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BRES2014-1217 (BRES)78-495 CALLE YAMPICd LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2014-1217 Property Address: 81775 ANDALUSIA APN: 764670043 Application Description: ANDALUSIA TM 31681-3 PH 4 PLAN 23AR Property Zoning: Application Valuation: $241,662.30 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: BJH/////License No.: 762987 Date:/ >//`/ 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 or 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 Lender's Add Illilll 01 VIII III VIII IIII IE Owner: T D DESERT DEV �81-570 CARBONERAS J� QUINTA, CA 0 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/25/2014 Contractor: T D DESERT DEVELOPMENT LIMITED c==3P0 BOX 1716 LA QUINTA, CA 92247 (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 should become subject to the workers' compe at provisions of Section 370 Labor Code, I shall forthwith comply with t se p ovis' ns. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI 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 lating to building construction, and h reby authorize representatives of this y to en r upon the above. mentioned ?oope y for i spection purposes. Dat) / Signature (Applicant or gen 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 forBUILDING 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 for DIF - SINGLE FAMILY DWELLINCR $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 Total Paid for ELECTRICAL: $24.17 $24.17 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, FIRST 1,OOOSF 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 Total Paid for ELECTRICAL- NEW CONSTRUCTION: $194.35 $194.35 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 EXHAUST HOOD 101-0000-42402 0 1$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 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 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 Total Paid forMECHANICAL: $302.19 $302.19 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600 0 $48.34 $48.34 11/24/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY T D DESERT DEVELOPMENT LIMITED CHECK R2993 00008728 AZA Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $48.34 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 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 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 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 GAS SYSTEM, 5+ OUTLETS 101-0000-42401 0 1 $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 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 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 Total Paid forPLUMBING FEES: $350.60 $350.60 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 I Total Paid forTUMF - RESIDENTIAL: R2993 I 00008728 $1,837.44 $1,837.44 AZA Description: ANDALUSIA TM 31681-3 PH 4 PLAN 23AR Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 11/17/2014 AZA FAMILY DETACHED Approved: 11/25/2014 MFA Parcel No: 764670043 Site Address: 81775 ANDALUSIA LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 73 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 NAME Details: 3612 SF DWELLING - PLAN 23AR, LOT 73 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODES 8y 0 I Applied to Approved Approved to Issued Printed: Tuesday, November 25, 2014 10:27:32 AM 1 of 5 SYSTEMS ADDITIONAL NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX 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 Printed: Tuesday, November 25, 2014 10:27:32 AM 1 of 5 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD 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 for BUILDING 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 DWELLINQ $6,894.00 $6,894.00 Printed: Tuesday, November 25, 2014 10:27:32 AM 2 of 5 CR IAff 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 Total Paid for ELECTRICAL: $24.17 $24.17 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, FIRST 101-0000-42403 0 $145.03 $145.03 11/24/14 R2993 00008728 CHECK DEVELOPMENT AZA 1,000SF LIMITED Total Paid for ELECTRICAL - NEW CONSTRUCTION: $194.35 $194.35 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 EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 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 VENT FAN 101-0000-42402 0 $72.54 $72.54 11/24/14 R2993 00008728 CHECK DEVELOPMENT AZA LIMITED Total Paid forMECHANICAL: $302.19 $302.19 T D DESERT MULTI STRUCTURE 101-0000-42600 0 $48.34 $48.34 11/24/14 R2993 00008728 CHECK DEVELOPMENT AZA PLAN CHECK -EACH LIMITED Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $48.34 Printed: Tuesday, November 25, 2014 10:27:32 AM 3 of 5 • §?1YS7EMS Printed: Tuesday, November 25, 201410:27:32 AM 4 of 5 !SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 forMULTI-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 for NEW CONSTRUCTION PERMIT: $605.09 $605.09 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 BUILDING SEWER 101-0000-42401 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 GAS SYSTEM, 5+ 101-0000-42401 0 $36.26 $36.26 11/24/14 R2993 00008728 CHECK DEVELOPMENT AZA OUTLETS 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 SYSTEM WATER 101-0000-42401 0 $12.09 $12.09 11/24/14 R2993 00008728 CHECK DEVELOPMENT AZA INST/LIMITED Total Paid forPLUMBING FEES: $350.60 $350.60 Printed: Tuesday, November 25, 201410:27:32 AM 4 of 5 !SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $31.42 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $31.42 SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 Total Paid forTUMF - RESIDENTIAL: $1,837.44 PAID PAID DATE RECEIPT # CHECK # METHOD $31.42 11/24/14 R2993 00008728 CHECK $31.42 $1,837.44 11/24/14 R2993 00008728 CHECK $1,837.44 PAID BY CLTD _. BY T D DESERT DEVELOPMENT AZA LIMITED T D DESERT DEVELOPMENT AZA LIMITED PARENT PROJECTS Printed: Tuesday, November 25, 201410:27:32 AM ATTACHMENTS 5of5 CSYSTEMS