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14-0888 (SFD)1111111 VIII III VIII IIII 24 P.O. BOX 1504 IE 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ht 4 4v Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-0'0000888 Owner: Property Address: 81905 ANDALUSIA TD DESERT DEVELOPMENT APN: 764-650-999-163 -316813- 81570 CARBONERAS Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 922 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 394031 Contractor: Applicant Architect or Engineer: TD DESERT DEVELOP NT P.O. BOX 1716 C Aly—_ LA QUINTA, CA 922 (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 70001 of Division 3 of the Business and Professionals Code, and qjy.Lkmqke is in full force and effect. License O ass: )B _---___---,License NQ, --76298X Date Contractor: OWN R- ILDER DECLARATION I hereby affirm under penalty of perjury t Na mpt from the Contractor's St a License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or count 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 ns 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 _) 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 _) 1 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.I. Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/19/14 d JUN 2.3 Wk 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 bject to the workers' compensation laws of California, An"d agree that, if I shou come subject a workers' compensation provisions of Section 3700 of the Labor e, I shall forthwith com y with those provisions. ?Dat e• Applica WAR ING: FA LURE TO SEC RS' COMPENSA ON COVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, AMAGES 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 abov 's correct. I agree to comply with all city and c my rdinances and state laws relating to buil ' construction, an ereby authorize representatives of thi/s�pc my o e r upon the above-mentioned pr rty for inspection purpos s. Date/ Signature (Applicant or anti: Application Number . . . . . 14-00000888 Structure Information 4,331SF DWELLING/VB/RES-3/CLASS A-FR/13D----- Other struct info . . . . . CODE EDITION 2013 Extension # BEDROOMS 4.00 EA MECH FURNACE FIRE SPRINKLERS 5239 35.7500 EA GARAGE SQ FTG 908.00 9.00 11.9200 PATIO SQ FTG 1307.00 107.28 1.00 ---------------------------------------------------------------------------- NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- 11.92 1ST FLOOR SQUARE FOOTAGE 4331.00 Permit . . . BUILDING 2013 Additional desc . . Permit Fee . . . . 682.63 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 394031 Expiration Date . . 12/16/14 Qty Unit Charge Per Extension BASE FEE 573.43 195.00 ---------------------------------------------------------------------------- .5600 THOU BLDG $200,001-$1M 109.20 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 Permit . . . Additional desc . . Permit Fee . . . . . Issue Date . . . . Expiration Date . . MECHANICAL 2013 405.20 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 . . . . . 14-00000888 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 25C, LOT 163 [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 8:03:06 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