06-0446 (SFD)58258 Aracena
IIIIIIIIIIIIIIIIIIIIIIIII 33
IE
P.O. BOX 1504 - - - ----
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
06-00000446
58258 ARACENA
764-200-999-32 -316812-
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
243894
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
DETACHED LA QUINTA, CA 92253
rchitect or Engineer:
/AV
FEB 2 3 2006
------------------------------
LICENSED CONTRACTOR'S DECLARATIO QI T,A
1 hereby affirm under penalty of perjury that I am licensed under provisions of C ter 9 (c.r4 nc ng with
Section 7000) of Division 3 of the Business and Professionals Code, and my Lic nse is in full Ocerand eff. ect .
License lass: B Licen 762
Date: -1 z1 f , C ractor:
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 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 ISec. 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.).
( 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
Contractor:
TD DESERT DEVELOPMENT LP
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: 1/27/06
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.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which thispermitis 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 should become subject to the workers' compensation provisions of Section
/3700 of the Labor Code, I she rthwith comply wit those provisions.
teZ31 O f Ap t:WARNING: FAIL E TO SECURE WORKERS' CNSATION COVERAGE IS UNLAVY UL, 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 hereb authorize representatives
of this cou o/enter upon th ove-mentioned pr r in io pur ses.
e: ' I O nature (Applicant or Agent):
LQPERMIT
Application Number . . . . . 06-00000446
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1143.50
Plan Check Fee
185.82
Issue Date
. . . .
Valuation . . . .
243894
Expiration
Date
7/26/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
144.00
----------------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
504.00
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
83.50
Plan Check Fee
5.22
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/26/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA MECH
FURNACE <=100K
18.00
2.00
9.0000
EA MECH
B/C <=3HP/100K BTU
18.00
4.00
6.5000
EA MECH
VENT FAN
26.00
1.00
-----------"-----------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. . .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . .
127.36
Plan Check Fee
7.96
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
7/26/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2757.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
96.50
793.00
--------------------7-------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
15.86
Permit
. . .
PLUMBING
Additional
desc .
Permit Fee
. . . .
172.50
Plan Check Fee
10.78
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
7/26/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
17.00
6.0000
EA PLB FIXTURE
102.00
1.00
15.0000
EA 'PLB BUILDING SEWER
15.00
LQPERMIT
Application Number . . . . . 06-00000446
Permit . . . . . . PLUMBING
Qty
Unit Charge Per
Extension
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 7/26/06
Qty
Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes
and Comments
SFD - LOT
32, PLAN 1MA, 2757 S.F.
PERMIT DOES
NOT INCLUDE POOL, SPA,
BLOCK WALLS
OR DRIVEWAY APPROACH. 75%
REDUCTION
TO PLAN CHECK FEE DUE TO
MULTIPLE ISSUANCE
OF SAME PLAN TYPE
----------------------------------------------------------------------------
Other Fees
. . . . . . . . ART IN PUBLIC PLACES -RES
109.73
DIF COMMUNITY CENTERS -RES
.74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
18.58
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
STRONG MOTION (SMI) - RES
24.38
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged
Permit Fee Total 1541.86
Plan Check Total 209.78
Other Fee Total 3848.69
Grand Total 5600.33
n
Paid Credited Due
.00 .00 1541.86
.00 .00 209.78
.00 .00 3848.69
.00 .00 5600.33