04-8250 (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:
04-00008250
58145 CARMONA
764-200-006-11 -316811-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
378987
Tavl 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CORAL OPTION I
79285 RANCHO LA QUINTA DR
DETACHED LA QUINTA, CA 92253
rchitect or Engineer:
Contractor:
SPARKS CONSTRUCTION,
P.O. BOX 1716
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/03/05
f �
1UN 0 8 2005 D
CIS%S
LA QUINTA, CA 92247 U
(760) 771-1941
CSN �F�QUINTA
Lic. NO.: 674074 EpEPT.
FINANC
------------------
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_Ljr&nse is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: 'cense No 40 4
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�1
/�atC:6 0 rector:
`' issued.
FLhave 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 DECLARATION
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, 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' compe provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
VbO of the Labor Code, I shall fort i co with rhos 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):
p �/ pplicant:
• (_ 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
WARNING: FAILURE TO SECURE WORKE COMPENSATION COVERAGE IS UNL UL, 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 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.).
(_ 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 1 I am exempt under Sec. , BAP.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: wur�
Lender's Address: '1
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 construction, and 1 authorize representatives
of this cou to ter _on the above-mentioned pro ct�fOPllfSp ction oses.
r0ature (Applicant or entl:
w
LQPERMIT
Application Number . . . . . 04-00008250
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 863.00
PATIO SQ FTG -1015.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 4314.00
----------------------------------------------------------------------------
Permit .
Additional desc .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
BUILDING PERMIT
1616.00
6/03/05
Plan Check Fee ., 262.60
Valuation . . . . 378987
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 . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
4314.00 .0350
ELEC-NEW RESIDENTIAL
183.25 Plan Check Fee .
Valuation . . .
6/03/05
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
11.45
0
Extension
15.00
150.99
Application Number . . . . . 04-00008250
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
863.00 .0200
---------------------------7------------------------------------------------
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 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 11, PLAN SBR, 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
5.00
DIF PARKS/REC - RES
502.00
LQPERMIT
Application Number . . . . . 04-00008250
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 37.89
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged Paid Credited Due
Permit Fee Total 2167.00 .00 .00 2167.00
Plan Check Total 296.10 .00 .00 296.10
Other Fee Total 2916.61 .00 .00 2916.61
Grand Total 5379.71 .00 .00 5379.71
LQPERMIT