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05-0731 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00000731 58005 CARMONA 764-200-006-1 -316811- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 439992 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CORAL OPTION I 79295 RANCHO LA QUINTA DR DETACHED LA QUINTA, CA 92253 rchitect or Engineer: Dt,rK u+VO4-CL --------------------------------------------------- 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 Clas $ License 74 / Date:O O O tractor: OWNER -BUILDER DECLARATI 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 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.). (_ 1 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.1. Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/05 Contractor: SPARKS CONSTRUCTION, I Q INSP.O. BOX 1716 v LA QUINTA, CA 92247 (760)771-1941 QIJIqATA Lic. No.: 674074 CITVLA Pt_,0 cnEpT� ------------------ 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 wo mpensation provisions of Section /n 00 of the Labor Code, I gt orthwith com with those rovisions. Lete�v 7j �� pIicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS "LAW" , AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HIND ED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A 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 correct. I agree to comply with all city and county ordinances and state laws relating to building construction, hereby authorize representatives of this coun to nter upon the above-mentioned gro=inspectpur oses. Date. O �� ature (Applicant or Agent): r LQPERMIT Application Number• . . . . . 05-00000731 Structure Information Construction Type . . . . . TYPE V - NON RATED Per Occupancy Type . . . . . . DWELLG/LODGING/LONG <=10 Extension Flood Zone . . . . . NON -AO FLOOD ZONE Other struct info . . . . . CODE EDITION 2001 CBC 4.00 # BEDROOMS 4.00 MECH FIRE SPRINKLERS NO 4.00 GARAGE SQ FTG 791.00 MECH PATIO SQ FTG 939.00 7.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 5099.00 Permit . . . BUILDING PERMIT EA Additional desc . . EXHAUST -HOOD ---------------------6_50 Permit Fee . . . . 1829.50 Plan Check Fee 1189.18 Issue Date . . . . Valuation 439992 Expiration Date . . 6/03/05 Qty Unit Charge Per Extension BASE FEE 639.50 340.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 1190.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 139.00 Plan Check Fee 34.75 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 . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . .' Qty Unit Charge 5099.00 .0350 ELEC-NEW RESIDENTIAL 209.29 6/03/05 Per P1an.Check Fee . Valuation BASE FEE ELEC NEW RES - 1 OR 2 FAMILY 52.32 0 Extension 15.00 178.47 01 Application Number . . . . . 05-00000731 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Pet Extension 791.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.82 ---------------------------------------------------------------------------- Permit . . . PLUMBING Additional desc . Permit Fee 214.50 Plan Check Fee 53.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/0'3/05 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 1, PLAN 6B (DETACHED GUEST SUITE), 5099 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 599.98 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 118.92 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 43.99 LQPERMIT ri Application Number 05-00000731 ---------------------=------------------------------------------------------ Other Fees . . . . . . . . . DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 2407.29 .00 .00 2407.29 Plan Check Total 1329.88 .00 .00 1329.88 Other Fee Total 3167.89 .00_ .00 3167.89 Grand Total 6905.06 .00 .00 6905.06 LQPERMIT