14-0890 (SFD)� � � IIIIIIII VIII III VIIIIIII
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
26c&ty/ 4 4
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
14-00000890
Property Address:
81925 ANDALUSIA
APN:
765-650-999-164 - -
Application description:
DWELLING - SINGLE FAMILY DETACHED
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
378073
Applicant: Architect or Engineer:
------------------
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 Cass: B Lice : 762987
Date- 2 Contractor:
O NER-BUILDER ECLARATION
I hereby affirm under penalty of perjury that I am exempt from th Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: ny 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 IS500).:
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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ 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
Owner:
TD DESERT DEVELOPMENT LLC
81570 CARBONERAS
LA QUINTA, CA 92253
�IV
Contractor:
TD DESERT DEVELOPMENT
P.O. BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/19/14
N 1,A9
FINANCE
--------------- - - -
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 bec 'ect to the workers' compensation laws of California,
and agree that, if I should b e subject to a workers' compensation provisions of Section
00 of the Labor Code shall forthwith com y with those provisions.
Da L Applicant:
WAR ING: FAILURE TO SEC URE(VCOMPENS VERAGE IS LAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 0 HUNDRED THOUSAND
DOLLARS ($100,000)• IN ADDITION TO THE COST OF COMPENSATION, DAM GES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMEN,
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 ve information is car t. I agree to comply with all
city and c ty 0 finances and state laws relating to ' Ing construction, and hereb authorize representatives
of this colnty t enter upon the above-mentioned per[y for inspection purposes.
Dat , Signature (Applicant or A ent):
s ti
LQPERMIT
Application Number . . . . . 14-00000890
------ Structure Information 4,184SF DWELLING/VB/RES-3/CLASS A-FR/13D-----
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
----------------------------------------------------------------------------
IST 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
Permit
. . . MECHANICAL 2013
Additional
desc . .
Permit Fee
. . . .
405.20 Plan Check Fee
.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
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . . 14-00000890
PLUMBING 2013
357.59
12/16/14
Plan Check Fee . . .00
Valuation . . . . 0
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 24B, LOT 164
[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 8:08:27 AM AORTEGA
:
--------------------------------
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
DIF PARK MAINT FAC - RES
40.00
DIF PARKS/REC - RES
2048.00
PLAN CHECK, MULTIPLE STR
47.67
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 10556.10 .00 .00
10556.10
Grand Total 12220.19 .00 .00
12220.19
LQPERMIT