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05-0719 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00000719 Property Address: 58089 C:ARMONA APN: 764-200-006-7 -316811- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 379272 Applicant: T--vy 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED Architect or Engineer: Owner: - CORAL OPTION I 79295 RANCHO LA QUINTA DR LA QUINTA, CA 92253 D Contractor: SPARKS CONSTRUCTION, -INC P.O. BOX 1716 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/05 JUN 0 8 2005 CITY OF LA 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.l. (_ 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.). ( 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.). Lender's Name: Lender's Address: �f LQPERMIT 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 construc ' W , a hereby authorize representatives of this cou ty to ter u on the above-mentioned pro ion purp es. D D ature (Applicant or A LA QUINTA, CA 92247 nNANCEDEPT. (760)771-1941 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 Division 3 of the Business and Professionals Code, and my'License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Clas B e No.: 074 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is tractor: ��/[� issued. V(l'have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor /Cat Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATI insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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, 1 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 and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or 37PO of the Labor Code, II forthwith comply those provisions. 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 IS5001.: aant: (_ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN AWFUL, AND 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 ON HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAM GES AS PROVIDED FOR 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.l. (_ 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.). ( 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.). Lender's Name: Lender's Address: �f LQPERMIT 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 construc ' W , a hereby authorize representatives of this cou ty to ter u on the above-mentioned pro ion purp es. D D ature (Applicant or A .i.- '46 Application Number . . . . . 05-00000719 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 857.00 PATIO SQ FTG 1015.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 4319.00 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1619.50 Plan Check Fee 1052.68 Issue Date . . . . Valuation . . . . 379272 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 639.50 280.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 980.00 PermitMECHANICAL 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 . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 183.31 Plan Check Fee 45.83 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 4319.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 151.17 LQPERMIT LQPERMIT Application Number . . . . . 05-00000719 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 857.00 .0200 ---------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 17.14 Permit . . . PLUMBING Additional desc . . Permit Fee . . . . 213.75 Plan Check Fee 53.44 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 13.00 .7500 EA PLB GAS PIPE >=5 9.75 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 6/03/05 Qty Unit Charge Per Extension BASE FEE 15-.00 -----------------7---------------------------------------------------------- Special Notes and Comments SFD - LOT 7, PLAN SCR, 4319 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 448.18 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 105.27 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 37.92 DIF STREET MAINT FAC -RES 15.00 LQPERMIT Application Number . . . . . 05-00000719 - ---------------------------------------------7------------------------------ Other Fees . . . . . . . . . DIF TRANSPORTATION - RES 1098.00 . Fee summary - Charged Paid Credited Due ----------------- Permit Fee Total ---------- 2170.56 ---------- .00 -------------------- .00 2170.56 Plan Check Total 1186.70 .00 .00 1186.70 Other Fee Total 2996.37 .00 .00 2996.37 Grand Total 6353.63 .00 .00 6353.63 v - Certificate.of Occupancy � -af ot � �� OFBuilding & 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. BUILDING ADDRESS: 58-089 CARMONA Use classification: SFD Building Permit No.: 05-0719 Occupancy Group R-3 Type of Construction: VN Land Use Zone: RL Owner of Building: CORAL OPTION 1 Address: 79-295 RANCHO LA QUINTA DR City, ST, ZIP: LA QUINTA, CA 92253 By: GARY HARTMAN Date: 8-10-06 Building Official POST IN A CONSPICUOUS PLACE