05-0732 (SFD)_71
4'4
P.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: 6/03/05
Application Number: 05-00000732 Owner:
Property Address: 58131 CARMONA CORAL OPTION I
APN: 764-200-006-10 -316811- 79295 RANCHO LA QUINTA DR
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 n
Property Zoning: LOW DENSITY RESIDENTIAL W
Application valuation: 439992 D
Contractor:
SUN � 8 2005
Applicant:Architect or Engineer: SPARKS CONSTRUCTION, I QUANTA
/�£/�4�tiC
P.O. BOX 1716 CIfY of C pEQT.
C. LA QUINTA, CA 92247 pINAN
(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 Pr2lassionak Code, and m 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 ss: Li nse 4 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
�D Q ontractor: shave 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 DECLARATIO insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's tate 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 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) or00 of the Labor Code, I shall forthwith co Iy with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by Z
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).: licant: _
(_ I 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 WORK ' COMPENSATION COVERAGEIS UN WFUL, 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 ONE UNDRED 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.).
(_ 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 contractors) licensed
pursuant to the Contractors' State License Law.).
(_) 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: I pi
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 co my or inances and state laws relating to building construction, and hereby authorize representatives
of this co ty t n[er upon the above-mentioned property for inspection p_WpeSgs.
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Application Number . . . . . 05-00000732
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per Extension
791.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL . 15.82
----------------------------------------------------------------------------
Permit . . . PLUMBING
Additional desc . .
Permit Fee . . . . 214.50 Plan Check Fee 13.41
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
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 10, PLAN 6BR (DETACHED GUEST
SUITE), 5099 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
599.98
DIF.COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
29.73
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
LQrERMrr
Application Number
. . . . .
05-00000732
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
43.99
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
332.48
.00 .00
332.48
Other Fee Total
3078.70
.00 .00
3078.70
Grand Total
5818.47
.00 .00
5818.47
t
LQPERMIT