06-0376 (SFD)58106 Aracena
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
7s 4
4Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
06-00000376
58106 ARACENA
764-200-999-14 -316812-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
349058
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/25/06
Owner:
CORAL OPTION I
79285 RANCHO LA QUINTA DR
DETACHED LA QUINTA, CA 92253
rchitect or Engineer:
ULQ--oOlt- -C
D °
- FEB 2 3 ?00.6_ _ _
LICENSED CONTRACTOR'S DECLA TIO
I hereby affirm under penalty of perjury that I am licensed under provisions of C apter 9 (corm' r n ft rt,,Q
errA i '_ W
UINTA
Section 7000) of Division 3 of the Business and Professionals Cod d my Lic ulLforce-entieffeVt:ciif
License Class: Li se No. 762987
date: 2 ontractor:
✓ 1
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 ($5001:
(_ 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 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: 1'+
LQPERMTI
Contractor:
TD DESERT DEVELOPMENT LP
P O BOX 1716
LA QUINTA, CA 92247
(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.
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 STATE FUND Policy Number CA005001482-001
_ 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 I shoulgbeeemasubject to the workers' compensation provisions of Section
700 of the Labor C de, I shall fort=COVERAGE
atm e: Z J ant:
WARNING: FAILURE TO SECURE WORKERS' COMUL, 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, a er by authorize representatives
of this county to mer upon the above-mentioned pr ope or in echo rpose
f e e _7 i0 ature (Applicant or Agent):
f
LQPERMIT
Application Number . . . . . 06-00000376
Structure Information
Construction Type . .
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/LONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION
2001 CBC
# BEDROOMS
4.00
FIRE SPRINKLERS
NO
GARAGE SQ FTG
1096.00
PATIO SQ FTG
736.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
3933.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1402.50 Plan Check Fee
227.91
Issue Date . . . .
Valuation . .
. . 317787
Expiration Date . .
7/24/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
218.00 3.5000
-----------------------------------------------7----------------------------
THOU BLDG 100,001-500,000
763.00
Permit . . .
MECHANICAL
Additional desc .
Permit.Fee . . . .
132.50 Plan Check Fee
8.28
Issue Date
Valuation . .
. . 0
Expiration Date
7/24/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
4.00 9.0000
EA MECH B/C <=3HP/100K BTU
36.00
6.00 6.5000
EA MECH VENT FAN
39..00.
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
3933.00 .0350
ELEC-NEW RESIDENTIAL
174.58 Plan Check Fee .
Valuation . . .
7/24/06
Per
BASE FEE
ELEC NEW RES - 1 OR 2 FAMILY
10.91
0
Extension
15.00
137.66'
LQPERDUT
Application Number . . . . . 06-00000376
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge
Per
Extension
1096.00 .0200
---------------------------
ELEC GARAGE OR NON-RESIDENTIAL
-------------------------------------
21.92
------------
Permit PLUMBING
Additional desc . .
Permit Fee . . . .
196.50 Plan Check Fee
12.28
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/24/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
21.00 6.0000
EA PLB FIXTURE
126.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
8.00 .7500
EA PLB GAS PIPE >=5
6.00
1.00 15.0000
----------------------------------------------------------------------------
EA PLB GAS METER
15.00
Permit GRADING PERMIT
Additional desc . .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
7/24/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 14, PLAN 4BR, 3933 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEES DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ART IN PUBLIC PLACES -RES
3,72.64
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
22.79
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
LQPERMIT
Application Number . . . . . 06-00000376
-----------------------------------7----------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI) - RES 34.90
DIF STREET MAINT FAC -RES 67.00
DIF TRANSPORTATION - RES 1666.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1921.08 .00 .00 1921.08
Plan Check Total 259.38 .00 .00 259.38
Other Fee Total 4126.33 .00 .00 4126.33
Grand Total 6306.79 .00 .00 6306.79