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14-0886 (SFD)IIIIIIIIIIIIIIIIIIIIIIIII 10 c&ht 4 IE P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-00000886 Property Address: 81845 ANDALUSIA APN: 764-650-999-160 -316813- Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 378073 Applic t: Architect or Engineer: Ala- ------------------ 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 Pr fessionaI Code, and my License is in full force and effect. License ss: License No.: 7 7 Date Contractor OWNER -BUILDER DECLARATI I hereby affirm under penalty of perjury that I am exempt from the Contractor' tate 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 _) 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.). 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: 6/19/14 Owner: TD DESERT DEVELOPMENT LLC 81570 CARBONERAS LA QUINTA, CA 94 U Contractor: JUN 2 t20% TD DESERT DEVEL PM NT LP P.O. BOX 1716 LA QUINTA, CA 9 247 (760)771-1941 Lic. 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. 1 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 CA REST MUTUAL Policy Number CRO1134517 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' should a subject to the workers' compensation provisions of Section 3700 of the Labor C , I shall f thwith comply ' h those provisions. Dat Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATIO DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE . 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 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 infor act. I agree to comply with all city and c my ordinances and state laws relating to building c ruction, and hereb uthorize representatives of this co my enter upon the above-mentioned property inspection purposes. Date Signature (Applicant or Agent(: 0 Application Number . . . . . 14-00000886 Structure Information 4,184SF DWELLING/VB/RES-3/CLASS A-FR/13D----- Other struct info . . . . . CODE EDITION 2013 Extension # BEDROOMS 4.00 EA MECH FURNACE FIRE SPRINKLERS 5318 35.7500 EA GARAGE SQ FTG 1134.00 9.00 11.9200 PATIO SQ FTG 657.00 107.28 1.00 ---------------------------------------------------------------------------- NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 11.92 1ST FLOOR SQUARE FOOTAGE 4184.00 Permit . . . BUILDING 2013 Additional desc . . Permit Fee . . . . 673.67 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 378073 Expiration Date . . 12/16/14 Qty Unit Charge Per Extension BASE FEE 573.43 179.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 100.24 Permit . . . ELECTRICAL 2013 Additional desc . . Permit Fee . . . . 227.63 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/16/14 Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 .00 23.8300 EA ELEC SERVICES .00 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 LQPERMIT Permit . . Additional desc . Permit Fee . . . Issue Date . . . Expiration Date . MECHANICAL 2013 405.20 Plan Check Fee . . .00 Valuation . . . . 0 12/16/14 Qty Unit Charge Per Extension 4.00 35.7500 EA MECH FURNACE 143.00 4.00 35.7500 EA MECH CONDENSER/COMP 143.00 9.00 11.9200 EA MECH VENT FAN 107.28 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 0 LQPERMIT Application Number . . . . . 14-00000886 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 357.59 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date . . 12/16/14 Qty Unit Charge Per Extension 22.00 11.9200 EA PLBG FIXTURE/TRAP 262.24 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 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 11.9200 EA PLBG BACKFLOW DEVICE 11.92 .00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS .00• 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments 4,184SF DWELLING - PLAN 24C, LOT 160 [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR WATER FEATURES. 2013 CALIFORNIA BUILDING CODES. June 19, 2014 7:55:54 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 445.18 BLDG STDS ADMIN (SB1473) 16.00 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 PLAN CHECK, ELECTRICAL 88.92 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 238.34 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 328.98 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1442.83 STRONG MOTION (SMI) - RES 37.81 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 ---------- 1664.09 .00 .00 1664.09 Plan Check Total .00 .00 .00 .00 Other Fee Total 12750.50 .00 .00 12750.50 IIIIIIIIIIIII IIIIIIIIIIII 12 T4h ����� P.O. BOX 1504 IEt 4 4v QVOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/19/14 Application Number: 14-00000886 Owner: Property Address: 81845 ANDALUSIA TD DESERT DEVELOPMENT LLC APN: 764-650-999-160 -316813- 81570 CARBONERAS Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Q Property Zoning: LOW DENSITY RESIDENTIAL D Application valuation: 378073 Contractor: JUN 2.3 20'f} Applic t: Architect or Engineer: TD DESERT DEVELOPMENT LP P.O. BOX 1716 CITY OF a WIINTA LA QUINTA, CA 92247 F�A4CEDEPT. (760)771-1941 Lic. 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 Professionals Code, and my License is in full force and effect. License Class: B 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).: 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.). (_) 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 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 CA REST MUTUAL Policy Number CRO1134517 I certify that, in the performance of the work for which this permit is issued, 1 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 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 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 of this county to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agent): Application Number . . . . . 14-00000886 ------ Structure Information 4,184SF DWELLING/VB/RES-3/CLASS A-FR/131)----- Other struct info . . . . . CODE EDITION 2013 # BEDROOMS 4.00 FIRE SPRINKLERS 5318 GARAGE SQ FTG 1134.00 PATIO SQ FTG 657.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE. FOOTAGE 4184.00 ---------------------------------------------------------------------------- Permit . . . BUILDING 2013 Additional desc . . Permit Fee . . . . 673.67 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 378073 Expiration Date '. . 12/16/14 Qty Unit Charge Per Extension BASE FEE 573.43 179.00 .5600 THOU BLDG $200,001-$1M 100.24 ----=----------------------------------------------------------------------- Permit . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 227.63 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/16/14 Qty Unit Charge Per Extension .00 23.8300 LS ELEC FIXTURES, FIRST 20 .00 .00 23.8300 EA ELEC SERVICES .00 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 . . . MECHANICAL 2013 Additional desc Permit Fee 405.20 Plan Check Fee n.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/16/14 Qty Unit Charge Per Extension 4.00 35.7500 EA MECH FURNACE 143.00 4.00 35.7500 EA MECH CONDENSER/COMP 143.00 ' 9.00 11.9200 EA MECH VENT FAN 107:28 1.00 ---------------------------------------------------------------------------- 11.9200 EA MECH EXHAUST HOOD 11.92 LQPERMIT r LQPERMIT Application Number . . . 14-00000886 Permit . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 357.59 Plan Check Fee . Issue Date . . . Valuation . . . Expiration Date . . 12/16/14 Qty Unit Charge Per Extension 22.00 11.9200 EA PLBG FIXTURE/TRAP 262.24 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 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 11.9200 EA PLBG BACKFLOW DEVICE 11.92 .00 11.9200 LS PLBG GAS SYS, 1-4 OUTLETS .00 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments 4,184SF DWELLING - PLAN 24C, LOT 160 [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR WATER FEATURES. 2013 CALIFORNIA BUILDING CODES. June 19, 2014 7:55:54 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 445.18 BLDG STDS ADMIN (SB1473) 16.00 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 PLAN CHECK, ELECTRICAL 88.92 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 238.34 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 328.98 DIF PARKS/REC - RES 2048.00 BLDG PC 200K -1M 1442.83 STRONG MOTION (SMI) - RES 37.81 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 1664.09 .00 .00 1664.09 Plan Check Total 00 .00 .00 .00 Other Fee Total 12750.50 .00 .00 12750.50