04-8245 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td!t 4 4& Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 04-00008245
Property Address: 58355 CARMONA
APN: 764-200-006-18 -316811-
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 349058
Applicant: �chitect or Engineer:
Q 40*tC_
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 Class: $- __-1 -,,Lieense No_E`Tf 074
OWNER -BUILDER DECLARAI ION
I hereby affirm under penalty of perjury that I am exempt from the Contractor 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 (5500).:
1 _ 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.).
(_ 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. , 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:
LQPERMIT
Owner:
CORAL OPTION I
79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/03/05
Contractor:
SPARKS CONSTRUCTIONkC1rNy0FtAQPU1NTAj �
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941 UN 0 8
Lic. No.: 674074
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
�I issued.
t 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 workers' compensation provisions of Section
37PO of the or Code, forthwith compl t se provisions.
eaA* B Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS 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.
i. 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
Wcotyances and state laws relatiT
7��ipn�uand hereby authorize representatives
r upon the above -men rposes.
' lure (App' ant or A
Application Number . . . . . 04-00008245
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
3933.00 .0350
LQPERMIT
ELEC-NEW RESIDENTIAL
174.58 Plan Check Fee .
Valuation . . . .
6/03/05
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
10.91
0
Extension
15.00
137.66
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
14.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
1096.00
PATIO SQ FTG
736.00
NUMBER OF UNITS
1.00
------------------------------------------------------7---------------------
1ST FLOOR SQUARE FOOTAGE
3933.00
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
1402.50 Plan Check Fee
227.91
Issue Date
Valuation . .
. . 317787
Expiration Date
6/03/05
Qty Unit Charge
Per
Extension
BASE FEE
639.50
218.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
763.00
Permit MECHANICAL
Additional desc . .
Permit Fee . . . .
132.50 Plan Check Fee
8.28
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
6.00 6.5000
EA MECH VENT FAN
39.00
1.00 6.5000
------------=---------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
3933.00 .0350
LQPERMIT
ELEC-NEW RESIDENTIAL
174.58 Plan Check Fee .
Valuation . . . .
6/03/05
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
10.91
0
Extension
15.00
137.66
LK y
LQPERMIT
Application Number . . . . . 04-00008245
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1096.00 .0200
----------------------------------------------7-----------------------------
ELEC GARAGE OR NON-RESIDENTIAL
21.92
Permit . . . PLUMBING
Additional desc .
Permit Fee . . . .
196.50 Plan Check Fee
12.28
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/03/05
Qty. Unit Charge
Per
Extension
BASE FEE
15.00
21.00 6.0000
EA PLB FIXTURE
126.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
8.00 .7500
EA PLB GAS PIPE >=5
6.00
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 18, PLAN 4AR, 3,933 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
372.64
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
22.79
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
Application Number . . . . . 04-00008245
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 34.90
DIF STREET MAINT FAC -RES 15.00
DIF TRANSPORTATION - RES 1098.00
Fee summary Charged Paid
Permit Fee Total 1921.08 .00
Plan Check Total 259.38 .00
Other Fee Total 2835.33 .00
Grand Total 5015.79 .00
LQPERMIT
Credited Due
.00 1921.08
.00 259.38
.00 2835.33
.00 5015.79