SFD (07-1650)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application` Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00001650 &ha
79065 MISSION DR W�
646-330-065-4 -30185 -
DWELLING - SINGLE FAMILY
LOW DENSITY RESIDENTIAL
228044
Tityl 4 4& Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
tp j 4L41;J l4Z&A 1&9fpA_, Owner:
TD DESERT DEV
C/O TOM CALLINAN
DETACHED 79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
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 ivision 3 of the Business and Profession and my License is in full force and effect.
License CI s: License 7629
Datractor.
N 9.SUILDER 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 contrarf[S"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
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: PIV
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/68/07
Contractor: 4 --�
TD DESERT DEVELOPLi
P O BOX 1716
LA QUINTA, CA 92 7 AUG 2 7 %
(760)771-1941 `��/
Lic. No.: 76298.7 CITyOF
FINAIu � QUINTA
-----------------------------------------------
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
pers n in any manner so as t e subject to the workers' compensation laws of California,
an agree that, if I should come sub cyto the workers' en tion provisions of Section
3 0 o the Labor Co , I shall forthwit comply wi ose ovisions.
ate: scant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFU , AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND. ED 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 I have read this application and state t the abo information is co ee to comply with all
city and coy ty ord' ances and state laws rel g to building con ruction, ereby auth ize representatives
offtthI/i��.cou y to a ter upon the above -me ned property for insp cti urposes.
a�D t2: nature (Applican or Age tl:
Application Number . . . . . 07-00001650
Permit
. . .
BUILDING PERMIT .
Additional
desc .
Permit Fee
1091.00
Plan Check Fee
709.15
Issue Date
. . . .
Valuation . . . .
228044
Expiration
Date
12/05/07
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
129.00
----------------------------------------=-----------------------------------
3.5000
THOU BLDG
100,001-500,000
451.50
Permit
. . .
MECHANICAL
Additional
desc .
Permit Fee
. . . .
111.50
P1an.Check Fee
27.88
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
12/05/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00
9.0000
EA MECH
FURNACE <=100K
18.00
2.00
16.5000
EA MECH
B/C >3-15HP/>100K-500KBTU
33.00
6.00
6.5000
EA MECH
VENT FAN
39.00
1.00
----------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
6.50
Permit
. .
ELEC-NEW RESIDENTIAL
Additional
desc . .
Permit Fee
. . . .
119.05
Plan Check Fee
29.76
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date . .
12/05/07
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2635.00
.0350
ELEC
NEW RES - 1 OR 2 FAMILY
92.23
591.00
----------------------------------------------------------------------------
.0200
ELEC
GARAGE OR NON-RESIDENTIAL
11.82
Permit
. . .
PLUMBING
Additional
desc.. .
Permit Fee
. . . .
190.50
Plan Check Fee
47.63
Issue Date
Valuation . . . .
0
Expiration
Date
12/05/07
Qty Unit Charge Per
BASE FEE
20.00 6.0000 EA PLB FIXTURE
1.00 15.0000 EA PLB BUILDING SEWER
LQPERMIT
Extension
15.00
120.00
15.00
Application Number .
. . . . 07-00001650
Permit . ... . . . PLUMBING
Qty Unit Charge
Per
Extension
1".00 7.5000
EA PLB WATER HEATER/VENT
7.50
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
12/05/07
Qty Unit Charge
Per
Extension
.BASE FEE
15.00
-------------------------------------------------------------'------=--------
Special Notes and Comments
SFD - LOT 4, PLAN E1,
2635 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
70.11
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
70.92
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
8.92.00
STRONG MOTION (SMI).- RES
22.80
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1930.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total
1527.05 .00 .00
1527.05
Plan Check Total
814.42 .00 .00
814.42
Other Fee Total
4638.83 .00 .00
4638.83
Grand Total
6980.30 .00 .00
6980.30
N
LQPERMIT
Certificate of Occupancy
ot
OF9 Building & Safety Department
This Certificate is issued pursuant to the requirements of Section 109 of the California Building
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.
BUILDING ADDRESS: 79065 MISSION DR. W
Use classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3
Owner of Building: TD DESERT DEV
Building Official
Type of Construction: VN
POST IN A CONSPICUOUS P
Building Permit No.: 071650
Land Use Zone: RL
Address: 79-285 RANCHO LA QUINTA DR
City, ST, ZIP: LA QUINTA, CA 92253
By: STEVE TRAXEL
Date: APRIL 16, 2008