07-1372 (SFD)IIIIIIIIVIIIIIIVIIIIIII 35
P.O. BOX 1504 IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
T4ht
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
07-00001372
81687 ANDALUSIA
764-200-999-62 -316813-
DWELLING - SINGLE FAMILY DETACHED
LOW DENSITY RESIDENTIAL
255334
Architect or Engineer:
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 Busine4a371Pafessionals Code, and my License is in full force and effect.
OWNER -BUILDER DECLARATION 11
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).:
1 _ 1 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 _ 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 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/07/07
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
TD DESERT DEVELOPMENT LP D d
P O BOX 1716
LA QUINTA, CA 92247
(760)771-1941 MAY 18 2007
Lic. No.: 762987
C21'OF La nu..._ _
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.
-41 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 COMPWEST Policy Number CA005001482002
_ 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 becomebje t to the workers' compensation provisions of Section
3 0 of the Labor Code, I shall rthwith comply with those provisions,
aPlt Aica.,
WARN( G: FAILU EE TURE WOR COMPENSATION COVERAGE IS UNLA FUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H NDRED 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.
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 u( 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 th the above i ormation is correct. I agree to comply with all
city and ntY dinances and state laws re 'in o building cons uction, and hereby epresentatives
of thi o my Jb eater upon the above-mentio d property for in ection purposes
(Applicant
A
LQPERMIT
Application Number . . 07-00001372
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 3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG 805.00
PATIO SQ FTC; 424.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 2895.00
----------------------------------------------------------------------------
Permit . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
BUILDING PERMIT
1185.50 Plan Check Fee . . 770.58
Valuation . . . . 255334
11/03/07
Qty Unit
Charge
Per
Extension
BASE
FEE
639.50
156.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
546.00 -
Permit .
. .
MECHANICAL
Additional desc
.
Permit Fee . .
. .
101.50
Plan Check Fee
25.38
Issue Date . .
. .
Valuation . . .
. 0
Expiration Date
. .
11/03/07
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
3.00
9.0000
EA MECH
FURNACE <=100K
27.00
3.00
9.0000
EA MECH
B/C <=3HP/100K BTU
27.00
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit . .
Additional desc .
Permit Fee . . .
Issue Date . . .
Expiration Date .
ELEC-NEW RESIDENTIAL
132.43 Plan Check Fee .
Valuation . .
11/03/07
Qty Unit Charge Per
BASE FEE
2895.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY
33.11
0
Extension
15.00
101.33
N
Application Number . . . . . 07-00001372
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per Extension
805.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 16.10
----------------------------------------------------------------------------
Permit . .
. PLUMBING
Additional desc .
Extension
Permit Fee
173.25
Issue Date . . .
.
Expiration Dake .
. 11/03/07
Plan Check Fee . . 43.31
Valuation . . 0
Qty
Unit Charge
Per
Extension
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
BASE FEE
15.00
17.00
6.0000
EA
PLB
FIXTURE
102.00
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
9.00
.7500
EA
PLB
GAS PIPE >=5
6.75
1.00
----------------------------------------------------------------------------
15.0000
EA
PLB
GAS METER
15.00
Permit . . . GRADING PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Issue Date . . . .
Expiration Date . . 11/03/07
Plan Check Fee .00
Valuation 0
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 62, PLAN 1B,
2895
SF. PERMIT
DOES NOT INCLUDE POOL,
SPA,
BLOCK WALLS
OR DRIVEWAY APPROACH.
2001
CBC, CMC,
CPC, 2004 CEC, 2005 ENERGY
CODES
-------------------------------------------------------------------7--------
Other Fees . . . . .
. . .
. ART IN PUBLIC PLACES -RES
138.33
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
77.06
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
25.53
LQPEINIIT
I. .
LQPERMIT
Application Number . .'. . 07-00001372
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
DIF STREET
MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary
-----------------
Charged
----------
Paid
Credited
----------
Due,
Permit Fee Total
1607.68
----------
.00
----------
.00
1607.68
Plan Check Total
872.38
.00
.00
872.38
Other Fee Total
4715.92
.00
.00
4715:92
Grand Total
7195.98
.00
.00
7195.98