06-4252 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253'
Application Number: 06-00004252
Property Address: 79345 STONEGATE
APN: 772-.040-015- - -
Application description: ADDITION RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:' 8180 `
T` &6f 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant:. Architect or Engineer:
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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: .B Lice se No.: .674074
Date: ontractor:
•+ OWNER -BUILDER DECLARATION
�?.. I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's 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 ($500).:
(_) 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
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 'id not build or
improve for the purpose of sale.).
1 _) 1, 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.I.
Lender's Name:
Lender's Address:
LQPE%NIIT
VOICE•(760) 777.-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/09/07
Owner: .
LA QUINTA ORCHARDS PARTNERS
C/O LA QUINTA ORCHARD PARTNERS
P O BOX 1716'
LA QUINTA, CA 92253
IUIf a o ,�
Contractor: • p1
SPARKS CONSTRUCTION,.IN JAN 2 3.20077
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 674074
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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
issued.
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 0000348-2006
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
700 of the Labor Code, shall fo hwith com ly with those provisions.
L ate: 1 �� plicant: .. C
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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.
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 ounty ordinances and state laws relating to building construction, and hereby authorize representatives
of t ou1nty t enter upon t above-mentioned prop`ert f r insp tion urpo6es.
ate /': 8� S' ature (Applicant or Agentl: `
LQPERDIIT - - - -
Application Number .
. . . . 06-00004252
Permit
BUILDING PERMIT
Additional desc .
Permit Fee`
.108.00
Plan Check Fee
70.20
Issue Date
Valuation . . .
. 8180
Expiration Date
7/08/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
7.00 9.0000
---------------------------------------=------------------------------------
THOU BLDG
2,001-25,000
63.00 .
Permit . . .
ELECT - ADD/ALT/REM
Additional desc .
Permit Fee'
17.25
Plan .Check Fee..
4.31
Issue Date
Valuation
0
Expiration Date
7/08/07
Qty Unit Charge
Per.
Extension"
•BASE
FEE
15.00.
3.00 .7500
----------------------------------------------------------------------------
PER ELEC
DEVICE/FIXTURE 18T 20
2.25
Permit
MECHANICAL
Additional.desc .
Permit Fee
33.00
Plan Check.Fee .
8.25
Issue Date
Valuation . . .
. 0
Expiration Date
7/08/07
Qty. Unit Charge
Per
Extension
BASE
FEE
15.00
.1.00- 9.0000
EA MECH
FURNACE <=100K
9.00
1.00 9.0000
------------------------------------------------
EA MECH
B/C <=3HP/100K BTU
----------------------------
9.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00
Plan Check Fee..
4.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
7/08/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
hvac storage room addition..
Other Fees . . . .
. . . . ENERGY REVIEW.FEE
7.02
LQPERDIIT - - - -
n`
Application Number
. . . . .
06-00004252
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_ Other Fees . . .
------------------.---------
. . . .
STRONG MOTION
--
(SMI) RES
------
.81
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
•176.25
.00
.00
176.25
Plan Check Total
87.26
.00
._00
87.26
Other Fee -Total
7.83
.00
.00
7.83
Grand Total
271.34
.00
.00
271.34
LQPERMIT