BRES2014-1212LICENSED 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: y ✓ Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contract is 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 did not build or improve for the purpose of sale.).
(_) 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.).
(_) 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 Addre:
(760)777-1001
Llc. No.: 762987
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.
I 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: _ 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 uId become subject to the
workers' compensation provisions of Section 37 of the abor Code, I shall forthwith
comply with thoszprov' ons.
Date: Z/ / Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN WFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES PTO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST/F
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
I agree to comply with all city and county ordinances and
construction, and hereby authorize representatives of s
mentioned p pert for in pection purposes.
Dater / Signature(Applicant tAg t):_
ab ormation is correct.
e laws elating to building
city to a ter upon the above-
IIIIIIIIIIIIIIIIIIIIIIIII 10
IE
VOICE (760) 777-7125
78-495 CALLE TAMPICO ,
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
.COMMUNITY DEVELOPMENT DEPARTMENT
• , •, , INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/25/2014
Application Number: BRES2014-1212.
Property Address: 81644 ANDALUSIA
Owner: n
T D DESERT'.DEVELOPMEN 2MI D p
APN: 764670016
P.O'BOX 1716. z
Application Description: ANDALUSIA TM 31681-3
PH 4 PLAN 23C .
LA QUINTA, CA 922470 `—' mn
Property Zoning:
m
Application Valuation: $241,662.30
b S O
zo cu
Applicant:
Contractor: n o C:=3
T D DESERT DEVELOPMENT LIMITED
T D DESERT DEVELOPM T L MITg
P0BOX 1716
PO BOX 1716 i
LA QUINTA, CA 92247
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: y ✓ Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contract is 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 did not build or improve for the purpose of sale.).
(_) 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.).
(_) 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 Addre:
(760)777-1001
Llc. No.: 762987
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.
I 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: _ 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 uId become subject to the
workers' compensation provisions of Section 37 of the abor Code, I shall forthwith
comply with thoszprov' ons.
Date: Z/ / Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN WFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES PTO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST/F
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
I agree to comply with all city and county ordinances and
construction, and hereby authorize representatives of s
mentioned p pert for in pection purposes.
Dater / Signature(Applicant tAg t):_
ab ormation is correct.
e laws elating to building
city to a ter upon the above-
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL
270-0000-43201 0
$104.15
$104.15
11/24/14
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK R2993
00008728
AZA
Total Paid forART IN PUBLIC PLACES - AIPP: $104.15 $104.15
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$10.00
$10.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $10.00 $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$129.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$344.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$40.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$116.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42403
0
$16.92
$16.92
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid for ELECTRICAL: $41.09 $41.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$49.32
$49.32
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$20.32
$20.32
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$145.03
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0'
$47.86
$47.86
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $262.53 $262.53
DESCRIPTION
ACCOUNT
QTY'
AMOUNT
PAID
PAID DATE
RESIDENTIAL FINISH GRADING PC
101-0000-42600
0
$143.00
$143.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forGRADING: $143.00 $143.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$108.78
$108.78
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$72.51
$72.51
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUSTIIOOD
101-0000-42402
0
$12.09
$12.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$108.78
$108.78
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$72.51
$72.51
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$72.54
$72.54
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$28.98
$28.98
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid for MECHANICAL: $481.02 $481.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$1,292.00
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forMULTI-SPECIES RESIDENTIAL• $1,292.00 $1,292.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
= PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$605.09
$605.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid for NEW CONSTRUCTION PERMIT: $605.09 $605.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
- PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$1,286.52
$1,286.52
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forNEW CONSTRUCTION PLAN CHECK: $1,286.52 $1,286.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
= PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
'BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$253.89
$253.89
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$253.89
$253.89
11/24/14'
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728-
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$36.26
$36.26
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS PC
101-0000-42600
0
$24.17
$24.17
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$24.18
$24.18
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$14.50
$14.50
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$12.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.09
$12.09
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forPLUMBING FEES: $672.17 $672.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$31.42
$31.42
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $31.42 $31.42
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$1,837.44
11/24/14
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
T D DESERT DEVELOPMENT LIMITED
CHECK
R2993
00008728
AZA
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:.•$13,660.43
Description: ANDALUSIA TM 31681-3 PH 4 PLAN 23C
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED
Applied: 11/17/2014 AZA
FAMILY DETACHED
Approved: 11/25/2014 MFA
Parcel No: 764670016 Site Address: 81644 ANDALUSIA LA QUINTA,CA 92253
Subdivision: TR 31681-3 Block: Lot: 46
Issued: 11/25/2014 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $241,662.30 Occupancy Type: Construction Type:
Expired: 5/24/2015 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PHONE FAX EMAIL
Details: 3612 SF DWELLING -PLAN 23C, LOT 44 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR
WATER FEATURE. 2013 CALIFORNIA BUILDING CODES
ADDITIONAL SITES
1 Applied to Approved
Approved to Issued
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
NAME TYPE
NAME
ADDRESS1
CHRONOLOGY
CONDITIONS
CONTACTS
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
T D DESERT DEVELOPMENT LIMITED
P O BOX 1716
LA QUINTA
CA
92247
(760)777-1001
CONTRACTOR
T D DESERT DEVELOPMENT LIMITED
P O BOX 1716
LA QUINTA
CA
92247
(760)777-1001
OWNER
T D DESERT DEVELOPMENT LIMITED
P O BOX 1716
LA QUINTA
CA
92247
(760)777-1001
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
T D DESERT
ART IN PUBLIC PLACES -
270-0000-43201
0
$104.15
$104.15
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
RESIDENTIAL
LIMITED
Total Paid forART IN PUBLIC PLACES - AIPP: $104.15 $104.15
Printed: Tuesday, November 25, 2014 9:43:31 AM 1 of 6 1
1717 SYSTEMS
Printed: Tuesday, November 25, 2014 9:43:31 AM 2 of 6
SYSTEMS
_
C
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BY
T D DESERT
BSAS SB1473 FEE
101-0000-20306
0
$10.00
$10.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
Total Paid forBUILDING STANDARDS ADMINISTRATION
$10.00 $10.00
BSA:
T D DESERT
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$942.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
DIF - COMMUNITY
254-0000-43200
0
$129.00
$129.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
CENTERS
LIMITED
T D DESERT
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$433.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
DIF - LIBRARIES
253-0000-43200.
