07-2941 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
`07-00002941- _
�.
Property Address:
50595 BREVA
APN:
776-190-999-3 -32068 -
Application description:
DWELLING - SINGLE FAMILY
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
676636
Applicant:
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
DETACHED
Architect or Engineer:
01 P
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 Class: B 'cense No.: 873958
ate: Z�—O�or:
0 E DER DECLARATION
I hereby affirm under penalty of perjury that I a mpt 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.).
(_) 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.).
(_ ) I am exempt under Sec. , BAP.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
Owner:
TMC COMPANY, LLC.
24002 VIA FABRICANTE
MISSION VIEJO, CA 92
(949)600-7020
Contractor:
TMC COMPANY INC
24002 VIA FABRIC
MISSION VIEJO, C
(949)600-7020
Lic. No.: 873958
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/08/08
WORKER'S COMPENSATION DECLARATION
1 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
YYY"` Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 0000904-2006
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 agree that, if I should become subject to the workers' compensation provisions of Section
37000 of the Labor Code, I with comply with those provisions.
Date: Z '2C)"6E plicant:
WARNING: FAIL RJTOSECURE WORKERS' COM�CIVIL
RAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTUP TO ONE HUNDRED 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 that the above information is correct. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of/tthio county to enter up the above-mentioned property for inspection purposes.
aD te: Z— ZD" ignature (Applicant or,Agent):
Application Number . . . . . 07-00002941
Structure Information 6,399SF DWELLING/V-NR/RES-3/CLASS A -FR
Other struct info . .
. . . CODE EDITION 2001/2005
# BEDROOMS
5.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
1026.00
PATIO SQ FTG
1697.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
6976.00
------------------------------------------------------------7---------------
2ND FLOOR SQUARE FOOTAGE
870.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
2570.50 Plan Check Fee
1670.83
Issue Date . . . .
Valuation . .
676636
Expiration Date
8/06/08
Qty Unit Charge
Per
Extension
BASE FEE
2039.50
177.00 3.0000
--------------------------------=-------------------------------------------
THOU BLDG 500,001-1,000,000
531.00
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
325.13 Plan Check Fee
81.28
Issue Date
Valuation . . . .
0
Expiration Date
8/06/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
7846.00 .0350
ELEC NEW RES- 1 OR 2 FAMILY
274.61
1026.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
20.52
1.00 15.0000
----------------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE
15.00
Permit . . .
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/06/08
Qty Unit Charge
Per
Extension
----------------------------------------------------------------------------
BASE FEE
15.00
Permit . . MECHANICAL
Additional desc . .
LQPERMIT
{
Application Number .
. . . . 07-00002941
Permit . . . . . . MECHANICAL
Permit Fee . . . .
218.00 Plan Check Fee
54.50
Issue Date . . . .
Valuation . . . .
0
.Expiration Date
8/06/08
Qty Unit Charge
_Per _
Extension
BASE FEE
15.00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
2.00 11.0000
EA MECH FURNACE >100K
22.00
1.00 4.5000
EA MECH VENT INST/ DUCT ALT
4.50
4.00 9.0000
EA MECH BIC <=3HP/100K BTU -
36.00
2.00 .16.5000
EA MECH BIC >3-15HP/>100K-500KBTU
33.00
10.00 6.5000
EA MECH VENT FAN
65.00
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
282.00 Plan Check Fee
70.50
Issue Date . . . .
Valuation . . . .
0
Expiration Date
8/06/08
Qty Unit Charge
Per
Extension
BASE FEE
15.00
28.00 6.0000
EA PLB FIXTURE
168.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
2.00 6.0000
EA PLB ROOF DRAIN
12.00
3.00 7.5000
EA PLB WATER HEATER/VENT
22.50
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
4.00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
12..00
14.00 .7500
EA PLB GAS PIPE >=5
10.50
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
7,846SF DWELLING/V-NR/RES-3/CLASS
A -FR
[LOT#3]. THIS PERMIT DOES NOT INCLUDE
BLOCKWALLS, POOL AND
SPA, OR DRIVEWAY
APPROACH. January 22',
2007 11:14:22 AM
AORTEGA ***NIS PLANS
READY FOR
CORRECTIONS BUT NEVER
PICKED UP.
