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BELC2015-0012 (BELC)78-495 ILAgMPICO LA QUis'�1TA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2015-0012 Property Address: 59261 ALMERIA APN: 764690045 Application Description: ANDALUSIA/T.D. DESERT DEVELOPMENT/100 AMP PEDESTAL LIGHT/IRR Property Zoning: Application Valuation: $2,500.00 Applicant: T D DESERT DEVELOPMENT LIMITED P O BOX 1716, LA QUINTA, CA 92247 -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 Professions Code, and my License is in full force and effect. License Class: B License No.: 762987 Date: ( rtr Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 of she did not build or improve for the purpose of sale.). (_) 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.). (_) 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: ~ Illilll I III III VIII IIII 52 IE Owner: T D DESERT DEV 81570 CARBONERAS LA QUINTA, CA 0 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: T D DESERT DEVELOPMENT P 0 BOX 1716 LA QUINTA, CA 92247 (760)777-1001 . Llc. No.: 762987 Date: 2/3/2015 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 3.700 of the Labor Code, for the performance of �thn70he f'hich this permit is issued. and will maintain workers' compensation insurance, as required by SeLabor Code, for the performance of the work for which this permit is issuerkers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ 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 3700 of the Labor Code, I shall forthwith comply with those rovisions. t� Date:' O Applicant ` WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U LAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws r g building construction, and hereby authorize representatives of this c' nter upo the above• mentioned property for inspection purposes. Date: -�� f Signature (Applicant or Agent . AMENDMENT NO,.2 TRACT 31681-3 a uTE ADDRESS MAP � '0. A SUBDIVISION OF A PORTION OF E 1/2 OF SECTION 27, TOWNSHIP 6 SOUTH, RANGE 7 EAST, S.B.M. 9 0 . • 5rrE87 r.1ORE55�tr5T PFR h7tENtk36Nf NO.:'1 QR 7I, AYC-. aCIr141.U,.M(+DORALJ(OU IIAIN,^Ylrai:E1.1 �� TY ®� LA ����� �a VICINITY A1AB, _,t9 sn IMR&4 • NTS r 5917V> Aa arty BUILDING & SFcFETY DART. . 12] X97 7 AU,_ry ,� . I4tPAti] APPROVED . 175 59533 AatMru .120 59.511 Auipria •t•'! ;C. ". •ti$.' 127 .59.689. "Mft w 1aa 'S9 S3' ftia - FOR CONSTRUCTION 120 5960 -5 Adi tlu . Kd: IOi 5 ut , 1oz 1321 19-6 DATE 2 3 Zd5 By +544 t 53j _133 ,.9477 Aru:a, 97 . _-I3e 6rj: Aaliarea 135 0c7+3.' 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' 356 .3z3 .: L07 «R 75 145 1 X74 •851 l0T 'T �' ,r:•. - • 194 LOT is N•n'Ca6'St�• NROE ST. - - ... - MONROE'ST. 1 ATSOM ENGINEERING.- O11C INCHEOW • WO PLlOMM , •on u smi FINANCIAL • • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY - METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES PC 101-0000-42403 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0i Description: ANDALUSIA/T.D. DESERT DEVELOPMENT/100 AMP PEDESTAL LIGHT/IRR Type: ELECTRICAL Subtype: Status: APPROVED Applied: 2/2/2015 SKH Approved: 2/3/2015 JFU Parcel No: 764690045 Site Address: 59261 ALMERIA LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: I Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 APPLICANT Details: ELECTRICAL- 100 AMP ELECTRICAL LANDSCAPE IRRIGATION AND LIGHTING PEDESTAL. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, February 03, 2015 3:11:49 PM 1 of 2 CRW. SYC7FM C CHRONOLOGY CONDITIONS CONTACTS NAME TYPE; a�� _�p-T �t� -NAME , - ..:ADDRESSl • . CIN -, STATES ZIP PHONE EMAIL APPLICANT T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 CONTRACTOR T D DESERT DEVELOPMENT LIMITED P O BOX 1716 LA QUINTA CA 92247 OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, February 03, 2015 3:11:49 PM 1 of 2 CRW. SYC7FM C Printed: Tuesday, February 03, 2015 3:11:49 PM 2 of 2 C1? CYtTFM.S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK #! METHOD PAID BY BY SERVICES 101-0000-42403 ' 0 $24.17 $0.00 SERVICES PC 101-0000-42403 0 $12.09 $0.00 Total Paid for ELECTRICAL: $36.26 $0.00 PERMIT ISSUANCE 1 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $129.11 00 Printed: Tuesday, February 03, 2015 3:11:49 PM 2 of 2 C1? CYtTFM.S Invoice Total: $129.11 Please send your payment to this address: Printed: Tuesday, February 03, 2015 10:10 AM 1 of 1 CN? SYSTEMS INVOICE # 04. City of la Quinta INV -174 _ 78-495 Calle Tampico Date Due: 3/5/2015 �F�oF,�o La Quinta,CA 92253 T D DESERT DEV 81570 CARBONERAS, LA QUINTA, CA 0 Invoice Date: 2/3/2015 . Record # Record Type Fee Group Fee Description Quantity Amount BELC2015-0012 ELECTRICAL BUILDING STANDARDS BSAS SB1473 FEE 0 $1.00 ADMINISTRATION BSA ELECTRICAL SERVICES 0 $24.17 SERVICES PC 0 $12.09 PERMIT ISSUANCE PERMIT ISSUANCE 0 $91.85 $129.11 Invoice Total: $129.11 Please send your payment to this address: Printed: Tuesday, February 03, 2015 10:10 AM 1 of 1 CN? SYSTEMS Bin # Gty d La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico , m IM P.Quinta, CA 92253 • (760) 777.7012 (�V Building Permit Application and Tracking Sheet Permit # �_1 if' 201 Project Address: Ssj -Z.l- ( A(h e r l c;. Owner's Name: , D. Oes,r �P.r coo •u �C �- A. P. Number. — i (o,( (9(#o m n v 11 �D D Add ress:8 (S'to tt �( y40ct-ee'a5: Legal Description:"�.?il%e(—?j �. iln (of'14/c( 80 City, ST, Zip: I'L 4Ac,4 Q 2 2S 3, Contractor.T fD. N'Sef Deva Iod(e,L• L, P • Telephone: '7&a Z'1'7 l e o Project Description: Address: &(S' -7O (oriel' $ City, ST, Zip: L;7, 0,> t., C � 225 3 (U Telephone -1601-1-1 I -o I A it n C ee., Lf i 11 Lic. # iq IONS (f Arch, Engr., Designer. Address: City., ST, Zip: Telephone: State Lia #: Construction Type: Otxupatrcy: Project type (circle one): ew Add'n Alter Repair Demo Nam Naof Contact Person: ,. .I S a ks Sq. FL: # Stories: # 'unity; Telephone # of Contact Person: '( b o �(O o to C, Estimated Value of Project: # Z i S o APPLICANT: DO NOT WRITE BELOW THIS UNE it Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Plan Cheek submitted Itesa Amount Structural Cales. Reviewed, ready for cowectk t .fSv G 213 Plan Check Deposit w Truss Cates. Called Contact Person Plan Check Balance Tide 24 Calce. Platte picked up Construction Flood plain plan Plans resubmitted Muhatiieal Giading plan 2"Review, ready for correclionsiissue B1eeMcal Subeoutector List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- s'd Review, ready for correcdonsflssue Devdoper Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees