SFD (06-2470):I
` A.
_ P.O. BOX 1504
78-495 CALLE TAMPICO
LA.QUINTA, CALIFORNIA 92253
c&ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: -06-00002470
Property Address: 79035 MISSION DR W
APN: 646-330-065-1 -30185 -
Application description: DWELLING,- SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 261737
Applicant: Architect or Engineer:
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 ar Is Code, and my License is in full force and effect. _.
License Cla B cense No.' 87
atm/ lrGi ntractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's S�Licensw forthe
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 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: at
Lender's Address:
LQPERAITT
Owner:
TD DESERT DEV
C/O TOM CALLINAN
79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/08/06
Contractor:
TD DESERT DEVELOPMENT
P O BOX 1716
LA QUINTA, CA 92247 APR .11 1007
(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 COMPWEST Policy Number CA005001482002
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 gree that, if I should bec U I o the workers' compensation provisions of Section
0 of the Labor Code all forthwith c mply with those provisions.
te:� pplici
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGEUNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DA ES 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.
certify that I have read this application and state that information is correct. I agree to comply with all
city and county o inances and state laws relatir wilding con uction, and hereby authorize representatives
oI ttth%hh� co y enter upo the above -menti ed property for ins
tion purposes.
ID2tfb•Q ignature (Applicant o Agent):
Application Number . . . . . 06-00002470
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1206.50
Plan Check Fee
784.23
Issue Date
. . . .
Valuation . . . .
261737
Expiration
Date . .
6/06/07
Qty
Unit Charge
Per
Extension
BASE
FEE
639.50
162.00
-----=----------------------------------------------------------------------
3.5000
THOU BLDG
100,001-500,000
567.00
Permit
. . .
MECHANICAL
Additional
desc . .
Permit Fee
.. . . .
136.00
Plan Check Fee
34.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date ;
6/06/07
Qty Unit.Charge
Per
Extension
BASE
FEE
15.00
3.00
9.0000
EA MECH
FURNACE <=100K
27.00
1.00
9.0000
EA MECH
B/C <=3HP/100K BTU
9.00
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
. . . .
133.64
Plan Check Fee
33.41
Issue Date
. . . .
Valuation . .
0
Expiration
Date
6/06/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
3052.00
.0350
ELEC
NEW RES _ 1 OR 2 FAMILY
106.82
591.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.82
Permit . . . . . PLUMBING
Additional desc .
Permit Fee 217.50
Issue Date . . . .
Expiration Date . 6/06/07
Qty Unit Charge Per
BASE FEE
23.00 6.0000 EA PLB FIXTURE
LQPERMIT
Plan Check Fee . . 54.38
Valuation . . . . 0
Extension
15.00
138.00
LQPERN11T
Application Number .
. . . . 06-00002470
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
15.60
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
6/06/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
-----------------=----------------------------------------------------------
Special Notes and Comments
SFD - LOT 1, PLAN E1 W. E2 GST.STE.3052
SF. PERMIT DOES NOT INCLUDE POOL,SPA,
BLOCK WALLS OR DRIVEWAY APPROACH.2001
CBC, CMC, CPC, 2004 CEC, 2005 ENERGY
CODES
----------------------------------------------------------------------------
Other Fees . . . . ..
. . . . ART IN PUBLIC PLACES -RES
154.34
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
78.42
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
26.17
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited.
----------------- ---------- ------ - --- ---------- ----------
Due
Permit Fee Total
1708.64 .00 .00
1708.64
Plan Check Total
906.02 .00 .00
906.02
Other Fee Total
4733.93 .00 .00
4733.93
Grand Total
7348.59 .00 .00
7348.59
109 EAST THIRD STREET • SAN BERNARDINO, CALIFORNIA 92410-4801
LA
A CORPORAnON (909) 884-8217 • FAX (909) 889=0153
CIVIL ENGINEERING : SURVEYING
May 15, 2007
City of La Quinta
P.O. Box 1.504
La Quinta, CA 92253
Attention: Ms. Diane 'Aaker
Re: House Form Certification — Tract No. 30185
Dear Ms. Aaker:
We have made a field check of the house forms for Lots 1 - 7 for Coral Metrtifain and find thern to be in
conformance with the approved Precise Grading Plans.
P
Please don't hesitate to call if you have any questions.
sd
cc: Chris King, Coral Mountain
Fax — 760-399-5456
1\C:\MyFi1es\Cora1 Mountain\House Fonn Certs.ss.wpd
Best regards,
Glen L. Ludwig
R.C.E. 13191 QPOFESS,
,off
No. 13191
EXP. 3-31-07