SFD (12-0084)51120 Mandarina
12-0084
'P * 0. BOX 1504
7-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
. .y
(;e4i v
40"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
f 12-00000084
`51120 MANDARINA
776-210-014- - -
DWELLING - SINGLE FAMILY DETACHED
LOW-DENSITY RESIDENTIAL
284333
Owner:
CITRUS 18 GROUP, LLC
30-875 DATE PALM DRI
CATHEDRAL CITY, CA 9
VOICE (760) 777-7012
FAX (760) 777-7011 -
INSPECTIONS (760) 777-7153
Date: 3/07/12
ry4AR 03 2012
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjuiy that there is a construction lending agency for the performance of the
work for which this permit is issued ISec. 3097, Civ. C.).
Lender's Name: .l
Lender's Address: 1`r
LQPERMIT
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 it 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 "ate laws relating to building construction, and hereby authorize representatives
of this county to enter upon a above-mentioned pro pert f 'nspection purposes.
ate: Applicant la gnature (Applicant or Agen
Contractor:
Applicant: Architect or Engineer.
GRA ENTERPRISE, INC. G0r,y ;a rldld
30875 DATE PALM DRIVE,
, . :_
CATHEDRAL CITY, CA
92234
_\
(760) 969-1400 .
LiC. No.: 750957
' 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 of perjury one 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
— a retractor
issued.
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
te:—
/Code,
for the performance of the work for which this permit.is issued. My workers' compensation
NER-BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that.l am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 71922311
following reason ISec. 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 the Labor Code, I shall forthwith comply with those provisions.
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).:
ate: J-8 Iicant:
(_ 1 1, 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: FAILU E TO SEC E WORKERS' COMPE ON 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 CRI IES 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.).
APPLICANT ACKNOWLEDGEMENT
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P:C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjuiy that there is a construction lending agency for the performance of the
work for which this permit is issued ISec. 3097, Civ. C.).
Lender's Name: .l
Lender's Address: 1`r
LQPERMIT
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 it 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 "ate laws relating to building construction, and hereby authorize representatives
of this county to enter upon a above-mentioned pro pert f 'nspection purposes.
ate: Applicant la gnature (Applicant or Agen
Application Number . . . . 12-00000084
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1287.00
Plan Check Fee
836.55
Issue Date
. . .
Valuation
284333
Expiration
Date
9/03/12
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
25.75
Issue Date
Valuation
0
Expiration
Date
9%03/12
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
34.97
.Issue Date
Valuation . .
0
Expiration
Date
9/03/12
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
. . . ..
211.50
Plan Check Fee
52.88
Issue Date
Valuation . . . .
0
Expiration
Date
9/03/12
Qty Unit Charge
Per.
Extension
BASE
FEE
15.00
22.00
6.0000
EA PLB FIXTURE
132.00
LQPERMIT
Application Number .
. . . . 12-00000084
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
15.00 Plan Check Fee
.00
D
Issue ate . . . .
Date
Valuation
0
Expiration Date
9/03/12
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
Special Notes and Comments
---- -------
SFD - LOT 20, PLAN 2A,
3198 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS'
OR DRIVEWAY APPROACH.
2010 CODES.
--------------------------------
Other Fees• . . . . .
--------------------------------------------
. . . . ART IN PUBLIC PLACES -RES
210.83
BLDG STDS ADMIN (SB1473)
12.00
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
83.66
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00
DIF LIBRARIES - RES
355.00
MULTI -SPECIES (MSHCP) FEE
1254.00-
254.00DIF
DIFPARK MAINT FAC - RES
22.O0
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
1771.39
Plan Check Total
950.15 .00 .00
950.15
Other Fee Total
6063.92 .00 .00
6063.92
Grand Total
8785.46 .00 .00
8785.46
LQPERA1IT
I ,
GoLmsenuineering
consulting group, inc.
April 23, 2012
Alex Gonzales
GHA Companies/61-Farm, Inc.
30-675 Date Palm Drive, Suite C
Cathedral City, CA 92234
Re: Mandarina
GECG Job # 62226. .
Lot 20 — 5 • X10 11J ► ttik►IA-
Structural Observation Report
Dear Mr. Gonzales,
This letter advises that we have observed the structural requirements that are visible during construction
at the time of our site visit.
.. { +a Gouvis Engineering believes that the as-built construction at the time of our visit (except items noted on
field notes) is in general conformance with our structural plans and relevant correspondence issued by
tf lj8t .s r{ai:
our office relating to the above referenced dwelling.
We observed the building in its framed condition prior to installation of drywall and stucco. We observed
yEZ i the visual and accessible structural requirements. (Exclusions are items such as: size of footings,
reinforced steel in the foundations and roof sheathing.)
• $ '"x'11111 This report is understood to be an expression of professional opinion b this engineer, which is based on
P P P P Y n8
;i his best knowledge, Information and beliefs. As such, it consists of a report for only sttuctural elements
{ (as above outlined) and is neither a guarantee nor a warranty, expressed or implied for other trades or
requirements of subject dwelling.
i
i.
Respectfully Submi ed:
y VIS EN IN RING CONSULTING GROUP, INC.
,I r
i A mmar, P.E.,
rl Director of Field Op?ations pQFES
sb
949.752.1612
4400 Campus Drive
Newport Beach, CA
92660
www.gouvisgroup.com Palm Springs, CA Pleasanton, CA Ho Chi Minh City, Vietnam n