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14-0887 (SFD). .E i iiiiiii hili iii hili ilii IE P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Appli t: 15T4ht 4 �W VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 14-00000887 81865 ANDALUSIA 764-650-999-161 -316813- DWELLING - SINGLE FAMILY LOW DENSITY RESIDENTIAL 394031 Date: 6/19/14 Owner: TD DESERT DEVELOPMENT LLC 81570 CARBONERAS DETACHED LA QUINTA, CA 92253 Architect or Engineer: 14- ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70.00) of Division 3 of the Business and P nals Code, and my License is in full force and effect. Licenssee�C6fss1 censeNo.: 762987 Date3� 9 T Contractor: r I hereby affirm under penalty of perjury that I am exempt from the Contractor's tate License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or coup]}y that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, .o requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisi s 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 1, 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.). ( 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 WERM Contractor: TD DESERT DEVELOPME JUN 2.3 Z0114 P.O. BOX 1716 iJ LA QUINTA, CA 92247 CINQF 0F(760)771-1941 FINAN ELA prPWA Lia. 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 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 gree that, if I should beco to the workers' compensation provisions of Section 3 0 of the Labor Code, all forthwith mply with those provisions. Dat(ING: Applicant: WARAILURE TO SECURE W COMPENSATION COVERAGE IS UNL WFUI I? ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMA S 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 or 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 Oulma, 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 info correct. I agree to comply with all city and c my o finances and state laws relating to building c ruction, and eby authorize representatives of this co . , t/ ent upon the above-mentioned property inspection purposes Date: �� / Signature (Applicant or Agent): Application Number . . . . . 14-00000887 ------ Structure Information 4,331SF DWELLINGVB/RES-3/CLASS A-FR/13D ----- Other struct info . . . . . CODE EDITION 2013 # BEDROOMS 4.00 FIRE SPRINKLERS 5239 GARAGE SQ FTG 908.00 PATIO SQ FTG 1307.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 4331.00 --------------------------------------------------------------=------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . BUILDING 2013 682.63 Plan Check Fee 00 Valuation . . . . 394031 12/16/14. Qty Unit Charge Per Extension BASE FEE 573.43 195.00 .5600 THOU BLDG $200,001-$1M 109.20 ---------------------------------------------------------------------------- Permit . . . Additional desc . . Permit Fee . . . . Issue Date . . . . Expiration Date . . ELECTRICAL 2013 227.63 12/16/14 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension 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 Permit . . . MECHANICAL 2013 Additional desc . . Permit Fee . . . . 405.20 Issue Date . . . . Expiration Date . . 12/16/14 Plan Check Fee .00 Valuation . . . . 0 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 Application Number . . . . . 14-00000887 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 4,331SF DWELLING - PLAN 25B, LOT 161 [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL, SPA OR WATER FEATURES **REDUCED PLAN CHECK FEE FOR MULTIPLE ISSUANCE OF PLAN TYPE** 2013 CALIFORNIA BUILDING CODES. June 19, 2014 7:58:22 AM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES 485.08 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 DIF PARK MAINT FAC - RES 40.00 DIF PARKS/REC - RES 2048.00 PLAN CHECK, MULTIPLE STR 47.67 STRONG MOTION (SMI) - RES 39.40 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 1673.05 .00 .00 1673.05 Plan Check Total .00 .00 .00 .00 Other Fee Total 10597.59 .00 .00 10597.59 Grand Total 12270.64 .00 .00 12270.64 LQPERMIT