13-1261 (SFD)i
P.O. BOX 1504 T-ihf 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00001261
Property Address: 57789 BARRISTO CIR
APN: 762-500-009-9 -32225 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 302733
A�� nt: /��/c�Z✓- �� Architect or Engineer:
/OX-
Ihereby affirm under penalty of perjury
Section 7000) of Division 3 of the Bu
License Class: B
'Date:iD J Contractor
TRACTOR'S DECLARATION
under provisions of Chapter.9 (commencing with
rials Code, and my License is in full force and effect.
License No.: 934711
OWNER -BUILDER DECLARATION
I hereby affirm under penalty o erjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 . /Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, d iolish, 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 (Ser„ 7044; Rosiness and Prnfrssinns 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 contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ I 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.I.
Lender's Name: (�
Lender's Address: \
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MURRIETA APTS INVESTORS 37, LP
400 E RINCON STE 105
CORONA, CA 92879
Contractor:
M H P BUILDERS
3202 W. MARCH
STOCKTON, CA 9
(209)951-6190
Lic. No.: 9347
A
1 03 02013
1 Cliy OF LA 9UIWA
FINANCE DEPT.
Date: 10/30/13
WORKER'S COMPENSATION DECLARATION
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 numb are:
Carrier EVEREST INS y Number 7690046121
_ I certify that, in the per rice o e ork for which this permit is issued, I shall not employ any
person in any mann r so s to com s 'act to the workers' compensation laws of California,
and agree that, if I sh 'ect to the workers' compensation provisions of Section
3700 of the abor Co , I s fon ith comply with those provisions.
Date: i-"—�� Ap
WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE OR 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 es null and void if work is not commenced
within 180 days from date of issuance of su rmit r cessation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state that ab ve of r atio correct. I agree to comply with all
city and county ordinances and state laws relating to ildi c u , and hereby authorize representatives
of this county to en at upon the above-mentioned pr a ion purposes.
Date: �� / Signature (Applicant or Age 1:
1'` 2
Application Number . . . . . 13-00001261
------ Structure Information 3,418SF DWELLING/VB/RES-3/CL-A/13D
[ENG] -----
Other struct info . .
. . . CODE EDITION
2010
# BEDROOMS
3.00
FIRE SPRINKLERS
13D
GARAGE SQ FTG
685.00
PATIO SQ FTG
463.00
NUMBER OF UNITS
1.00
-------------------------
1ST FLOOR SQUARE FOOTAGE
--------------------------------------------------
3418.00
Permit . . .
BUILDING 2013
Additional desc . .
Permit Fee . . . .
631.11 Plan Check Fee
00
Issue Date . . . .
Valuation . .
. . 302733
Expiration Date . .
4/28/14
Qty Unit Charge
Per
Extension
BASE FEE
573.43
103.00 .5600
----------------------------------------------------------7-----------------
THOU BLDG $200,001-$1M
57.68
Permit . . ..
ELECTRICAL 2013
Additional desc . .
Permit Fee• . . . .
203.31 Plan Check Fee
.00
Issue Date
Valuation . .
. . 0
Expiration Date
4/28/14
Qty Unit Charge
Per
Extension
1.00 23.8300
EA ELEC SERVICES
23.83
1.00 143.0000
LS ELEC NEW RES, FIRST 1 KSF
143.00
3.00 12.1600
----------------------------------------------------------------------------
EA ELEC NEW RES, ADD'L 1 KSF
36.48
Permit . . .
MECHANICAL 2013
Additional desc .
Permit Fee . . . .
214.52 Plan Check Fee
.00
Issue Date . . . .
Valuation . .
. . 0
Expiration Date . .
4/28/14
Qty Unit Charge
Per
Extension
2.00 35.7500
EA MECH FURNACE
71.50
2.00 35.7500
EA MECH CONDENSER/COMP
71.50
5.00 11.9200
EA MECH VENT FAN
59.60
1.00 11.9200
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
11.92
Permit . . . . . . PLUMBING 2013
LQPERMIT
Application Number . . . . . 13-00001261
Permit . . . PLUMBING 2013
Additional desc . . '
Permit Fee . . . . 250.31 Plan Check Fee
Issue Date . . . . Valuation . .
Expiration Date . . 4/28/14
Qty Unit Charge Per
Extension
15.00 11.9200 EA
PLBG FIXTURE/TRAP
178.80
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,
3,418SF DWELLING - ELEV B,
GAR 3R, LOT 9
[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 4:01:07 PM
AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . .
. . ART IN PUBLIC PLACES -RES
256.83
BLDG STDS ADMIN (SB1473)
13.00
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
PLAN CHECK, ELECTRICAL
74.14
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
123.94
PLAN CHECK, SFD GRADING
143.00
PLAN CHECK, PLUMBING
233.62
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M
1346.31
STRONG MOTION (SMI) - RES
30.27
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 1299.25
.00 .00
1299.25
Plan Check Total
.00 .00 .00
.00
Other Fee Total 12230.55
.00 .00
12230.55
Grand Total 13529.80
.00 .00
13529.80
LQPERMIT
Application Number . . . . . 13-00001261
LQPERMIT