SFD (10-1385)50640 Mandarina
10-1385
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00001385
Property Address: 50640 MANDARINA
APN: 776-200-004- - -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 282497
Applicant: Architect or Engineer:
IA
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 Professionals Code, and my License is in full force and effect. .
License Class:: X13 License No.: 750957
ate: / 17/ f Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (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 1, 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.).
I—) 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:
CITRUS 18 GROUP, LLC
30-875.DATE PALM DRIVE
CATHEDRAL CITY, CA 92234
Contractor:
GHA ENTERPRISE, INC.
30875 DATE PALM DRIVE, SUI
CATHEDRAL CITY, CA 92234
(760)969-1400
Lic. No.: 750957
VOICE (760) 771-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/21/10
0
C1'TyO r U
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
v 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 719000223-2009
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 CodPJ.ekaf Drthwith comply h those provisions.
/Date: pplicant: /-
WARNING: FAILUI O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 1 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 hereby authorize representatives
of this countqepon the above-mentioned propert pectionDate: nature (Applicant or Agentl: •
LQPERMIT.
Application Number .
. . . . 10-00001385
Permit . •BUILDING
PERMIT
Additional desc .
Permit Fee
1280.00
Plan Check Fee
832.00
Issue Date . .
Valuation
282497.
Expiration Date
6/19/11
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
183.00 3.5000
THOU BLDG
100,001-500,000
640.50
"Permit
MECHANICAL
"
Additional desc
Permit Fee . . . .
118.00
Plan Check Fee
25.75
Issue Date
Valuation . .
0
Expiration Date
6/19/11
Qty 'Unit Charge
Per
Extension .
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE <=100K
18.00
.00 9.0000
EA MECH
B/C <=3HP/100K BTU
.00
2.00 16.5000
EA MECH'B/C
>3-15HP/>100K-50OKBTU
33.00
7.00 6.5000
EA MECH
VENT FAN
45.50
1.00 6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
ELEC-NEW RESIDENTIAL_
Additional desc .
Permit Fee . . . .
139.89
Plan Check Fee
34.97
Issue Date . . . .
Valuation
•0
Expiration Date
6/19/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3198.00 .0350
ELEC
NEW RES - 1 OR 2 FAMILY
111.93
648.00 .0200
--------------------------
ELEC
------------
GARAGE OR NON-RESIDENTIAL
--------------------------
12.96
------------
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
210.00
Plan Check Fee ...
52.88
Issue Date . .
N
Valuation . .
0
Expiration Date
6/19/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
22.00 6.0000
EA PLB FIXTURE
132.00
LQPERMIT.
LQPERMIT
Application Number 10-00001385
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 15.0000 EA PLB BUILDING SEWER
15.00
2.00 7.5000 EA PLB WATER HEATER/VENT
15.00
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 6/19/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD - LOT 4, PLAN 2c, 3198 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 2007 CBC, 2008
ENERGY.
THIS PERMIT WAS PREVIOUSLY ISSUED
(#06-3963) BUT WAS NEVER COMPLETED AND
ALLOWED TO EXPIRE. NEW OWNERS SUBMITTED
UPDATED PLANS ENCOMPASSING CURRENT
BUILDING & ENERGY CODES AS WELL AS THE
SLAB FIX FOR THIS LOT. PREVIOUS
INSPECTIONS WILL BE TRANSFERRED TO THE
NEW JOB CARD. CVMSHCP FEE TO BE ASSESSED
PER LES JOHNSON.
December 20, 2010 5:00:19 PM khensel.
----------------------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
12.00
ENERGY REVIEW FEE
83.20
GRADING PLAN CHECK FEE
.00
MULTI -SPECIES (MSHCP) FEE
1284.00
Fee summary Charged Paid Credited
Due
----------------- ------
Permit Fee Total 1762.89 .00 .00
1762:89
Plan Check Total 945.60 .00 .00
945.60
Other Fee Total 1379.20 00 .00
1379.20
Grand Total 4087.69 .00 .00
4087.69
LQPERMIT