13-1712 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
Tit(t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/10/14
13-00001712 Owner:
57872 BARRISTO CIR MURRIETA APTS INVESTORS 37, LP
762-500-016-16 -32225 - 400 E RINCON STE 105
DWELLING - SINGLE FAMILY DETACHED CORONA, CA 92879
LOW DENSITY RESIDENTIAL
236986
Contractor: D A
Architect or Engineer: M H P BUILDERS INC3202 W. +A'
STOCKTON, CAH9552t19 # JUN 27
1r
(209)951-6190 104,
Lic. No.: 934711 C1ITYOFtAQUIMT4
FIN44 a DEPT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am Iicen under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Prof. sit. sCode, and my License is in full force and effect.
Licenseo lass,:( Licens.No.:^3�j,4v7�11
Date: ` L Contractor: V `
OWNER -BUILDER CLARATION
I hereby affirm under penalty of perjury that 1 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).:
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:
Lender's Address:
LQPERMIT
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 EVEREST INS Policy Number 7690046121
I certify that, in the performance of the wLthe
this permit is issued, 1 shall not employ any
person in any manner so as to become workers' compensation laws of California,
a d agree that, if I shout become subjrkers' ompensation provisions of Section
00of the Labor o shall hwth th a provisions.
Date � W I (Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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 t at I have read this application and state that th above informati&ndereby
ct. I agree to comply with all
city and o�gqunyyyty rdinances and state lawts relating to bu din cons u tion, authoriz representatives
of th�s,Supon the above-mentioned propertf in rip
Date:'/�� Signature (Applicant or Agent):
Application Number . . . . . 13-00001712
------ Structure Information 2,624SF DWELLING/VB/RES-3/CL-A/13D [ENG] -----
Other struct info . . . . . CODE EDITION 2010
# BEDROOMS 3.00
FIRE SPRINKLERS 13D
GARAGE SQ FTG 711.00
PATIO SQ FTG 403.00
NUMBER OF UNITS 1.00
1ST FLOOR SQUARE FOOTAGE 2624.00
----------------------------------------------------------------------------
Permit BUILDING 2013
Additional desc . .
Permit Fee . . . . 594.15 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 236986
Expiration Date . . 12/06/14
Qty Unit Charge Per Extension
BASE FEE 573.43
37.00 .5600.THOU BLDG $200,001-$1M 20.72
----------------------------------------------------------------------------
Permit ELECTRICAL 2013
Additional desc . .
Permit.Fee . . . . 191.15 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/06/14
Qty Unit Charge
Per
IExtension
1.00 23.8300
EA ELEC
SERVICES
23.83
1.00 143.0000
LS ELEC
NEW RES, FIRST 1 KSF
143.00
2.00 12.1600
----------------------------------------------------------------------------
EA ELEC
NEW RES, ADD'L 1 KSF
24.32
Permit MECHANICAL
2013
7.00
Additional desc . .
EA
MECH
VENT FAN
Permit Fee . . . .
238.36
Plan Check Fee
.00
Issue Date . . . .
EXHAUST HOOD
Valuation . . .
. 0
Expiration Date . . 12/06/14
Qty
Unit Charge
Per
Extension
2.00
35.7500
EA
MECH
FURNACE
71.50
2.00
35.7500
EA
MECH
CONDENSER/COMP
71.50
7.00
11.9200
EA
MECH
VENT FAN
83.44
1.00
----------------------------------------------------------------------------
11.9200
EA
MECH
EXHAUST HOOD
11.92
Permit . . . . . . PLUMBING 2013
LQPERMIT
Application Number . . . . . 13-00001712
Permit PLUMBING 2013
Additional desc . .
Permit Fee . . . . 226.47 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/06/14
Qty Unit Charge Per
Extension
13.00 11.9200 EA
PLBG FIXTURE/TRAP
154.96
1.00 11.9200 EA
PLBG BUILDING SEWER
11.92
1.00 11.9200 EA
PLBG WATER HEATER/VENT
11.92
1.00 11.9200 EA
PLBG WATER INST/ALT/REP
11.92
1.00 35.7500 LS
PLBG GAS SYS, 5+ OUTLETS
35.75
----------------------------------------------------------------------------
Special Notes and Comments
2,624SF DWELLING - ELEV B,
GAR 3R, LOT
16 [VB/RES-3/CLASS A-FR/13D/ENGINEERED]
THIS PERMIT DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA OR DETACHED BBQS AND
FIRE PITS. 2010 CALIFORNIA
BUILDING
CODE.
October 2, 2013 4:13:14 PM
AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . .
. . ART IN PUBLIC PLACES -RES
92.47
BLDG STDS ADMIN (SB1473)
10.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
DIF FIRE PROTECTION -RES
433.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE
1278.00
DIF PARK MAINT FAC - RES
40:00
DIF PARKS/REC - RES
2048.00
PLAN CHECK, MULTIPLE STR
47.67
STRONG MOTION (SMI) - RES
23.70
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary Charged
Paid Credited
--------------------
Due
---------------------------
Permit Fee Total 1250.13
----------
.00 .00
1250.13
Plan Check Total
.00 .00 .00
.00
Other Fee Total 10183.28
.00 .00
10183.28
Grand Total 11433.41
.00 .00
11433.41
LQPERM IT