BELC2015-0010 (BELC)IIIIIII VIII III VIII IIII 03
IE VOICE (760) 777-7125
7748-5 CALLE TAMPICO 4 0 D
LA QFAX (760) 777-7011UINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/3/2015
Application Number:
BELC2015-0010
Owner:
Property Address:
81792 ANDALUSIA
T D DESERT DEV
APN:
764200085
81570 CARBONERAS
c
Application Description:
ANDALUSIA/T.D. DESERT DEVELOPMENT/100 AMP PEDESTAL LIGHT/IRR
LA QUINTA, CA 0
o
Property Zoning:
z
Application Valuation:
$2,500.00
0
m 0 CD
Applicant:
Contractor:
r n
5
T D DESERT DEVELOPMENT LIMITED
T D DESERT DEVELOPME
TUlV11TED
P0BOX 1716
P0BOX 1716
LA QUINTA, CA 92247
LA QUINTA, CA 92247
(760)777-1001
t
Llc. No.: 762987
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: of If/ 11.i 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.).
(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.).
I I 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:
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 w for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
tion 370 of the Labor Code, for the performance of the work for which this permit
I, issued. My 0rkers' 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 provisions.
Date: Applicant:
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 ($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 relating to building
construction, and hereby authorize representatives oft ' ity to ter upon the above-
mentioned rop y for inspection purposes.
Date: rs Signature (Applicant or
AMENDMENT NO.2 TRACT 31681-3 w
.
ADDRESS f1YlAP
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FINANCIAL •• 1.
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 forBUILDING 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
101-0000-424030
$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: $129.11 00
Description: ANDALUSIA/T.D. DESERT DEVELOPMENT/100 AMP PEDESTAL LIGHT/IRR
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 2/2/2015 SKH
Approved: 2/2/2015 JFU
Parcel No: 764200085 Site Address: 81792 ANDALUSIA LA QUINTA,CA 92253
Subdivision:
Block: Lot: B
Issued:
Lot Scl 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
Details: ELECTRICAL -100 AMP ELECTRICAL LANDSCAPE IRRIGATION AND LIGHTING PEDESTAL. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
7=
CONDITIONS
Printed: Tuesday, February 03, 2015 3:10:58 PM 1 of 2 WEY
SYSTFM5
DESCRIPTION
^ ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
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
101-0000-42404
1 0
1 $91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
PARENT PROJECTS
BOND INFORMATION
ATTACH M E NTS
Printed: Tuesday, February 03, 2015 3:10:58 PM 2 of 2 CRVV
CYSTFMS
City of la Quinta
78-495 Calle Tampico
La Quinta,CA 92253
T D DESERT DEV
81570 CARBONERAS, LA QUINTA, CA 0
Invoice Date: 2/3/2015
INVOICE #
INV -175
Date Due: 3/5/2015
Record # Record Type Fee Group
Fee Description
Quantity
Amount
BELC2015-0010 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
Invoice Total: $129.11
Please send your payment to this address:
Printed: Tuesday, February 03, 2015 10:11 AM 1 of 1
CR?Wsrsrenas
Bin #
Oty Of LA Quinta
Building 8[ Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�� �'4)[c)
Project Address: Z ALj 4 S I0.
Owner's Name: i . D. DPs r -r � De,, C.
A. P. Number. '7&+ (p? o v v A
Address: 8 ( 5'10
Legal Description. -Ta 314 1-3 � est ,(o Z�l Z'{
Contractor. D. Oesef �- Deve�o AI PA i^ L P.
City, ST, Zip: (� CIS Q 2 Z.S 3
Telephone: -7 Z leo
Address: & (S -7O �� (� oYI Cf q S
Project Description:
City, ST, Zip: L;O- .re" CA ZZ5 3
/� r
O dti o W e'r �Pc1 PS 7��
Telephone:`l(�o 1-11 ,goo I At Zo .4,i1j U N 4 cec, C.444
At
State Lie. 4: %(p 2 City Lie. #; 7✓'
Arch., Engr., Designer:
Address;
City., ST, Zip:
Telephone: i
Conduction Type:Occupancy:
Project type (circle one): <S>Add'n Alter Repair Demo
State Lie. #:
Name of Contsict Person: ks
Sq. Ft.;
#Stories:
# Units:
Telephone # of Contact Person: '1 b o o ib o (o lip
Estimated Value of Project # z I S O
APPLICANT: DO NOT WRITE BELOW THIS UNE
d
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
P1ou Sets
Plan Check submitted
Item Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Cheek Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans rrsubmlfted
Mechanical
Giading plan
2" Review, ready for correctionslissue
Electrical
Subcostactor I.Ist
Called ContactPersoa
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees