. 'Dat Signature (Applicant or Agent): - Application Number 05-00002131 -Permit BUILDING PERMIT Additional desc . Permit Fee 1311.50 Plan Check Fee 852.48 Issue Date Valuation 291815 Expiration Date 11/29/05 Qty Unit Charge Per Extension BASE FEE 639.50- 192.00 3.5000 --------------------------------------------------------------------- THOU BLDG 1.00.0(11-.5on,nno 6,72.00" Permit . . MECHANICAL Additional desc-. Permit Fee . . . . 126.00 Plan Check Fee 31.50 Issue Date Valuation . . 0 Expiration Date 11/29/05 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 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6:50 Permit . . . ELEC-NEW RESIDENTIAL Additional'.desc . Permit Fee . . . . 146.04 Plan Check Fee,. 36.51 Issue Date . . . Valuation . . . . 0 Expiration Date 11/29/05 Qty Unit Charge Per Extension BASE FEE 15.00 ., 3348.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 117.18 693.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 13.86 Permit . . . PLUMBING Additional desc . Permit Fee 204.75 Plan Check Fee 51.19 Issue Date Valuation . . . . 0 Expiration Date 11/29/05 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 LQPERAIIT - Application Number . . . . .. 05-00002131 Permit . . . PLUMBING Qty Unit Charge Per Extension 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 11.00 .7500 EA PLB GAS PIPE >=5 8.25 1.00 15.00.00 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 11/29/05 Qty Unit Charge Per Extension BASE FEE 15.00 ------------------------------------------------ -----------7----------------- Special Notes and Comments SFD - LOT 49, PLAN M1, 3348 SF. PERMIT - DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH -- - Other Fees . . . . ---------_------------------------------------- ART IN PUBLIC PLACES -RES 229.53 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 85.25 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE 15.00 DIF LIBRARIES - RES' 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC'- RES 502.00 STRONG MOTION (SMI) - RES 29.18 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total ---------- ---------- ---------- 1803.29 .00 .00 - 1803.29 Plan Check Total. 971.68 .00 .00 971.68 Other Fee Total 2763.96 .00 00 2763.96 Grand Total 5538.93 .00 .00 5538.93 LQPERNIIT JCM Inspections 39725 Garand Lane Suite F -- ,]I Palm DesertCA 92211 INSPECTIONSPhone: 760-345-5554 - fax: 760-772-3895 INSPECTIONS EPDXY. INSPECTION. REPORT" Date: Project Nam Project No: Un 4^s:�oc� c,r 0n1A .Project Address;; t City: 1' IBC ❑ Title 24 Other: Client: Sub -Contractor:``_ uJ� l 7_4 c� l�'. C-6, A, General Contractor: Architect: Structural Enngi,eer: ' s�o� r. Q > R -� 1Y;ZZD(.. J`c rns, 0^ �•CSflf\ �cva�rl o ❑ Anchor Bolts R Rebar Epoxy Type` t`'� o r1 t�0 s1 t '� n. Epoxy Shelf Life:: �. a..� n C' _ Hole Cleaning Method(s):� '.."' �,`CO /C'o�,-?� �sS . '1�'. c �.c . _ ��c r r c� g5 "�,��. - X\ Weather: SunT Unresolved Ite s: None ❑See Below Description of Work Inspected:' ,n e, 'art' i' n U Sa_ 1&0 ce r,c-c - 1 11 \ \_C• a Vtea..O / ) CN _2� 177?e :. 0,;7 A-0 ,p nK. Y u '`. ti I N Work complies with written approval from Structural Engineer and ICBG Evaluation Report # �-- I hereby certify that I have inspected all of the above work, unless otherwise noted, and to the best of my ability 1 have found this work to comply with the approved plans, specifications -applicable building laws. Final report is`ed at project completion. Inspector: Jack C. Millin ICC C rttfi1c r=Nd..t216-49 Contractor's Representative: Copy 1 JCM Inspections Copy 2, Project Superintendent Copy 3 Governing Agency Page of