SFD (06-0428)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
�!'�itiGv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT -
,06=00000428
`-58460 MIJAS
764-200-999-63 -316812-
DWELLING - SINGLE FAMILY DETACHED
LOW.DENSITY RESIDENTIAL
309222
rchitect or Engineer:
rl�aft(C— Goy
OF LA
---- -
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 C e, and my License is in full force and effect.
Lice a lass: B cans No.: 87
at
ontractor:l
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.).
(_) 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.).
(_) 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 O
Address:
LQPERMIT
VOICE.(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
Date: 1/26/06
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
TD DESERT DEVELOPMENT LP
P O BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
------------------
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 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
700 of the Labor Code `II hose provisions.
D plicant:
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,
theowner, 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 in onstructio hereby a ize representatives
of this co enter upon the above-mentioned opllerty for in actio purpo es.
Ogre,
�>Veure (Applicant'or Age :
I
LQPERMU
Application Number
. . 06-00000428•
Permit . . BUILDING PERMIT
Additional desc-
esc.Permit
PermitFee-
1374.50
Plan Check Fee
223.36
Issue Date . . .
Valuation
309222
Expiration Date
7/25/06
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
210.00 3.5000
THOU BLDG
100,001-500,000
735.00
Permit -MECHANICAL.
Additional desc .
Permit Fee
101:50
Plan Check Fee
6.35
Issue Date
Valuation
0
Expiration Date
7/25/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00:
3.00 9."0000
EA MECH
FURNACE <=100K
27.00
3.00 9.0000
EA MECH
B/C <=3HP/100K BTU
27.00
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 . . . .
154.15.
Plan Check Fee
9.64
Issue Date . . . :
Valuation
0
Expiration Date
7/25/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3546.00 .0350
ELEC
NEW RES - 1 OR'2 FAMILY
124.11
752.00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
15.04
Permit . . . PLUMBING
Additional desc .
Permit.Fee
200.25
Plan Check Fee
12.52
Issue Date . . . .
Valuation
0
Expiration Date
7/25./06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
20.00 6.0000
EA PLB FIXTURE
120.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number
06-00000428
Permit . . . . . . PLUMBING
Qty Unit Charge
Per
Extension
/p 2.00 7.5000
EA PLB WATER HEATER/VENT
15.00
1.0.0 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA . PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
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.-
7/25/06
Qty Unit Charge
Per
Extension
-----------------------------------
BASE FEE.
15.00
--------------------------
Special Notes and Comments
SFD - LOT 63, PLAN 3A,
3546 SF. PERMIT
DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH.
75% REDUCTION TO
PLAN CHECK FEES DUE TO
MULTIPLE
ISSUANCE OF SAME PLAN
TYPE
----------------------------------------------------------------------------
Other Fees . .
. . . . ART IN PUBLIC PLACES -RES
273.05
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
ENERGY REVIEW FEE
22.34
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
30.92
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
------------------------------
1845.40 .00 .00
1845.40
Plan Check Total
251.87 .00 .00
251.87
Other Fee Total
4022.31 .00 .00
4022.31
Grand Total
6119.58 .00 .00
6119.58
LQPERMIT
d
Certificate of Occupancy
ti
G OF'T19� Building y p & Safety Department
e
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
s
Code, certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building Code and the various ordinances of the City regulating building
construction and/or use.
r
BUILDING ADDRESS: 58-460 WAS
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v
Use classification: SINGLE FAMILY DWELLING Building Permit No.: 06-428
t
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
7
y
y
Y
K
Owner of Building: CORAL OPTION 1, LLC Address: P.O. BOX 1716
}
City, ST, ZIP: LA QUINTA, CA 92253
By: DAVID GATICA
6' Date: MAY 25, 2007
F
Building Official
}
i
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