SFD (06-4241)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 4 a"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 06-0 0 0 0424 1
Property Address: 79075 MISSION DR W
APN: 646-330-065-5 -30185 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 228044
Applicant: rchitect or Engineer:
[ �J
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.
License Clasf $ Z� License No.: 762987
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State Lic nse 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 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:
Lender's Address:
LQPERNIIT
Owner:
TD DESERT DEV
C/O TOM CALLINAN
79285 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
TD DESERT DEVELOPMENT LP D
P O BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lib. No.: 762987
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/08/06
APR 11 2007
CIN OFOF LA 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
person in any manner so as to become subject to the workers' compensation laws of California,
nd gree that, if I should be suble to the workers' compensation provisions of Section
37 0 of the Labor Code, all forthwith mply with, th rovisions.
@3Ie:J plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T NE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAM 'GES 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 that the above information is correct. I agree to comply with all
��and coun or- inancesandstate laws relating to build' strucno , nd hereby authorize representatives
coun to nter upon the above-mentioned p rty for inspection pur ses.
Dat0 i ture (Applicant or entl: -
Application Number . . . . . 06-00004241
Permit
. . .
BUILDING PERMIT
Additional
desc .
Permit Fee
. . . .
1091.00
Plan Check Fee
177.29
Issue Date
. . . .
Valuation . . . .
228044
Expiration
Date
6/06/07
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
Plan Check Fee
6.97
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
6/06/07
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
7.44
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
6/06/07
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
11.91
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date
6/06/07
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
LQPERAIIT
Application Number .
. . . .
06-00004241
Permit. . . . . . .
PLUMBING
----------------------------------------------------------------------------
Special Notes and Comments
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
DIF CIVIC CENTER - RES
Additional desc .
ENERGY REVIEW FEE
70.92
Permit Fee . . . .
15.00
Plan Check Fee
.00
Issue Date . . . .
.00
Valuation . . .
. 0
Expiration Date 6/06/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 3, PLAN El,
2635 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. 2001 -CBC,
CMC,
CPC, 2004 CEC, 2005 ENERGY CODES
-------------------------=--------------------------------------7-----------
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
892.00
STRONG MOTION (SMI) - RES
2.2.80
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
203.61 .00 .00
203.61
Other Fee Total
4638.83 .00 .00
4638.83
Grand Total
6369.49 .00 .00
6369.49
LQPERA11T
Certificate of Occupancy
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: 79075 MISSION DR. W
Use classification: SINGLE FAMILY DWELLING
Occupancy Group: R-3
Owner of Building: TD DESERT DEV
l�d�t
Building Official
Type of Construction: VN
PICUOUS PLACE
Building Permit No.: 06-4241
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