SFD (10-1387)50700 Mandarina
10-1387
P.O..BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253' BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10700001387 Owner:
Property Address: 50700 MANDARINA CITRUS 18 GROUP, LLC
APN: 776-200-006- - - 30-875 DATE PALM DRIVE
Application description: DWELLING - SINGLE FAMILY DETACHED.. CATHEDRAL CITY, CA 92234
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 282497
Contractor:
Applicant: Architect or Engineer: GRA ENTERPRISE, INC.
30875 DATE PALM DRIVE, SUITE
CATHEDRAL CITY, CA 92234
(760)969-1400
Lic. No.: 750957
YA,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/21/10
tP,220i
CITY OF LA QUIN'TA
FWANCF DPT
---------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
'I hereby affirm under penalty ofperjuryone of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.: 750957
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'
Date.. - t ontractor.
.issued.
KI 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 719000223-:2009
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of !Pe Labor Code hwith comply with- se provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -
it
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN•ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 I am.exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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: A
LQPERMIT
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 a county ordinances and state laws relating to building construction, and hereby authorize representatives
of S county to enter up . the above-mentioned propa inspection'p ses.
Date: I . I gnature (Applicant or Agen
*
Application Number .
. . . 10-00001387
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee
1280.00
Plan Check Fee
208.00
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
6.44
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-500KBTU
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
8.74
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
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ELEC
GARAGE OR NON-RESIDENTIAL
12.96
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
210.00
Plan Check Fee
13.22
Issue Date . . .
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
Application Number . . . . . 10-00001387
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
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Special Notes and Comments
SFD - LOT 6, PLAN 2A, 3198 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULITPLE ISSUANCE
OF SAME.PLAN TYPE. 2007 CBC, 2008 ENERGY
CODES.
THIS PERMIT WAS PREVIOUSLY ISSUED
(#06-3964) BUT WAS NEVER COMPLETED &
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
UPDATED JOB CARD. CVMSHCP FEE TO BE
ASSESSED PER LES JOHNSON.
December 20, 2010 5:19:38 PM khensel.
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Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
12.00
ENERGY REVIEW.FEE
20.80
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 236:40 .00 .00
236.40
Other Fee Total 1316.80 .00 .00
1316.80
LQPERMIT
Application Number . . . . . 10-00001387
Grand Total 3316.09 .00 .00 3316.09
LQPERMIT