0
$344.00
$344.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
DIF - PARK
256-0000-43200
0
$40.00
$40.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
MAINTENANCE
LIMITED
T D DESERT
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$2,048.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
DIF - STREET
255-0000-43200
0
$116.00
$116.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
MAINTENANCE
LIMITED
T D DESERT
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$2,842.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00
Printed: Tuesday, November 25, 2014 9:43:31 AM 2 of 6
SYSTEMS
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
T D DESERT
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$24.17
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
TEMP POWER SERVICE
101-0000-42403
0
$16.92
$16.92
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
PC
LIMITED
Total Paid for ELECTRICAL: $41.09 $41.09
T D DESERT
RESIDENTIAL, EA
101-0000-42403
0
$49.32
$49.32
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
ADDITION 1,OOOSF
LIMITED
T D DESERT
RESIDENTIAL, EA
101-0000-42600
0
$20.32
$20.32
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
ADDITION 1,000SF, PC
LIMITED
T D DESERT
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$145.03
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
1,000SF
LIMITED
T D DESERT
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$47.86
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
1,000SF, PC
LIMITED
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $262.53 $262.53
T D DESERT
RESIDENTIAL FINISH
101-0000-42600
0
$143.00
$143.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
GRADING PC
LIMITED
Total Paid forGRADING: $143.00 $143.00
T D DESERT
CONDENSER/COMPRES
101-0000-42402
0
$108.78
$108.78
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
SOR
LIMITED
T D DESERT
CONDENSER/COMPRES
101-0000-42600
0
$72.51
$72.51
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
SOR PC
LIMITED
Printed: Tuesday, November 25, 2014 9:43:31 AM 3 of 6
- SY57EMS
x 4��
GO QDAURD
PERMIT N.U.MBER
BRESY2a14-12.12
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
T D DESERT
EXHAUST HOOD
101-0000-42402
0
$12.09
$12.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$4.83
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
FURNACE
101-0000-42402
0
$108.78
$108.78
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
FURNACE PC
101-0000-42600
0
$72.51
$72.51
11/24/14
-112993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
VENT FAN
101-0000-42402
0
$72.54
$72.54
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
VENT FAN PC
101-0000-42600
0
$28.98
$28.98
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
Total Paid forMECHANICAL: $481.02 $481.02
T D DESERT
MULTI -SPECIES
101-0000-20310
0
$1,292.00
$1,292.00
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
RESIDENTIAL 0-8 UNITS
LIMITED
Total Paid for MULTI -SPECIES RESIDENTIAL $1,292.00 $1,292.00
T D DESERT
NEW CONSTRUCTION
101-0000-42400
0
$605.09
$605.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
PERMIT
LIMITED
Total Paid forNEW CONSTRUCTION PERMIT: $605.09 $605.09
T D DESERT
NEW CONSTRUCTION
101-0000-42600
0
$1,286.52
$1,286.52
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
PLAN CHECK
LIMITED
Total Paid for NEW CONSTRUCTION PLAN CHECK: $1,286.52 $1,286.52
Printed: Tuesday, November 25, 2014 9:43:31 AM 4 of 6 OR
SYSTEMS
.. .
_
_
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID_
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BY
T D DESERT
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$12.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$4.83
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA-
LIMITED
T D DESERT
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
FIXTURE/TRAP
101-0000-42401
0
$253.89
$253.89
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
FIXTURE/TRAP PC
101-0000-42600
0
$253.89
$253.89
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
GAS SYSTEM, 5+
101-0000-42401
0
$36.26
$36.26
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
OUTLETS
LIMITED
T D DESERT
GAS SYSTEM, 5+
101-0000-42600
0
$24.17
$24.17
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
OUTLETS PC
LIMITED
T D DESERT
WATER HEATER/VENT
101-0000-42401
0
$24.18
$24.18
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
T D DESERT
WATER HEATER/VENT
101-0000-42600
0
$14.50
$14.50
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
PC
LIMITED
T D DESERT
WATER SYSTEM
WATER
101-0000-42401
0
$12.09
$12.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
INST/LIMITED
Printed: Tuesday, November 25, 2014 9:43:31 AM 5 of 6 CR
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD -]
BY
T D DESERT
ER SYSTEM
WATER
101-0000-42600
0
$12.09
$12.09
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
PC
INST/LIMITED
Total Paid forPLUMBING FEES: $672.17 $672.17
T D DESERT
SMI - RESIDENTIAL
101-0000-20308
0
$31.42
$31.42
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
LIMITED
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $31.42 $31.42
T D DESERT
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$1,837.44
11/24/14
R2993
00008728
CHECK
DEVELOPMENT
AZA
DETACHED
LIMITED
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $1,837.44
TOTALS:.0$13,660.43
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, November 25, 2014 9:43:31 AM 6 of 6
-- SYSTEMS