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04-8249 (SFD)r,a P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t!t44Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/05 Application Number: 04-00008249 Owner: Property Address: 58117 CARMONA CORAL OPTION I APN: 764-200-006-9 -316811- 79285 RANCHO LA QUINTA DR Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL' Application valuation: 378987 Contractor: Applicant:rchitect or Engineer: SPARKS CONSTRUCTION, INC �� �,/4-► P ` P.O. BOX 1716 C �, r LA QUINTA, CA 92247 (760)771-1941 Lic. No.: 674074 Oro ----------------------------------------------------------------------------- --- ---j}--- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATIATIO �J 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 declar �{ Section 7000) of Division 3 of the Business and ProfessCode, and my License is in full force and effect. I have and will maintain a certificate of consent to self ur for workers' compensation, as prow License CI ys: Lic se for by Section 3700 of the Labor Code, for the pe a ce of t}i�{IA9rk Or * ermi giicJl# issued. �J�J�� lJ o L�IYI{IJ� M tractor: _ ave and will maintain workers' compensation insur ce, required by Section 370 o the L LW.- Code, for the performance of the work for which t is pe ers' compen tion UILDER DECLARATION insurance carrier and policy number are: CIN OF LA QUINTA 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- 000348 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 whic i 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 subjecttothe 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 XOO of the Labor Code, I shall forthw' ply with those ovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 0 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D 1 16 pplicant: (_ 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 COVERAG IS UNLAWFUL, 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 - 0 ONE 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, DAMAGES 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.). 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 contractor(s) licensed 1 . Each person upon whose behalf 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, 1 _ 1 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 Date: Owner: a1 CONSTRUCTION LENDING AGENCY 1 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: w* Lender's Address: 11V LQPERMIT 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 inform is correct. I agree to comply with all city and c my ordinances and state laws relating to building co coon, a hereby authorize representatives of this c my t �nte�r upon the -above -menti 0ned propett inspection pur oses. ignature (Applicant or Agen Application Number . . . . . 04-00008249 LQPERMIT 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 863.00 PATIO SQ FTG 1015.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 1ST FLOOR SQUARE FOOTAGE 4314.00 Permit . . . BUILDING PERMIT Additional.desc . Permit Fee . . . . 1616.00 Plan Check Fee 262.60 Issue Date . . . . Valuation . . . . 378987 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 639.50 279.00 3.5000 ----------------------------------------------------------------------------- THOU BLDG 100,001-500,000 976.50 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 . . . . 183.25 Plan Check Fee 11.45 Issue Date . . . . Valuation 0 Expiration Date 6/03/05 Qty Unit Charge Per Extension BASE FEE 15.00 4314.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 150.99 LQPERMIT eA- LQPERMIT Application Number . . . . . 04-00008249 Permit . . . . . . ELEC-NEW RESIDENTIAL Qty Unit Charge Per Extension 863.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 17.26 ---------------------------------------------------------------------------- Permit PLUMBING Additional desc . .. Permit Fee . . . . 213.75 Plan Check Fee 13.36 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 P1an.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 9, PLAN 5A, 4,314 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC'PLACES-RES 447.46 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 26.26 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES r 5.00 DIF PARKS/REC - RES 502.00 Application Number . . . . . 04-00008249 -------------------7-------------------------------------------------------- Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 37.89 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 2167.00 .00 296.10 .00 2916.61 .00 5379.71 .00 Credited Due .00 2167.00 .00 296.10 .00 2916.61 .00 5379.71 �-a- Qc Certificate of Occupancy t G� OFTY�9 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. t z BUILDING ADDRESS: 58-117 CARMONA Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-8249 r Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL Owner of Building: CORAL OPTION 1, LLC Address: P.O. BOX 1716 City, ST, ZIP: LA QUINTA, CA 92253 By: DAVID GATICA Date: OCTOBER 27, 2006 Building Official POST IN A CONSPICUOUS PLACE __ - .