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14-0835 (SFD)P.O. BOX 1504 111111411111 08 IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000835 Property Address: 81825 ANDALUSIA APN: 764-200-999-158 -316813- Application description: DWELLING - SINGLE FAMILY Property Zoning: LOW DENSTTY RESIDENTIAL Application valuation: 454592 c&t!t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: T.D. DESERT DEVELOPMENT 81570 CALBONEROS DETACHED LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: TD DESERT DEVELOPMENT LP P.O. BOX 1716 LA QUINTA, CA 92247 (760)771-1941 Lic. No.: 762987 --------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section7 001 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License ass: License No.: 762987 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �at ontractor: 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 OWNER -BUILDER DECLARA ON insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contract is State License Law for the Carrier CA REST MUTUAL Policy Number CRO1134517 following reason (Sec. 7031.5, Business and Professions Code: Any city county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issu nce, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the rovisions of the Contractor's State agree that, if 1 should become subject to the wor comp ation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 0 of the Labor Code, I sh it comp) Ith those prov' ions. 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 0500).: yDatA7,A icant: 1 _ 1 I, asowner of the property, or my employees with wages as their sole compensation, will do the work, andthe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The E TO SECURE -ERS' CbVPEISAON COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALT&&AWrCIVIL FINES UP TO ONE HUNDREP THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS J$1 00,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES ASOVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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, 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/13/14 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 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 Ouinta, 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 abov n is correct. I agree to comply with all city and c my rdinances and state laws relating to ng construction, an by authorize representatives of this c my% a er upon the above-mentione roperty for inspection purposes. Dat r Si ture (Applicant Agent): Application Number . . . . . 14-00000835 Permit . . . BUILDING 2013 Additional desc . Permit Fee . . . . 716.23 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 454592 Expiration Date . . 12/10/14 Qty Unit Charge Per Extension BASE FEE 573.43 255.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 142.80 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 251.46 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/10/14 Qty Unit Charge Per Extension 1.00 23.8300 EA ELEC SERVICES 23.83 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 1.00 143.0000 LS ELEC NEW RES,,FIRST 1 KSF 143.00 5.00 ---------------------------------------------------------------------------- 12.1600 EA ELEC NEW RES, ADD -L 1 KSF 60.80 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 476.70 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/10/14 Qty Unit Charge Per Extension 5.00 35.7500 EA MECH FURNACE 178.75 1.00 11.9200 EA MECH APPL REP/ALT 11.92 5.00 35.7500 EA MECH CONDENSER/COMP 178.75 8.00 11.9200 EA MECH VENT FAN 95.36 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 Permit. . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 369.51 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/10/14 Qty Unit Charge Per Extension 24.00 11.9200 EA PLBG FIXTURE/TRAP 286.08 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 LQPERMIT Application Number . . . . . 14-00000835 Permit . . . . . . PLUMBING 2013 Qty Unit Charge Per Extension 2.00 11.9200 EA PLBG WATER HEATER/VENT 23.84 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments STANDARD PLAN 26 FOR ANDALUSIA,5131 SQ. FT. WITH CASITA AND OPT. FIREPLACFS.THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCKWALLS, FIRE -PIT, BBQ, WATER FEATURES, OR DRIVEWAY APPROACH.HOME IS FIRE SPRINKLED PER 2013 CRC CODES. April 16, 2014 2:24:06 PM jjohnson. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 636.48 BLDG STDS ADMIN (SB1473) 19.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES - RES 344.00 MULTI -SPECIES (MSHCP) FEE 1278.00 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, SFD GRADING 143.00 DIF PARKS/REC - RES 2048.00 PLAN CHECK, MULTIPLE STR 47.67 STRONG MOTION (SMI) - RES 45.46 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Paid Credited Due Permit Fee Total 1813.90 .00 Plan Check Total .00 .00 Other Fee Total 10901.05 .00 Grand Total 12714.95 .00 LQPERMIT .00 1813.90 .00 .00 .00 10901.05 .00 12714.95