EXTENSION NEVER REQUESTED, PLANS
EXPIRED THIS DATE
October.23, 2007 3:38:59
PM khensel***
----------------------------------------------------------------------------
Other Fees . . . .
. . . . ART IN PUBLIC PLACES -RES
1191.59
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
480.00
LQPERMIT
r
Application Number . . . . . 07-00002941
----------------------------------------------------------------------------
Other Fees . . .
. . . . . .
ENERGY REVIEW FEE
167.08
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
22.50
DIF LIBRARIES - RES
•355.00
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
STRONG MOTION (SMI) - RES
67.66
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
1666.00
Fee summary
-----------------
Charged
Paid Credited
Due
Permit Fee Total
-=--------
3410.63
------------------------------
.00 .00
3410.63
Plan Check Total
1877.11
.00 .00
1877.11
Other Fee Total
5144.83
.00 .00
5144.83
Grand total
10432.57
.00 .00
10432.57
LQPERM[T
Is
5-4
t_1
P.O. BOX 1504 APPLICATION ONLY
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 U
Mailing 233%Z ad&O I
Address /v l
�j
& Classif. C
-1 " Li.
Arch., EngfeL _•-�1 t 1
ROMM MUMI 'J1MIEW
Li c. # C
V LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5, Business and Professions Code: Any city or coun which requires a
permit to construct, alter, improve, demolish, or repair any structure, ' r to its issuance also
�equrres the applicant /or such permit to file a signed statement t e is licensed pursuant to
e provisions o/ the Contractor's License Law, Chapter 9 (c encing with Section 7000) of
ivisron 3 0/the Business and Professions Code, or that s exempt therefrom, and the basis
/or the alleged exemption. Any violation o/Section 70 by any applicant /or a permit subjects
the applicant to a civil penalty o/not more than /i undyed dollars ($500).
❑ I, as owner of the property, or my employ with wages as their sole compensation, will do
the work, and the structure isnot iniende r offered for sale. (Sec. 7044, Business and Profes-
sions Code: The Contractor's Licens aw does not apply to an owner of property who builds
or improves thereon and who doe uch work himself or through his own employees, provided
that such improvements are n mended or o/%red /or sale. N, however, the building or im-
provement is sold within o year o/ completion, the owner -builder will have the burden o/
proving that he did not d or improve for the purpose of sale).
❑ I, as owner of the operty, am exclusively contracting with licensed contractors to construct
the project. (Sec 044, Business and Professions Code: The Contractor's License Law does
not apply to a caner of properly who builds or improves thereon, and who contracts for such
projects wi a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am empt under Sec. B. & P.C. for this reason
Date Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's
Compens t' n Insuran �e,., or }eItifie opy,t (elf, e O L r Code.)
PolicyNo�' 1VC�/1.YLr��
❑ Copy is filed with the city. Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANC
(This section need not be completed i/ the permit is for 0 ndred dollars ($100) valuation
or less).
I certify that in the performance of the for which this permit is issued, I shall not
employ any person in any manner so a ecome subject to Workers' Compensation Laws of
California.
Date Own
NOTICE TO APP TI/, her making this Certificate o/ Exemption you should become
subject tot orkers' Compensation provisions of the Labor Code, you must forthwith
comptWifff such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work
for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
piration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-mentioned
property for inspection purposes.
Signature of applicant Date
Mailing Address .2 �
City, State, Zip �� 51 am J I ,
BUILDING: TYPE CONST.��L OCC. GRP.
A.P. Number p 76 —1,T40 40 S 5
Legal Description 1 o 1 31 :J-Cad*57o60
Project Descri tion
T)UJNIn(st V -0P Res
Sq. Ft.j No. DIN.
Size �� ✓ Stories 2"r�� 6dP&1-ts
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:_
Minimum Setback Distances:
FINAL DATE -
Issued by:—
Validated by:
Validation:_
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
Date
INSPECTOR
WHITE = BUILDING DEPARTMENT YELLOW = APPLICANT PINK = FINANCE