SFD (06-3966)50790 Mandarina
06-3966
1, G
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
•4 4Qu.mm,
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number. 06--00003966- --
Property Address: _50790—MANDARINA- O
APN: 776-210-003- - - G D
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:. 284333 . 0 7 ®®
Applicant: rchjtect or Engineer:
I CA
------------------
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.
Licen a Class: B License No.: 846263
Dater ?—p7tractor. . . IL1 pGrs %"NC•
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).:
(_) 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 contractor(s) licensed
• pursuant to the Contractors' State License Law.).
1 1 1 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: !'
LQPERn1IT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/06
Owner:
MANDARINA ESTATES LP
5305 E. SECOND STREET #204
kQNG BEACH, CA 90803
Contractor:
TP BUILDERS, INC.
5305 E SECOND ST, STE 204
LONG BEACH, CA 90803
(562)433-1286
Lic. No.: 846283
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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 EXEMPT Policy Number EXEMPT
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
^f3700 of the Labor Code, II shall forthwith comply with those provisions.
ate: ` /`O pplicant:
WARNING: FAILURE TO 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 relatin ing const ction, and hereby authorize representatives
;.Of th' ounty to enter upon the bove-mentis d property or insp ton purposes.
aazure (Applicant or Agen 1
LQPERMIT -
Application Number .
. . . . 06-00003966
Permit
BUILDING PERMIT
Additional desc .
Permit ,Fee,
1287.00
Plan Check Fee
209:14
Issue Date
Valuation
284333
Expiration Date
5/13/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
185.00 3.5000
----------------------------------------------------------------------------
THOU. BLDG
100,001-500,000
647.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee . . . .
118.00
Plan Check Fee
6.44
Issue Date . . . .
Valuation . . . .
0
Expiration Date
5/13/07
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
5/13/07
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 . . . .
211.50
Plan Check Fee ..
13.22
Issue Date . . . .
Valuation . . . .
0
Expiration Date
5/13/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
22.00 6.0000
EA PLB .FIXTURE
132.00
LQPERMIT -
LQPERA11T
Application Number .
. . . . 06-00003966
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
10.00 .7500
EA PLB GAS PIPE >=5
7.50
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
5/13/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 9, PLAN 2C,
3198 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75`s REDUCTION TO
PLAN CHECK FEES DUE TO
MULITPLE
ISSUANCE OF SAME PLAN
TYPE. 2001 CBC,
CMC;
CPC,2004 CEC, 2005 ENERGY
CODES
---------------------------------.-------------------------------------------
Other Fees
ART IN PUBLIC PLACES -RES
210.83
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
20.91
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
28.43
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
1771:39 .00 .00
1.771.39
Plan Check Total..
237.54 .00 .00.
237.54
Other Fee Total
4735.17 .00 .00
4735.17
Grand Total
6744.10 .00 .00
6744.10
LQPERA11T