05-2130 (SFD)44QP.O. BOX 1504, VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT, INSPECTIONS (760) 777-7153 .
BUILDING PERMIT '
Date: 6/06/05
Application Number: �05-00002130 Owner:
Property Address: 79035 RANCHO LA QUINTA DR' TD DESERT DEV ,LTD PARTNERSHIP
APN: 649-370-001- - - 79285 RANCHO LA QUINTA DR
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 248598
Contractor:
AUG
Applicant: / Architect or Engineer: SPARKS CONSTRUCTION, INC A(1G 0 ZOOS
P.O. BOX.1716
LA QUINTA, CA 92247 �TM�F�IQUTA1T,q
(760)771-1941 F1 EDE
Lic. No.: 674074
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of "ision 3 of the Business and Pr 'onals Code, and my License is in full farce and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License CI S.
Lice o.: 74074 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
�% may. issued.
/CTt G ontractor: 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
OWNER -BUILDER DECLAR ION - _ insurance carrier and policy number are:
hereby affirm under penalty of perjury that I am exempt from the Contracto State License Law for the Carrier STATE FUND Policy Number. 00003482004
following reason (Sec. 7031 .5, Business and Professions Code:. Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any -
construct, alter, .improve, demolish, or repair'any structure, prior to its issuance, also requires the applicant for the .person in any manner so as to become subject to the workers' compensation laws of.California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State aagree that, if I should become subject to they'�A rs ensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 00 oft abor Code, I shall forthwithperf ly with those p visions. -
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).: , �. a Applicant:
( ) 1, as'owner of the -property, or my employees•with wages as their sole compensation, will do the work, and ' Q
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The - WAR ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ND�SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon„ SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND,
and who does the work himself or herself through his or her own employees, provided that the DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS'PROVIDEDFOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). - - APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property.who builds or improves thereon, and who contracts for the projects with a -contractors) licensed 1. Each person uponwhosebehalf this application is made, each person at whose request and for -
pursuant to the Contractors'. State License Law.). whose benefit work is performed 'under. or pursuant to any permit issued as a result of this application,
I—) I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of LaQuinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit. -
Date:: Owner: - 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
CONSTRUCTION LENDING AGENCY permit to cancellation.
Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). - city and co ty ordinances and state laws relating to building constru5sia. .,and hereb authorize representatives
' - of this co ty t enter upon t e above-mentioned�fooon purposLender's Name:1 _ anature (Applicant. or gent)
Lender's Address: 0
LQPERMIT ,
• Application.Number .
. . . . 05-00002130
Permit . . .
BUILDING PERMIT
Additional desc
Permit.Fee. .:
1161.00
Plan Check Fee
754.65
Issue Date
Valuation
248598
Expiration Date
11/29/05
Qty Unit Charge
Per
Extension
BASE
FEE
639..50
149.00 3.5000
THOU BLDG
100,001-500,000
521.50
Permit
MECHANICAL
Additional desc .
Permit Fee . . . .
108.00
Plan Check Fee
27.00
Issue Date . . .
Valuation
0
Expiration Date
11/29/05
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
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 . .
126.74
Plan Check Fee
.31.69
Issue Date . .
Valuation . . . .
0
Expiration Date
11/29/05
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2924.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY.
102.34
470.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
9.40
Permit . .
PLUMBING
Additional desc .
Permit Fee . . . .
179.25
Plan Check Fee
44.8.1
Issue Date
Valuation . . . .
0
Expiration Date
11/2,9/05
Qty Unit Charge
Per
Extension
BASE "FEE
15.00
18.00 6.0000
EA PLB FIXTURE'
108.00
,1.00 15.00`00
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number 05-00002130
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
9.00 .7500 EA PLB GAS PIPE >=5
6.75
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,11/29/05
Qty Unit Charge Per
Extension
BASE .FEE.
15.00
- - ---------------------------------
Special Notes and Comments
SFD - LOT 48, PLAN E2R, 2924 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH
----------------------------------------------------------------------------
Other Fees . . . . . . . ART IN PUBLIC PLACES -RES
121.49
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
75.47 `
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
24.85
DIF•STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
Fee summary Charged Paid Credited-
Due
Permit Fee Total 1589.99 .00 .00
1589.99
Plan Check Total •858.15 .00 .00
858.15
Other Fee Total 2641.81 .00 .00
2641.81
Grand Total 5089.95 100 .00
5059.95
Certificate -of Occupancy
4
Building & Safety Department
:This Certificate is issued pursuant to the requirements of Section 109 of the California Building
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating ,building
construction and/or use.
1 J
BUILDING ADDRESS: 79-035 RANCHO LA QUINTA DRIVE
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 05-2130
Occupancy Group:, R3 Type of Construction: VN Land Use Zone: RL
Owner,of Building: TD DESERT DEVELOPMENT, LTD PARTNERSHIP Address: 79-285 RANCHO LA QUINTA DR.
s City, ST, ZIP: LA QUINTA, CA 92253
By: EDDIE MUIR
Date: NOVEMBER 27, 2006
Building Official
' y
POST IN A CONSPICUOUS PLACE
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